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

Section	Objectives
Topic 1: Policy Administration and Ethics	- Ethical obligations 1. Suitability and fiduciary duties 2. Disclosure requirements
Topic 2: General Insurance Principles	- Insurance concepts 1. Principles of indemnity and insurable interest 2. Risk, peril, hazard
Topic 3: Health Insurance Systems	- Government health programs 1. Medicaid basics 2. Medicare basics - Managed care models 1. HMO, PPO, POS
Topic 4: Accident and Health Insurance Basics	- Policy structure and provisions 1. Exclusions and limitations 2. Definitions and clauses - Types of coverage 1. Accidental death & dismemberment (AD&D) 2. Medical expense insurance 3. Disability income insurance
Topic 5: Insurance Law and Regulation (Maryland)	- Maryland Insurance Administration rules 1. Producer licensing requirements 2. Unfair trade practices (rebating, twisting, misrepresentation)

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

Question #1

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

Reveal Solution Discussion 0

Correct Answer: D 🗳️