Maryland Insurance Administration Updated Accident-and-Health-or-Sickness-Producer Exam Questions and Answers by theodora

The Maryland Health Benefit Exchange Act (Insurance Article, § 31-101) defines a qualified employer as one with its principal place of business in Maryland for SHOP Exchange eligibility. Premium contributions are optional, and employee work or residency percentages aren’t required.

References:Maryland Insurance Article, § 31-101; MIA SHOP Exchange rules.

Underwriting involves assessing risk by rejecting high-risk applicants, issuing standard policies, or adding exclusion riders for specific conditions. Deleting uniform policy provisions—mandatory clauses like grace periods (Insurance Article, § 15-201)—isn’t an underwriting action, as these are legally required and cannot be altered by underwriters.

References:Maryland Insurance Article, § 15-201 et seq.; MIA underwriting guidelines.

A producer (Insurance Article, § 1-101(aa)) solicits and sells insurance primarily for commissions,distinguishing them from clerical staff, enrollment facilitators, or salaried insurer employees. This reflects their independent role.

References:Maryland Insurance Article, § 1-101(aa), § 10-101; MIA producer definitions.

Short-term disability (Insurance Article, § 15-201) pays a percentage of wages (e.g., 50-70%) up to a weekly cap for a short duration (e.g., 13-26 weeks). Coordination with Social Security, 10-year periods, or coverage to age 65 are long-term disability features.

References:Maryland Insurance Article, § 15-201; MIA disability insurance standards.