Pass Accident-and-Health-or-Sickness-Producer Exam Guide

Death benefits from accident and health policies (e.g., accidental death, IRC § 101) are generally tax-free to beneficiaries. Partial or full taxation is rare unless tied to taxable settlements, and tax brackets don’t determine this exemption.

References:IRC § 101; MIA tax treatment guidelines.

The MIA (Insurance Article, § 10-126) disciplines producers for misrepresentation (§ 27-202, § 27-503), but filing a consumer complaint with the MIA is a legitimate advocacy action, not a disciplinary offense. It supports consumer protection, unlike the other deceptive practices.

References:Maryland Insurance Article, § 10-126, § 27-202, § 27-503; MIA producer regulations.

Misrepresenting coverage post-loss (Insurance Article, § 27-303) is an unfair claims practice, deceiving claimants about benefits. Concealment applies pre-policy, discrimination involves unequal treatment, and adhesion relates to contract terms, not claims.

References:Maryland Insurance Article, § 27-303; MIA claims practices.

Maryland HMOs (Health-General Article, § 19-701) must provide basic health services like routine physicals, well-child care, and emergency services. Dental and vision care, however, are not required unless specified as supplemental benefits. State law mandates pediatric care but excludes routine dental and vision from standard HMO coverage unless the plan explicitly includes them.

References:Maryland Health-General Article, § 19-701; Insurance Article, § 15-1201; MIA HMO guidelines.