Maryland Insurance Administration : Accident-and-Health-or-Sickness-Producer Questions & Answers

Last Updated: Aug 21, 2026

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

SectionWeightObjectives
Topic 1: Social Insurance Programs8-12%- Medicaid programs
- Medicare Part A, B, C, D
- CHIP (Children's Health Insurance Program)
- Social Security disability benefits
Topic 2: Marketing Practices8-12%- Marketing regulations
- Prohibited practices
- Advertising guidelines
- Producer responsibilities
Topic 3: Maryland Insurance Laws and Regulations20-25%- Privacy and confidentiality requirements
- Producer licensing requirements
- Maryland Insurance Code
- Violations and penalty provisions
- Consumer protection regulations
- Unfair claim settlement practices
Topic 4: Types of Health Insurance Policies20-25%- Group health insurance
- Individual health insurance
- Disability income insurance
- Dental and vision insurance
- Long-term care insurance
- Medicare and Medicaid
Topic 5: Policy Provisions and Clauses18-22%- Exclusions and limitations
- Coverage terms and conditions
- Deductibles and copayments
- Benefit periods
- Waiting periods
- Preexisting condition clauses
Topic 6: Field Underwriting and Application Process8-12%- Application procedures
- Agent responsibilities in enrollment
- Risk classification
- Medical underwriting

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

1. An insurance producer provided several examples to the applicant persuasively demonstrating that the insurance coverage offered under his company's policy was superior to a competitor's product. The insurance producer knew he was misrepresenting or stretching the truth in order to induce the applicant to forfeit her current policy and purchase a similar but inferior insurance policy from him. The insurance producer is involved in which one of the following unfair trade practices?

A) Rebating
B) Fraud
C) Discrimination
D) Twisting


2. An insurance producer or advisor in the State of Maryland can be disciplined by the MarylandInsurance Administration for all of the following EXCEPT:

A) Making false or misleading statements about dividends previously paid on similar policies
B) Filing a complaint on behalf of the consumer with the Maryland Insurance Administration
C) Making a misleading statement about the financial condition of an insurer
D) Using inappropriate description of a policy to hide the true nature of the policy


3. An elimination period in a disability income insurance policy is the:

A) Same as the probationary period
B) Period between the start of a disability and the beginning of benefits
C) Time period the policy is in force
D) Time during which benefits are paid under the policy


4. An insured incurs a covered accident and health insurance loss on May 30, which is submitted to the insurer on June 8. If the insured terminated coverage on June 1, the insurer:

A) Can refuse to pay the claim under the pre-existing conditions exclusion
B) Must pay the claim upon receipt of the proof of loss
C) Can refuse to pay the claim because coverage has been terminated
D) Must pay the claim within one year of termination of coverage


5. Accident and health policies must cover physically or mentally handicapped dependent children:

A) For life
B) To age 19
C) To age 25
D) Until they become self-sustaining


Solutions:

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

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