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Maryland Insurance Administration Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| General Insurance Principles | - Insurance concepts
|
| Insurance Law and Regulation (Maryland) | - Maryland Insurance Administration rules
|
| Policy Administration and Ethics | - Ethical obligations
|
| Health Insurance Systems | - Government health programs
|
| Accident and Health Insurance Basics | - Policy structure and provisions
|
Maryland Insurance Administration MarylandAccident and Health or Sickness Producer Series 20-24 Sample Questions:
All of the following are basic underwriting actions in accident and health insurance EXCEPT:
- A. Deleting uniform policy provisions
- B. Issuing standard policies as applied for
- C. Rejecting applicants
- D. Issuing policies with exclusion riders
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All of the following are considered to be fraud EXCEPT:
- A. Willfully collecting a premium that exceeds the amount of the premium
- B. Collecting a charge for insurance that is less than the charge applicable to that insurance
- C. Collecting a proper premium for insurance that is provided
- D. Collecting a premium for insurance that is not provided
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Which expenses are covered by Medicare Part D?
- A. Dental
- B. Medical
- C. Hospital
- D. Prescription drug
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If an insurer pays an individual accident and health insurance claim during a policy's grace period:
- A. The amount of unpaid premium may be subtracted from the reimbursement
- B. The deductible is waived
- C. The policy is canceled automatically at the end of the grace period
- D. A 10% service fee is charged
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A health maintenance organization may issue a contract that provides benefits for the following:
- A. Health care services provided to members of the HMO
- B. The accidental death of an HMO member
- C. Replacement of income lost by a member due to the member's disability
- D. The dismemberment of an HMO member
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