[May 22, 2026] Get Up-To-Date Real Exam Questions for Ok-Life-Accident-and-Health-or-Sickness-Producer with New Materials
Updated Ok-Life-Accident-and-Health-or-Sickness-Producer Certification Exam Sample Questions
NEW QUESTION # 13
Ann has a 5-year Renewable Term Life Insurance Policy. Upon exercising the renewable privilege, Ann MUST
- A. renew for at least 10 years.
- B. convert to a whole life policy.
- C. provide evidence of insurability.
- D. pay an annual premium that may be higher.
Answer: D
Explanation:
A renewable term life insurance policy allows the insured to renew the policy at the end of the term without providing evidence of insurability, typically for another term of the same duration. However, because the insured is older at renewal, the premium is generally higher due to increased risk. For a 5-year renewable term policy, Ann can renew for another 5-year term, but the premium will reflect her age at the time of renewal.
* Option A: Incorrect. Renewable term policies do not require evidence of insurability for renewal, as this is a key feature of the renewability provision.
* Option B: Incorrect. The renewal term is typically the same as the original term (5 years in this case), not a mandatory 10 years.
* Option C: Correct. The premium upon renewal may be higher because it is based on the insured's attained age, as outlined in standard term life insurance provisions.
* Option D: Incorrect. Renewal does not require conversion to a whole life policy; conversion is a separate option that may be available but is not mandatory.
This question aligns with the Prometric content outline under "Life Products," which covers the characteristics and provisions of term life insurance, including renewability.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 4002 (definitions of life insurance products).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 14
What is the correct term for an individual who is required to be licensed under the laws of this state to negotiate the sale of insurance?
- A. Insurance producer.
- B. Insurance adjuster.
- C. Insurance appraiser.
- D. Insurance underwriter.
Answer: A
Explanation:
In Oklahoma, aninsurance produceris the term defined by law for an individual or entity licensed to sell, solicit, or negotiate insurance contracts. This is outlined in the Oklahoma Insurance Code, which requires producers to obtain a license to engage in these activities for life, accident, and health or sickness insurance.
* Option A: Incorrect. An insurance adjuster investigates and settles claims, not negotiates the sale of insurance.
* Option B: Correct. An insurance producer is the licensed individual who negotiates the sale of insurance, as defined by Oklahoma law.
* Option C: Incorrect. An insurance appraiser evaluates property damage for claims, not related to selling insurance.
* Option D: Incorrect. An insurance underwriter assesses risk and determines policy issuance, not sells insurance.
This question falls under the Prometric content outline section on "Licensing," which includes knowledge of licensing requirements and definitions.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Licensing Requirements).
Oklahoma Insurance Department, Title 36 O.S. § 1435.2 (definition of insurance producer).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 15
Oklahoma resident Joe served in the military the past 4 years. When he returned and tried to reinstate his individual health insurance policy, he was denied coverage. His producer stated that because he was covered under a government plan he would be required to be re-underwritten as a new applicant subject to more restrictive coverage and increased premiums. Which of the following is TRUE?
- A. Joe is subject to being re-underwritten in terms of his current health conditions because he cannot be penalized with more restrictive coverage.
- B. Joe cannot be denied reinstatement into his same individual health insurance policy that lapsed as a result of Joe becoming covered by a government-sponsored health plan.
- C. Joe cannot be denied reinstatement in his prior individual health insurance policy unless the federal government denies him coverage based on health conditions unrelated to his military service.
- D. Joe is not required to undergo the initial underwriting process but he cannot be reinstated under his personal plan unless he is free of pre-existing conditions.
Answer: B
Explanation:
Under the federalUniformed Services Employment and Reemployment Rights Act (USERRA)(38 U.S.C.
§ 4317) and Oklahoma's insurance regulations (Title 36 O.S. § 4405), military members whose individual health insurance lapsed due to active duty and coverage under a government-sponsored plan (e.g., TRICARE) are entitled toreinstatementof their prior policy without re-underwriting or new pre-existing condition exclusions, provided they apply within a specified period (typically 120 days) after leaving service. Joe cannot be denied reinstatement due to his military service coverage.
* Option A: Incorrect. Joe is not subject to re-underwriting for reinstatement post-military service.
* Option B: Incorrect. Joe does not need to be free of pre-existing conditions for reinstatement.
* Option C: Correct. Joe cannot be denied reinstatement of his lapsed policy due to government plan coverage.
