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| Section | Weight | Objectives |
|---|---|---|
| Types of Health Insurance Policies | 20-25% | - Medicare and Medicaid - Dental and vision insurance - Long-term care insurance - Individual health insurance - Disability income insurance - Group health insurance |
| Policy Provisions and Clauses | 18-22% | - Exclusions and limitations - Waiting periods - Coverage terms and conditions - Deductibles and copayments - Benefit periods - Preexisting condition clauses |
| Marketing Practices | 8-12% | - Marketing regulations - Prohibited practices - Producer responsibilities - Advertising guidelines |
| Field Underwriting and Application Process | 8-12% | - Application procedures - Medical underwriting - Risk classification - Agent responsibilities in enrollment |
| Social Insurance Programs | 8-12% | - Medicare Part A, B, C, D - CHIP (Children's Health Insurance Program) - Social Security disability benefits - Medicaid programs |
| Maryland Insurance Laws and Regulations | 20-25% | - Unfair claim settlement practices - Producer licensing requirements - Privacy and confidentiality requirements - Violations and penalty provisions - Maryland Insurance Code - Consumer protection regulations |
1. All of the following services are covered under the Medicare Supplement preventive care benefit EXCEPT:
A) Immunizations
B) Hearing tests
C) Routine physical examinations
D) Outpatient prescription vitamins
2. To be deemed a "qualified employer" under the Maryland Health Benefit Exchange Act, anemployer MUST:
A) Have at least 50% of its employees reside in the state of Maryland
B) Have its principal place of business in the state of Maryland
C) Have at least 50% of its employees work in the state of Maryland
D) Contribute to employee premiums
3. Under which marketing system do insurers solicit customers by mass media advertising and mail without the services of a producer?
A) Direct response
B) Contingent
C) Captive agent
D) Branch office
4. When a producer sells an individual accident and health insurance policy, how is the initial premium usually paid?
A) The insurer utilizes the applicant's automatic bank draft authorization
B) The applicant sends it directly to the insurer with the application
C) The producer collects and forwards it to the insurer
D) The insurer bills the applicant when the application is approved
5. An insurance policy could be issued to cover losses resulting from any of the following EXCEPT:
A) A nuclear power plant
B) A state-sponsored centennial celebration
C) A skydiving exhibition
D) A drug smuggling operation
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: D |
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