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| Section | Weight | Objectives |
|---|---|---|
| Marketing Practices | 8-12% | - Advertising guidelines - Marketing regulations - Prohibited practices - Producer responsibilities |
| Field Underwriting and Application Process | 8-12% | - Agent responsibilities in enrollment - Risk classification - Medical underwriting - Application procedures |
| Maryland Insurance Laws and Regulations | 20-25% | - Unfair claim settlement practices - Consumer protection regulations - Producer licensing requirements - Violations and penalty provisions - Maryland Insurance Code - Privacy and confidentiality requirements |
| Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicare Part A, B, C, D - Medicaid programs - Social Security disability benefits |
| Policy Provisions and Clauses | 18-22% | - Benefit periods - Deductibles and copayments - Preexisting condition clauses - Waiting periods - Exclusions and limitations - Coverage terms and conditions |
| Types of Health Insurance Policies | 20-25% | - Individual health insurance - Medicare and Medicaid - Group health insurance - Dental and vision insurance - Long-term care insurance - Disability income insurance |
1. When a producer engages in unfair practices, all of the following are true EXCEPT:
A) The Maryland Insurance Administration can suspend the producer's license
B) The Maryland Insurance Administration can investigate the problem and hold a hearing
C) The Maryland Insurance Administration can issue a cease and desist order
D) The Maryland Insurance Administration's decision is final
2. Coverage for the first three pints of blood for Medicare enrollees is:
A) A Medicare Supplement core benefit
B) A Medicare Part A benefit
C) A Medicare Supplement additional benefit
D) A Medicare Part B benefit
3. In accident and health insurance, a waiting period for pre-existing conditions means that:
A) Payment for expenses resulting from pre-existing conditions is held in escrow
B) A period of time must elapse before pre-existing conditions are covered
C) Coverage for pre-existing conditions is permanently excluded by a new insurer
D) Coverage for pre-existing conditions starts at the inception of the new policy
4. Giving policyholders some part of the agent's commission as an inducement to purchase insurance is an unfair trade practice known as:
A) Retention
B) Rebating
C) Twisting
D) Replacement
5. In Maryland, continuation of medical plan coverage for a handicapped child beyond the age limit stated in the policy may require proof of the child's:
A) Incapacity only
B) Incapacity and dependency upon reaching the age limit
C) Dependency for the first two years of continued coverage only
D) Continued insurability
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |
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