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Insurance Licensing Life-and-Accident-and-Health-or-Sickness-Producer-Combo Exam Syllabus Topics:

SectionObjectives
General Insurance Concepts- Insurance principles and risk management
  • 1. Risk types and management methods
    • 2. Insurance contract fundamentals
      State Law and Regulations- Insurance producer regulations
      • 1. Ethics and fiduciary duties
        • 2. Licensing requirements
          Life Insurance- Life insurance policies
          • 1. Term life insurance
            • 2. Universal life insurance
              • 3. Whole life insurance
                - Policy provisions and riders
                • 1. Beneficiaries and settlements
                  • 2. Policy loans and dividends
                    Accident and Health Insurance- Policy provisions
                    • 1. Coordination of benefits
                      • 2. Exclusions and limitations
                        - Health insurance types
                        • 1. Disability income insurance
                          • 2. Medical expense insurance
                            • 3. Long-term care insurance

                              Insurance Licensing Life and Accident and Health or Sickness Producer - Combo Series 20-30 Sample Questions:

                              1. What might be considered an unfair claims settlement practice?

                              A) Denying coverage for claims after a timely investigation
                              B) Compelling insureds to litigate claims where a real coverage dispute exists
                              C) Offering compromise settlements when facts are in question
                              D) Failing to promptly investigate and settle legitimate claims


                              2. The entire contract provision in an individual accident and health insurance policy states that the producer:

                              A) Has company authority to waive any contract provisions
                              B) Has company authority to change the policy
                              C) Has no authority to change the policy or waive any of its provisions
                              D) May waive only certain contract provisions


                              3. In general practice, which one of the following is true of the powers of the Maryland Insurance Administration with respect to access to a producer's business records?

                              A) Records must be produced upon the request of the Maryland Insurance Administration
                              B) The Maryland Insurance Administration has no right to access a producer's business records because of privacy considerations
                              C) Authorization must come from the National Association of Insurance Commissioners (NAIC)
                              D) Records can only be accessed by an order of a state court


                              4. Medical charges that fall within the range of fees normally charged for a given procedure in a certain geographical area are called:

                              A) Scheduled charges
                              B) Preapproved charges
                              C) Utilization charges
                              D) Reasonable and customary charges


                              5. Which one of the following life insurance settlement options pays a predetermined monthly benefit until principal and interest are exhausted?

                              A) The accelerated endowment option
                              B) The fixed period installment option
                              C) The fixed amount installment option
                              D) The interest-only option


                              Solutions:

                              Question # 1
                              Answer: D
                              Question # 2
                              Answer: C
                              Question # 3
                              Answer: A
                              Question # 4
                              Answer: D
                              Question # 5
                              Answer: C

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