* Option D: Incorrect. Federal government denial is irrelevant; USERRA protects reinstatement rights.
:
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. § 4405 (health insurance provisions).
USERRA, 38 U.S.C. § 4317 (health plan reinstatement for military service).
NEW QUESTION # 16
Premiums paid by the insured for personally owned disability income insurance are
- A. not tax deductible.
- B. partially tax deductible.
- C. tax deferred.
- D. tax deductible.
Answer: A
Explanation:
According to IRS guidelines (Publication 502), premiums paid by an individual for personally owned disability income insurancearenot tax deductibleas medical expenses or otherwise, unlike certain health insurance premiums. However, benefits received from such policies are generally tax-free if the insured paid the premiums with after-tax dollars.
* Option A: Correct. Premiums for personally owned disability insurance are not tax deductible.
* Option B: Incorrect. Premiums are not deductible for disability income insurance.
* Option C: Incorrect. There is no partial deduction for these premiums.
* Option D: Incorrect. Tax deferral applies to certain investment products, not disability premiums.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Accident and Health Insurance).
IRS Publication 502 (Medical and Dental Expenses).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 17
Any person of competent legal capacity may contract for life and health insurance at a MINIMUM age of
- A. 18.
- B. 16.
- C. 15.
- D. 21.
Answer: A
Explanation:
In Oklahoma, the minimum age for a person of competent legal capacity to contract for life and health insurance is18, as this is the age of majority under Oklahoma law (Title 15 O.S. § 13). Individuals under 18 may be insured (e.g., as dependents or under juvenile policies), but they cannot enter into insurance contracts themselves unless emancipated.
* Option A: Incorrect. Age 15 is below the age of majority.
* Option B: Incorrect. Age 16 is below the age of majority.
* Option C: Correct. Age 18 is the minimum age for contracting insurance in Oklahoma.
* Option D: Incorrect. Age 21 is not required; 18 is sufficient.
This question falls under the Prometric content outline section on "State Insurance Statutes, Rules, and Regulations," which covers eligibility to contract insurance.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Oklahoma Insurance Statutes).
Oklahoma Insurance Department, Title 15 O.S. § 13 (age of majority).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 18
An insured individual who just turned 67 years old is still working and is a member of the group health insurance plan provided by his employer, which has 18 insured employees. In this case, Medicare will MOST likely
- A. not cover any claims to protect against overinsurance.
- B. require the individual to cancel his group insurance.
- C. act as a secondary insurer and pay claims not completely covered by the group health insurance.
- D. act as the primary insurer and pay claims up to the limit of the policy.
Answer: C
Explanation:
For individuals aged 65 or older who are still working and covered by an employer's group health plan, Medicare's role depends on the employer's size. For employers with fewer than 20 employees (as in this case with 18 employees), Medicare is typically theprimary payer, and the group health plan is secondary.
However, if the individual is actively working and enrolled in the group plan, the group plan is primary, and Medicare acts as thesecondary payer, covering claims not fully paid by the group plan, as per Medicare Secondary Payer (MSP) rules.
* Option A: Incorrect. The group health plan is primary for active employees, not Medicare.
* Option B: Correct. Medicare acts as the secondary insurer, paying claims not fully covered by the group plan.
* Option C: Incorrect. Medicare does cover claims as a secondary payer, not denying them to prevent overinsurance.
* Option D: Incorrect. Medicare does not require cancellation of group insurance; individuals can maintain both.
This question aligns with the Prometric content outline under "Medicare," which covers Medicare's coordination with group health plans.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Medicare).
Oklahoma Insurance Department, Title 36 O.S. § 6217 (Medicare supplement insurance).
Medicare Secondary Payer Rules, 42 CFR § 411.100 et seq.
NEW QUESTION # 19
Credit and accident disability plans are designed to
- A. pay medical and dental premiums for the insured.
- B. help an insured pay off a loan in the event of an accident or sickness.
- C. replace an employee's income.
- D. pay for legal actions against the insured.
Answer: B
Explanation:
Credit and accident disability insuranceis designed to make loan payments or pay off a loan balance if the insured becomes disabled due to an accident or sickness, ensuring financial obligations are met. This is a specialized product in Oklahoma (Title 36 O.S. § 4101 et seq.).
* Option A: Incorrect. Income replacement is the purpose of disability income insurance, not credit disability.
* Option B: Correct. The plan helps pay off a loan during disability.
* Option C: Incorrect. Paying medical or dental premiums is not the purpose of credit disability insurance.
