Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 : Accident-and-Health-or-Sickness-Producer

Accident-and-Health-or-Sickness-Producer real exams

Exam Code: Accident-and-Health-or-Sickness-Producer

Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam

Updated: Jul 31, 2026

Q & A: 92 Questions and Answers

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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Accident and Health Insurance Policies35%- Policy Features
  • 1. Pre-existing conditions and exclusions
    • 2. Waiting periods and elimination periods
      • 3. Benefit structures and limits
        - Types of Coverage
        • 1. Accident-only coverage
          • 2. Disability income insurance
            • 3. Medical expense insurance
              • 4. Long-term care insurance
                Topic 2: General Insurance Concepts15%- Policy Provisions
                • 1. Exclusions and limitations
                  • 2. Mandatory and optional clauses
                    - Fundamental Principles
                    • 1. Contract law and policy structure
                      • 2. Insurable interest and indemnity
                        • 3. Risk and risk management
                          Topic 3: Maryland State-Specific Regulations20%- Compliance and Enforcement
                          • 1. Reporting and recordkeeping
                            • 2. Penalties and violations
                              - Statutory Requirements
                              • 1. Mandatory benefits and coverage mandates
                                • 2. Claims handling and settlement rules
                                  • 3. Disclosure and marketing requirements
                                    Topic 4: Insurance Regulation30%- Licensing
                                    • 1. License issuance, renewal, and termination
                                      • 2. Initial qualifications and examination
                                        • 3. General provisions and definitions
                                          - Regulation of Producers
                                          • 1. Privacy and confidentiality rules
                                            • 2. Unfair trade practices
                                              • 3. Compensation and commissions
                                                - Providers and Markets
                                                • 1. Insurers and health service organizations
                                                  • 2. HMOs and managed care arrangements

                                                    Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:

                                                    1. A disability income insurance policy typically provides coverage for disabilities resulting from:

                                                    A) Sickness only
                                                    B) Occupational accidents only
                                                    C) Accidents only
                                                    D) Both accidents and sickness


                                                    2. Which benefit is usually excluded from major medical expense plan coverage?

                                                    A) Hospice care
                                                    B) Prescription drugs
                                                    C) Routine dental care
                                                    D) Physical therapy


                                                    3. When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

                                                    A) Major medical
                                                    B) Disability income
                                                    C) Health maintenance organization
                                                    D) Dental


                                                    4. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

                                                    A) Rebating
                                                    B) Fraud
                                                    C) Twisting
                                                    D) Discrimination


                                                    5. Medical expense insurance typically EXCLUDES coverage for treatment of:

                                                    A) Undiagnosed diseases
                                                    B) Chronic back pain
                                                    C) Eating disorders
                                                    D) Intentionally self-inflicted injuries


                                                    Solutions:

                                                    Question # 1
                                                    Answer: D
                                                    Question # 2
                                                    Answer: C
                                                    Question # 3
                                                    Answer: B
                                                    Question # 4
                                                    Answer: C
                                                    Question # 5
                                                    Answer: D

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