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  • Exam Code: Accident-and-Health-or-Sickness-Producer
  • Exam Name: MarylandAccident and Health or Sickness Producer Series 20-24 Exam
  • , Last Updated: Jul 24, 2026
  • Q & A: 92 Questions and Answers
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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

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

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

                                                    1. When the insured's willful failure to disclose a material fact at the time of application is discovered by the insurer shortly after the policy is issued:

                                                    A) The insurer must continue the insurance policy in full force
                                                    B) The policy is voidable at the insurer's option
                                                    C) The insurer may cancel the policy only at the expiration or renewal date
                                                    D) The policy is automatically void


                                                    2. A health maintenance organization (HMO) must provide coverage for all of the following EXCEPT:

                                                    A) Routine physical examinations
                                                    B) Emergency services
                                                    C) Dental and vision care
                                                    D) Well-baby or well-child care


                                                    3. All of the following are typical health maintenance organization (HMO) preventive care services provided by a primary care physician EXCEPT:

                                                    A) Experimental surgery
                                                    B) Physical examinations
                                                    C) Immunizations for children
                                                    D) Well-baby checkups


                                                    4. Misrepresenting pertinent policy provisions relating to coverages after a loss is:

                                                    A) An unfair claim settlement practice
                                                    B) An unfair discrimination between individuals
                                                    C) A concealment in insurance applications
                                                    D) A violation of the principle of adhesion


                                                    5. A health maintenance organization may issue a contract that provides benefits for the following:

                                                    A) The dismemberment of an HMO member
                                                    B) Health care services provided to members of the HMO
                                                    C) The accidental death of an HMO member
                                                    D) Replacement of income lost by a member due to the member's disability


                                                    Solutions:

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

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