* Option D: Incorrect. Legal actions are unrelated to credit disability plans.
:
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. § 4101 et seq. (credit insurance).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 20
An example of a false financial statement is which one of the following?
- A. An insurance producer hands out flyers about another producer's criminal past.
- B. An insurance producer posts information about a profitable insurer going bankrupt.
- C. An insurance producer published an untrue newspaper advertisement about another producer.
- D. An insurance producer mails out hateful postcards about a local insurer.
Answer: B
Explanation:
Afalse financial statementin the context of insurance refers to a misrepresentation of an insurer's financial condition, such as falsely claiming insolvency or bankruptcy, which is prohibited under Oklahoma's Unfair Trade Practices Act (Title 36 O.S. § 1204). This can mislead consumers and harm the insurer's reputation.
Option B directly involves a false claim about an insurer's financial status.
* Option A: Incorrect. An untrue advertisement about another producer is defamation or misrepresentation, not a financial statement.
* Option B: Correct. Posting false information about an insurer's bankruptcy is a false financial statement, violating Oklahoma law.
* Option C: Incorrect. Flyers about a criminal past are defamatory but not related to financial statements.
* Option D: Incorrect. Hateful postcards are unprofessional but do not constitute a false financial statement.
This question is part of the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers unfair trade practices.
:
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 (unfair trade practices).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 21
Misrepresenting the advantages and benefits of a new policy to induce replacement of an existing policy is
- A. rebating.
- B. twisting.
- C. defamation.
- D. forfeiting.
Answer: B
Explanation:
Twistingis the unethical practice of using misrepresentation or incomplete information to persuade an insured to replace an existing policy with a new one, often to their detriment. It is prohibited under Oklahoma's Unfair Trade Practices Act (Title 36 O.S. § 1204) to protect consumers from deceptive sales practices.
* Option A: Incorrect. Rebating involves offering a portion of the premium or other inducements to purchase insurance.
* Option B: Correct. Twisting involves misrepresenting benefits to induce policy replacement.
* Option C: Incorrect. Defamation is making false statements harming someone's reputation, not policy replacement.
* Option D: Incorrect. Forfeiting is not a term related to policy replacement practices.
This question aligns with the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers unfair trade practices.
:
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 (unfair trade practices).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 22
A form of an accelerated death benefit is a
- A. cost of living benefit.
- B. home care benefit.
- C. terminal illness settlement benefit.
- D. nonforfeiture extended term benefit.
Answer: C
Explanation:
Anaccelerated death benefit (ADB)provision allows an insured to receive a portion of the life insurance death benefit before death under specific conditions, such as aterminal illness. Theterminal illness settlement benefitis a form of ADB, providing funds for medical or personal needs, as regulated in Oklahoma (Title 36 O.S. § 4051).
* Option A: Incorrect. A home care benefit relates to long-term care, not ADB.
* Option B: Incorrect. A nonforfeiture extended term benefit is a policy lapse option, not an ADB.
* Option C: Correct. A terminal illness settlement benefit is a type of accelerated death benefit.
* Option D: Incorrect. A cost of living benefit adjusts benefits for inflation, not an ADB.
:
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. § 4051 (accelerated benefits).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 23
If Janet purchases a 10-year level term life insurance policy with a face amount of $100,000, which of the following is TRUE?
- A. The face amount will increase as dividends on the policy accumulate over the 10-year period.
- B. The policy will be converted to a whole life policy at the end of the 10-year period.
- C. The face amount will remain constant as the premium increases over the 10-year period.
- D. The premium and the face amount will remain constant for the 10-year period.
Answer: D
Explanation:
A10-year level term life insurance policyhas a fixed premium and a fixed face amount (death benefit) for the entire 10-year term. The premium and death benefit remain constant, and there is no cash value or dividend accumulation, as term life is not a participating policy.
* Option A: Incorrect. Conversion to whole life is an optional rider, not automatic at the end of the term.
* Option B: Incorrect. In a level term policy, the premium does not increase during the term; it remains constant.
* Option C: Incorrect. Term life policies do not pay dividends or accumulate cash value, so the face amount does not increase.
* Option D: Correct. Both the premium and the $100,000 face amount remain constant for the 10-year term.
This question falls under the Prometric content outline section on "Life Products," which covers term life insurance characteristics.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 4002 (definitions of life insurance products).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 24
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. she has any type of distant family relationship with the insured party.
- B. a financial benefit exists from the continuance of the insured party's life.
