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

Accident-and-Health-or-Sickness-Producer
  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Sep 23, 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: General Insurance Concepts15%- Fundamental Principles
  • 1. Insurable interest and indemnity
    • 2. Risk and risk management
      • 3. Contract law and policy structure
        - Policy Provisions
        • 1. Exclusions and limitations
          • 2. Mandatory and optional clauses
            Topic 2: Insurance Regulation30%- Providers and Markets
            • 1. Insurers and health service organizations
              • 2. HMOs and managed care arrangements
                - Regulation of Producers
                • 1. Compensation and commissions
                  • 2. Privacy and confidentiality rules
                    • 3. Unfair trade practices
                      - Licensing
                      • 1. Initial qualifications and examination
                        • 2. General provisions and definitions
                          • 3. License issuance, renewal, and termination
                            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. Disclosure and marketing requirements
                                    • 3. Claims handling and settlement rules
                                      Topic 4: Accident and Health Insurance Policies35%- Policy Features
                                      • 1. Benefit structures and limits
                                        • 2. Pre-existing conditions and exclusions
                                          • 3. Waiting periods and elimination periods
                                            - Types of Coverage
                                            • 1. Disability income insurance
                                              • 2. Medical expense insurance
                                                • 3. Long-term care insurance
                                                  • 4. Accident-only coverage

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

                                                    Question #1

                                                    A nonprofit health service plan may NOT issue a contract that covers which of the following types of benefits?

                                                    • A. Vision benefits
                                                    • B. Medical expense benefits
                                                    • C. Dental benefits
                                                    • D. Disability income benefits
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: D  🗳️

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                                                    Question #2

                                                    Which expenses are covered by Medicare Part D?

                                                    • A. Medical
                                                    • B. Prescription drug
                                                    • C. Hospital
                                                    • D. Dental
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: B  🗳️

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                                                    Question #3

                                                    Which type of coverage bases benefit eligibility on the capacity to perform activities of daily living?

                                                    • A. Major medical expense
                                                    • B. Long-term care insurance
                                                    • C. Medicare supplement
                                                    • D. Long-term disability
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: B  🗳️

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                                                    Question #4

                                                    When an accident and health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

                                                    • A. The premium payor
                                                    • B. The patient or parent of the patient
                                                    • C. The principal insured individual
                                                    • D. The insurer
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: D  🗳️

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                                                    Question #5

                                                    Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

                                                    • A. Preapproved charges
                                                    • B. Utilization charges
                                                    • C. Scheduled charges
                                                    • D. Reasonable and customary charges
                                                    Reveal Solution  Discussion  0

                                                    Correct Answer: D  🗳️

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