Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Q&A - in .pdf

  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 01, 2026
  • Q & A: 92 Questions and Answers
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  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • Updated: Aug 01, 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%- Types of Coverage
  • 1. Disability income insurance
    • 2. Accident-only coverage
      • 3. Medical expense insurance
        • 4. Long-term care insurance
          - Policy Features
          • 1. Waiting periods and elimination periods
            • 2. Pre-existing conditions and exclusions
              • 3. Benefit structures and limits
                Topic 2: Insurance Regulation30%- Regulation of Producers
                • 1. Compensation and commissions
                  • 2. Unfair trade practices
                    • 3. Privacy and confidentiality rules
                      - Licensing
                      • 1. General provisions and definitions
                        • 2. Initial qualifications and examination
                          • 3. License issuance, renewal, and termination
                            - Providers and Markets
                            • 1. HMOs and managed care arrangements
                              • 2. Insurers and health service organizations
                                Topic 3: General Insurance Concepts15%- Policy Provisions
                                • 1. Mandatory and optional clauses
                                  • 2. Exclusions and limitations
                                    - Fundamental Principles
                                    • 1. Insurable interest and indemnity
                                      • 2. Contract law and policy structure
                                        • 3. Risk and risk management
                                          Topic 4: Maryland State-Specific Regulations20%- Statutory Requirements
                                          • 1. Mandatory benefits and coverage mandates
                                            • 2. Claims handling and settlement rules
                                              • 3. Disclosure and marketing requirements
                                                - Compliance and Enforcement
                                                • 1. Penalties and violations
                                                  • 2. Reporting and recordkeeping

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

                                                    1. The primary purpose of disability income insurance is to:

                                                    A) Provide benefit payments for a period of time when the insured is unable to work
                                                    B) Provide indemnity for loss of life
                                                    C) Pay necessary hospital expenses when the insured is unable to work
                                                    D) Pay any physicians' fees resulting from a disabling injury


                                                    2. All of the following are examples of unfair claims settlement practices EXCEPT:

                                                    A) Refusing arbitrarily and unreasonably to pay claims
                                                    B) Denying unsubstantiated claims on a timely basis
                                                    C) Failing to promptly provide a reason for a claim denial
                                                    D) Misrepresenting pertinent facts of coverage


                                                    3. Which statement describes the most likely federal income tax treatment of death benefits paid to the family of an insured under an accident and health insurance policy?

                                                    A) All benefits will be taxable
                                                    B) Benefits will not be taxable
                                                    C) Taxation depends on the beneficiary's tax bracket
                                                    D) Some benefits will usually be taxable


                                                    4. Before issuing a policy of long-term care insurance to an applicant who is at least 80 years old, unless the policy is guaranteed issue, the carrier shall obtain a:

                                                    A) Applicant's family's consent
                                                    B) Report of a physical examination
                                                    C) Copy of the person's living will
                                                    D) Power of attorney


                                                    5. Which of the following is a requirement of an insurable risk?

                                                    A) The loss must be catastrophic.
                                                    B) There must be a large number of different loss exposures.
                                                    C) The loss must be intentional.
                                                    D) The chance of loss must be calculable.


                                                    Solutions:

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

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