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

Section	Weight	Objectives
Accident and Health Insurance Policies	35%	- Types of Coverage 1. Long-term care insurance 2. Disability income insurance 3. Medical expense insurance 4. Accident-only coverage - Policy Features 1. Pre-existing conditions and exclusions 2. Waiting periods and elimination periods 3. Benefit structures and limits
General Insurance Concepts	15%	- Policy Provisions 1. Exclusions and limitations 2. Mandatory and optional clauses - Fundamental Principles 1. Insurable interest and indemnity 2. Risk and risk management 3. Contract law and policy structure
Insurance Regulation	30%	- 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
Maryland State-Specific Regulations	20%	- Statutory Requirements 1. Mandatory benefits and coverage mandates 2. Claims handling and settlement rules 3. Disclosure and marketing requirements - Compliance and Enforcement 1. Reporting and recordkeeping 2. Penalties and violations

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

Question #1

Which benefit is usually excluded from major medical expense plan coverage?

A. Routine dental care
B. Physical therapy
C. Prescription drugs
D. Hospice care

Reveal Solution Discussion 0

Correct Answer: A 🗳️