Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Questions: Oklahoma Life, Accident, and Health or Sickness Producer Exam & Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Preparation
Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Questions: Oklahoma Life, Accident, and Health or Sickness Producer Exam & Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Preparation
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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q71-Q76):
NEW QUESTION # 71
What is the focus of major medical insurance?
- A. Providing coverage for hospitalization expenses.
- B. Providing preventative care.
- C. Reducing costs by using in-network facilities.
- D. Providing care to the needy.
Answer: A
Explanation:
Major medical insuranceis designed to cover significant healthcare expenses, particularly those related to hospitalization, surgeries, and other high-cost medical services. It focuses on providing comprehensive coverage for catastrophic or major medical events, as opposed to routine or preventive care, which may be covered to a lesser extent or through separate plans.
* Option A: Incorrect. Preventive care is often included but is not the primary focus of major medical insurance.
* Option B: Incorrect. Using in-network facilities reduces costs but is a feature of managed care plans, not the core focus of major medical insurance.
* Option C: Correct. The focus of major medical insurance is covering hospitalization and other major expenses.
* Option D: Incorrect. Providing care to the needy is associated with programs like Medicaid, not private major medical insurance.
This question falls under the Prometric content outline section on "Health Providers and Products," which covers the characteristics of major medical insurance.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Accident and Health Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 6060.3 (health insurance policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 72
An insurance producer sells fake policies and gambles the premium payments at a casino. Which entity would not be involved in the investigation?
- A. Oklahoma Insurance Department Anti-Fraud Unit
- B. Securities Exchange Commission
- C. Oklahoma State Bureau of Investigation
- D. Oklahoma Attorney General
Answer: B
Explanation:
copyright insurance policies and misappropriating premiums is a fraudulent act under Oklahoma's Insurance Code (Title 36 O.S. § 1204, § 1435.13), classified as a felony. TheOklahoma Insurance Department Anti-Fraud Unitinvestigates insurance fraud, theOklahoma State Bureau of Investigation handles criminal investigations, and theOklahoma Attorney Generalmay prosecute or oversee legal actions.
TheSecurities Exchange Commission (SEC)regulates securities markets, not insurance fraud, unless securities are involved (which is not indicated here).
* Option A: Incorrect. The Attorney General may be involved in prosecution.
* Option B: Incorrect. The State Bureau of Investigation handles criminal fraud cases.
* Option C: Incorrect. The Anti-Fraud Unit directly investigates insurance fraud.
* Option D: Correct. The SEC is not typically involved in insurance fraud investigations.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Oklahoma Insurance Statutes).
Oklahoma Insurance Department, Title 36 O.S. § 1204, § 1435.13 (fraud and penalties).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 73
In reference to life insurance in contract law, a person MOST likely will have an insurable interest in insuring a person's life if
- A. the interest exists at the time of death rather than at the time the policy is purchased.
- B. she has any type of distant family relationship with the insured party.
- C. any type of business relationship exists between the insured party and the beneficiary.
- D. a financial benefit exists from the continuance of the insured party's life.
Answer: D
Explanation:
In life insurance, aninsurable interestexists when the policyowner would suffer a financial loss or hardship from the insured's death. Oklahoma law (Title 36 O.S. § 3604) requires insurable interest at the time the policy is purchased, typically based on a financial benefit from the insured's continued life (e.g., spouse, business partner). Distant relationships or business ties alone are insufficient without financial dependency.
* Option A: Correct. A financial benefit from the insured's continued life establishes insurable interest.
* Option B: Incorrect. A business relationship alone does not guarantee insurable interest without financial loss.
* Option C: Incorrect. Distant family relationships may not qualify unless financial dependency exists.
* Option D: Incorrect. Insurable interest must exist at policy purchase, not at the time of death.
This question falls under the Prometric content outline section on "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers insurable interest.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance Provisions).
Oklahoma Insurance Department, Title 36 O.S. § 3604 (insurable interest).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 74
Backdating on a life insurance policy is the practice of
- A. making the policy effective on an earlier date than the present.
- B. accepting the premium after the expiration of the grace period.
- C. excluding medical coverage for preexisting medical conditions.
- D. reinstating a lapsed policy.
Answer: A
Explanation:
Backdatinga life insurance policy involves setting the policy's effective date earlier than the current date, often to secure a lower premium based on the insured's younger age at the earlier date. This requires the policyowner to pay premiums for the backdated period, as permitted under Oklahoma insurance practices (Title 36 O.S. § 4001 et seq.).
* Option A: Incorrect. Reinstating a lapsed policy involves restoring coverage after a lapse, not changing the effective date.
* Option B: Incorrect. Excluding preexisting conditions applies to health insurance, not backdating life insurance.
* Option C: Incorrect. Accepting late premiums relates to the grace period, not backdating.
* Option D: Correct. Backdating makes the policy effective on an earlier date.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance Provisions).
Oklahoma Insurance Department, Title 36 O.S. § 4001 et seq. (life insurance policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 75
What is it called when a health insurance policy terminates and the policyholder is allowed to receive benefits past the termination date of the policy?
- A. qualifying event.
- B. duration of coverage.
- C. notification statement.
- D. extension of benefits.
Answer: D
Explanation:
Anextension of benefitsprovision in health insurance allows a policyholder to continue receiving benefits for a covered condition (e.g., disability or hospitalization) after the policy terminates, typically if the condition began while the policy was in force. This is a standard provision in group and individual health insurance policies in Oklahoma, ensuring continuity of care for specific circumstances.
* Option A: Incorrect. A qualifying event relates to COBRA or other continuation coverage triggers, not post-termination benefits.
* Option B: Incorrect. Duration of coverage refers to the policy term, not benefits after termination.
* Option C: Correct. Extension of benefits allows benefits to continue after policy termination.
* Option D: Incorrect. A notification statement is unrelated to benefit continuation.
This question aligns with the Prometric content outline under "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers health insurance benefit provisions.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Accident and Health Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 4405 (health insurance policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 76
......
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