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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Policy Provisions and Clauses | 18-22% | - Preexisting condition clauses - Benefit periods - Deductibles and copayments - Coverage terms and conditions - Waiting periods - Exclusions and limitations |
| Topic 2: Marketing Practices | 8-12% | - Prohibited practices - Marketing regulations - Producer responsibilities - Advertising guidelines |
| Topic 3: Maryland Insurance Laws and Regulations | 20-25% | - Unfair claim settlement practices - Consumer protection regulations - Violations and penalty provisions - Maryland Insurance Code - Privacy and confidentiality requirements - Producer licensing requirements |
| Topic 4: Types of Health Insurance Policies | 20-25% | - Long-term care insurance - Medicare and Medicaid - Disability income insurance - Group health insurance - Individual health insurance - Dental and vision insurance |
| Topic 5: Social Insurance Programs | 8-12% | - CHIP (Children's Health Insurance Program) - Medicaid programs - Social Security disability benefits - Medicare Part A, B, C, D |
| Topic 6: Field Underwriting and Application Process | 8-12% | - Medical underwriting - Application procedures - Risk classification - Agent responsibilities in enrollment |
When determining the premiums for large groups, most insurance companies use:
Correct Answer: A 🗳️
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An insurance producer's license may be suspended or revoked by:
Correct Answer: D 🗳️
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After completing an application for insurance, the insurance producer collects the premiums but deposits the check in the insurance producer's checking account. What crime has been committed?
Correct Answer: B 🗳️
To be eligible for major medical extended care benefits, a patient must:
Correct Answer: C 🗳️
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When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:
Correct Answer: D 🗳️
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