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

  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 19, 2026
  • Q & A: 92 Questions and Answers

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

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

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

                                                    1. If an individual's occupation is considered to be illegal:

                                                    A) It may require a waiver on a disability income insurance policy
                                                    B) It must be stated as such on an accident and health insurance application
                                                    C) It may result in a denial of a disability income claim
                                                    D) It results in a substandard rating on an accident and health insurance policy


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

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


                                                    3. Medicare Supplement insurance is specifically designed for individuals who:

                                                    A) Have low incomes and limited assets
                                                    B) Cannot obtain commercial coverage due to health problems
                                                    C) Have enrolled in Medicare
                                                    D) Are ineligible for coverage under an employer group accident and health plan


                                                    4. Coverage for the first three pints of blood for Medicare enrollees is:

                                                    A) A Medicare Supplement core benefit
                                                    B) A Medicare Part A benefit
                                                    C) A Medicare Supplement additional benefit
                                                    D) A Medicare Part B benefit


                                                    5. An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:

                                                    A) Must pay the claim upon receipt of the proof of loss
                                                    B) Must pay the claim within one year of termination of coverage
                                                    C) Can refuse to pay the claim under the pre-existing conditions exclusion
                                                    D) Can refuse to pay the claim because coverage has been terminated


                                                    Solutions:

                                                    Question # 1
                                                    Answer: C
                                                    Question # 2
                                                    Answer: A
                                                    Question # 3
                                                    Answer: C
                                                    Question # 4
                                                    Answer: A
                                                    Question # 5
                                                    Answer: A

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