- C. the interest exists at the time of death rather than at the time the policy is purchased.
- D. any type of business relationship exists between the insured party and the beneficiary.
Answer: B
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 # 25
Mortgage redemption or cancellation insurance is a form of what type of insurance?
- A. Level premium whole life.
- B. Level premium universal life.
- C. Decreasing term.
- D. Increasing term.
Answer: C
Explanation:
Mortgage redemption or cancellation insuranceis a type ofdecreasing term life insurancedesigned to pay off a mortgage balance if the insured dies. The death benefit decreases over time, matching the declining mortgage balance, while premiums typically remain level, making it cost-effective for this purpose.
* Option A: Incorrect. Increasing term insurance has a rising death benefit, unsuitable for mortgage protection.
* Option B: Correct. Decreasing term insurance aligns with the declining mortgage balance.
* Option C: Incorrect. Whole life provides permanent coverage with cash value, not specific to mortgage payoff.
* Option D: Incorrect. Universal life is flexible permanent insurance, not typically used for mortgage redemption.
This question falls under the Prometric content outline section on "Life Products," which covers types of term life insurance.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 4002 (life insurance products).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 26
The settlement option that allows proceeds to remain with the insurer and the earnings to be paid to the beneficiary on a monthly basis is called
- A. fixed period.
- B. lump sum.
- C. interest only.
- D. fixed amount.
Answer: C
Explanation:
Theinterest onlysettlement option allows life insurance proceeds to remain with the insurer, with theearnings (interest) paid to the beneficiary periodically (e.g., monthly). The principal remains intact until another settlement option is chosen or the proceeds are withdrawn, as outlined in Oklahoma's life insurance regulations (Title 36 O.S. § 4001 et seq.).
* Option A: Correct. The interest only option pays earnings to the beneficiary while retaining the proceeds.
* Option B: Incorrect. Lump sum pays the entire proceeds at once.
* Option C: Incorrect. Fixed period pays principal and interest over a set time.
* Option D: Incorrect. Fixed amount pays a set amount until proceeds are exhausted.
:
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 settlement options).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 27
A license is NOT required when you are
- A. selling insurance.
- B. negotiating insurance.
- C. providing referrals.
- D. soliciting insurance.
Answer: C
Explanation:
In Oklahoma, an insurance producer license is required for activities defined astransacting insurance, which includes selling, soliciting, or negotiating insurance contracts (Title 36 O.S. § 1435.2).Providing referrals(e.
g., passing along contact information without discussing insurance products) does not constitute transacting insurance and does not require a license, provided no compensation is tied to the sale.
* Option A: Correct. Providing referrals does not require a license if it avoids solicitation or negotiation.
* Option B: Incorrect. Selling insurance requires a producer license.
* Option C: Incorrect. Negotiating insurance requires a producer license.
* Option D: Incorrect. Soliciting insurance requires a producer license.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Licensing Requirements).
Oklahoma Insurance Department, Title 36 O.S. § 1435.2 (definition of transacting insurance).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 28
All of the following are DISADVANTAGES of replacing an older health policy EXCEPT
- A. preexisting conditions.
- B. a new contestability period.
- C. proving insurability.
- D. the old policy does not meet policyowner's needs.
Answer: D
Explanation:
Replacing an older health insurance policy involves terminating an existing policy and purchasing a new one, which can have disadvantages such as proving insurability (new underwriting), a new contestability period (typically 2 years for misstatements), and potential exclusions for preexisting conditions under the new policy, as regulated in Oklahoma (O.A.C. 365:10-3-16). However, if the old policy no longer meets the policyowner' s needs, replacing it is an advantage, not a disadvantage.
* Option A: Incorrect (is a disadvantage). Proving insurability may result in higher premiums or denial.
* Option B: Incorrect (is a disadvantage). A new contestability period restarts the insurer's ability to contest claims.
* Option C: Incorrect (is a disadvantage). Preexisting conditions may face new exclusions or waiting periods.
* Option D: Correct (is not a disadvantage). Replacing a policy that doesn't meet needs is a benefit of replacement.
This question aligns with the Prometric content outline under "Considerations in Replacing Insurance," which covers the implications of policy replacement.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Considerations in Replacing Insurance).
Oklahoma Insurance Department, O.A.C. 365:10-3-16 (replacement regulations).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 29
The Oklahoma Insurance Commissioner is elected to office and has all of the following powers and duties EXCEPT
- A. enact legislation dealing with insurance.
