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| Section | Weight | Objectives |
|---|
| Topic 1: Accident and Health / Sickness Insurance | 20% | - HMO, PPO, group vs individual coverage - Disability income, medical expense, and long-term care - Mandatory benefits and state-specific health rules - Health insurance basics and policy provisions
|
| Topic 2: Insurance Regulation | 30% | - Ethics, unfair trade practices, and consumer protection - Licensing requirements and procedures - Policy delivery, replacement rules, and disclosure - State insurance laws and Maryland regulations
|
| Topic 3: Annuities and Retirement Products | 10% | - Fixed, indexed, and variable annuities - Tax treatment and suitability standards
|
| Topic 4: General Insurance Concepts | 15% | - Underwriting, premium calculation, and taxation - Insurable interest and risk management - Contract law and principles
|
| Topic 5: Life Insurance Basics and Policies | 25% | - Types of life insurance: term, whole, universal, variable - Policy provisions, riders, and options - Beneficiaries, claims, and settlement options
|
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Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions (Q81-Q86):
NEW QUESTION # 81
An accident and health insurance producer is most likely to become liable for professional errors and omissions as the result of:
- A. Misleading a prospective insured in replacing accident and health insurance
- B. Submitting a premium payment to an insurer in excess of the required amount
- C. Incorrect filing of federal income taxes
- D. An accounting error discovered by the producer's accountant
Answer: A
Explanation:
Errors and omissions liability arises from professional negligence (Insurance Article, § 10-126). Misleading a client about policy replacement (twisting, § 27-203) directly harms them, unlike accounting errors, overpayments, or tax issues, which are internal or personal.
References:Maryland Insurance Article, § 10-126, § 27-203; MIA producer liability rules.
NEW QUESTION # 82
If an insurer pays an individual accident and health insurance claim during a policy's grace period:
- A. A 10% service fee is charged
- B. The deductible is waived
- C. The amount of unpaid premium may be subtracted from the reimbursement
- D. The policy is canceled automatically at the end of the grace period
Answer: C
Explanation:
During the grace period (Insurance Article, § 15-209), insurers can deduct unpaid premiums from claims paid, maintaining coverage without waiving deductibles, charging fees, or auto-canceling.
References:Maryland Insurance Article, § 15-209; MIA policy payment rules.
NEW QUESTION # 83
A policy of life insurance may not be delivered unless the policy has a:
- A. Legible and brief description of the policy on the first page
- B. Financial statement of the life insurance company
- C. Premium coupon book
- D. Notary seal
Answer: A
Explanation:
Comprehensive and Detailed in Depth Explanation:
The correct answer is A. Legible and brief description of the policy on the first page. Maryland Insurance Article §16-213 states that a life insurance policy, other than group life insurance, may not be delivered or issued for delivery in Maryland unless the policy has a legible and brief description of the policy on the first page. The statute also lists what that brief description must include, such as the policy title, type, or plan; how long premiums are to be paid; whether premiums may change; whether the policy is participating or nonparticipating; and certain other required items. A notary seal, premium coupon book, or insurer financial statement is not the required delivery condition tested here. Official Maryland Reference: Maryland Insurance Article §16-213.
NEW QUESTION # 84
A producer is prohibited from:
- A. Splitting commissions with a licensed nonresident producer who has jointly sold a policy
- B. Allowing an applicant to sign a blank or incomplete application
- C. Selling insurance to family members
- D. Countersigning a policy sold in Maryland
Answer: B
Explanation:
Allowing an applicant to sign a blank or incomplete application (B) violates ethical and legal standards, as it undermines transparency and could lead to disputes about coverage or claims.
Selling insurance to family members (A): Permitted as long as the transactions are conducted ethically and comply with Maryland laws.
Countersigning policies (C): Required in certain situations to validate contracts in Maryland.
Splitting commissions with nonresident producers (D): Permissible under Maryland law, provided both producers are licensed and involved in the transaction.
References: Maryland Insurance Administration Producer Conduct Rules, COMAR 31.03.13, and Ethical Standards for Insurance Producers.
NEW QUESTION # 85
Which one of the following causes of loss typically is EXCLUDED under a disability income insurance policy?
- A. Tropical disease
- B. Auto accidents
- C. Cancer
- D. Intentionally self-inflicted injuries
Answer: D
Explanation:
Disability income policies (Insurance Article, § 15-201) cover accidents, cancer, and diseases, but exclude intentionally self-inflicted injuries as non-accidental, aligning with standard exclusions to prevent abuse.
References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.
NEW QUESTION # 86
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