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| Section | Weight | Objectives |
|---|---|---|
| Field Underwriting and Application Process | 8-12% | - Risk classification - Medical underwriting - Application procedures - Agent responsibilities in enrollment |
| Policy Provisions and Clauses | 18-22% | - Deductibles and copayments - Coverage terms and conditions - Waiting periods - Benefit periods - Preexisting condition clauses - Exclusions and limitations |
| Marketing Practices | 8-12% | - Marketing regulations - Producer responsibilities - Prohibited practices - Advertising guidelines |
| Types of Health Insurance Policies | 20-25% | - Individual health insurance - Dental and vision insurance - Medicare and Medicaid - Group health insurance - Long-term care insurance - Disability income insurance |
| Maryland Insurance Laws and Regulations | 20-25% | - Consumer protection regulations - Violations and penalty provisions - Privacy and confidentiality requirements - Maryland Insurance Code - Unfair claim settlement practices - Producer licensing requirements |
| Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Social Security disability benefits - Medicare Part A, B, C, D - Medicaid programs |
1. All of the following are characteristics of a preferred risk applicant for disability income insurance EXCEPT:
A) Physically active
B) Non-smoker
C) Non-hazardous occupation
D) High income
2. Which expenses are covered by Medicare Part D?
A) Medical
B) Hospital
C) Dental
D) Prescription drug
3. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:
A) Reasonable and customary charges
B) Utilization charges
C) Preapproved charges
D) Scheduled charges
4. All of the following are considered to be fraud EXCEPT:
A) Collecting a proper premium for insurance that is provided
B) Willfully collecting a premium that exceeds the amount of the premium
C) Collecting a charge for insurance that is less than the charge applicable to that insurance
D) Collecting a premium for insurance that is not provided
5. Short-term group disability income insurance:
A) Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled
B) Usually coordinates the amount of benefits paid with disability benefits received under Social Security
C) Usually provides benefits expressed as a percentage of the insured's normal weekly wage, up to a specified weekly maximum
D) Often has a benefit period extending up to a maximum of ten years
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |
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Maryland Life Producer Exam (Series 20-27)
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