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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Field Underwriting and Application Process | 8-12% | - Application procedures - Agent responsibilities in enrollment - Risk classification - Medical underwriting |
| Topic 2: Marketing Practices | 8-12% | - Marketing regulations - Advertising guidelines - Producer responsibilities - Prohibited practices |
| Topic 3: Social Insurance Programs | 8-12% | - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) - Social Security disability benefits - Medicaid programs |
| Topic 4: Maryland Insurance Laws and Regulations | 20-25% | - Violations and penalty provisions - Maryland Insurance Code - Consumer protection regulations - Unfair claim settlement practices - Privacy and confidentiality requirements - Producer licensing requirements |
| Topic 5: Types of Health Insurance Policies | 20-25% | - Disability income insurance - Group health insurance - Dental and vision insurance - Long-term care insurance - Individual health insurance - Medicare and Medicaid |
| Topic 6: Policy Provisions and Clauses | 18-22% | - Exclusions and limitations - Waiting periods - Deductibles and copayments - Coverage terms and conditions - Benefit periods - Preexisting condition clauses |
1. An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:
A) A skydiving exhibition
B) A drug smuggling operation
C) A state-sponsored centennial celebration
D) A nuclear power plant
2. Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?
A) Intentionally self-inflicted injuries
B) Cancer
C) Auto accidents
D) Tropical disease
3. The waiver of premium provision in a disability income policy provides that premiums will be waived during:
A) The elimination period
B) The time limit on certain defenses
C) The disability benefit period
D) The grace period
4. Which one of the following causes of death typically would be included under an accidental death rider attached to a life insurance policy?
A) Automobile accidents resulting from the insured's negligence
B) Intentionally self-inflicted injuries
C) Illness or disease
D) War or acts of war
5. When a single major medical contract covers all medical expenses, the plan is considered to be:
A) Limited
B) Supplemental
C) First-dollar
D) Comprehensive
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: D |
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