Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 : 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: Jul 28, 2026     Q & A: 92 Questions and Answers

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

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

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

                                                    1. In dental insurance coverage, which one of the following typically is EXCLUDED?

                                                    A) Treatment started prior to the eligibility date
                                                    B) Root canal therapy
                                                    C) Preventive care
                                                    D) Dental X-rays


                                                    2. In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?

                                                    A) The Maryland Insurance Administration has no right to access a producer's business records because of privacy considerations
                                                    B) Authorization must come from the National Association of Insurance Commissioners (NAIC)
                                                    C) Records can only be accessed by an order of a state court
                                                    D) Records must be produced upon the request of the Maryland Insurance Administration


                                                    3. An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:

                                                    A) A skydiving exhibition
                                                    B) A state-sponsored centennial celebration
                                                    C) A nuclear power plant
                                                    D) A drug smuggling operation


                                                    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 insurer
                                                    B) The premium payor
                                                    C) The patient or parent of the patient
                                                    D) The principal insured individual


                                                    5. Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?

                                                    A) Branch office
                                                    B) Captive agent
                                                    C) Contingent
                                                    D) Direct response


                                                    Solutions:

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

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