- B. responsibilities to adopt reasonable rules and regulations.
- C. jurisdiction over complaints against anyone engaged in the insurance business in Oklahoma.
- D. authority to conduct hearings.
Answer: A
Explanation:
TheOklahoma Insurance Commissioner, an elected official under Title 36 O.S. § 301, has powers including conducting hearings, adopting rules and regulations, and overseeing complaints against insurance entities.
However,enacting legislationis a function of the Oklahoma Legislature, not the Commissioner, who can only propose or influence legislation.
* Option A: Incorrect (is a duty). The Commissioner can conduct hearings on insurance matters.
* Option B: Correct (is not a duty). Enacting legislation is a legislative function, not the Commissioner's role.
* Option C: Incorrect (is a duty). The Commissioner adopts rules and regulations.
* Option D: Incorrect (is a duty). The Commissioner has jurisdiction over insurance-related complaints.
:
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. § 301 (Commissioner powers and duties).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 30
How long is the contestable period for a life insurance policy?
- A. 24 months
- B. 6 months
- C. 36 months
- D. 12 months
Answer: A
Explanation:
Thecontestable periodfor a life insurance policy in Oklahoma, as mandated by Title 36 O.S. § 4004, is24 months(2 years) from the policy's issuance. During this period, the insurer can contest the policy's validity based on material misrepresentations in the application (e.g., health or lifestyle). After 2 years, the policy becomes incontestable except for non-payment of premiums or fraud in some cases.
* Option A: Incorrect. 6 months is too short for the contestable period.
* Option B: Incorrect. 12 months is insufficient; the standard is 24 months.
* Option C: Correct. The contestable period is 24 months.
* Option D: Incorrect. 36 months exceeds the standard period.
This question aligns with the Prometric content outline under "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers the incontestability provision.
:
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. § 4004 (incontestability provision).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 31
A PRIMARY difference between precertification provision and concurrent review is that only the precertification provision
- A. involves a review by the insurance company.
- B. occurs before the treatment is provided.
- C. requires the consent of the patient.
- D. is designed to be a cost containment measure.
Answer: B
Explanation:
Precertification(or preauthorization) is a process where the insurer reviews and approves certain medical treatments or procedures before they are provided, ensuring they are medically necessary and covered.
Concurrent reviewoccurs during the treatment, monitoring ongoing care (e.g., hospital stays) to ensure continued necessity. The primary difference is timing: precertification happens before treatment, while concurrent review happens during treatment.
* Option A: Incorrect. Both precertification and concurrent review are cost containment measures, so this is not unique to precertification.
* Option B: Incorrect. Both processes involve review by the insurance company.
* Option C: Incorrect. Neither typically requires patient consent beyond agreeing to the policy terms.
* Option D: Correct. Precertification occurs before treatment, distinguishing it from concurrent review.
This question aligns with the Prometric content outline under "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers health insurance utilization management.
:
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 (utilization review standards).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 32
Employees covered by an employer health plan are issued an insurance
- A. policy.
- B. covenant.
- C. certificate.
- D. contract.
Answer: C
Explanation:
In group health insurance, the employer or group sponsor receives themaster policy, while employees covered under the plan are issued acertificate of insurance, which summarizes their coverage but is not the policy itself, as per Oklahoma's regulations (Title 36 O.S. § 6060.3).
* Option A: Incorrect. Employees do not receive individual policies; the employer holds the master policy.
* Option B: Incorrect. The contract is the master policy, not issued to employees.
* Option C: Incorrect. "Covenant" is not an insurance term.
* Option D: Correct. Employees receive a certificate of 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 (group health insurance provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 33
A licensee who has a change of address must notify the Insurance Commissioner within
- A. 90 days.
- B. 30 days.
- C. 120 days.
- D. 60 days.
Answer: B
Explanation:
Oklahoma insurance regulations require licensees, including insurance producers, to promptly notify the Insurance Commissioner of any change in their address to ensure accurate communication and compliance with licensing requirements. The Oklahoma Insurance Code, specifically Title 36 O.S. § 1435.13, mandates that "a licensee shall inform the Insurance Commissioner in writing of a change of address within thirty (30) days of the change." Failure to notify within this timeframe may result in administrative actions, such as fines or license suspension.
The Oklahoma Life, Accident, and Health or Sickness Producer Study Guide reinforces this requirement, stating, "Producers must notify the Oklahoma Insurance Department of any change in their business or residential address within 30 days to maintain compliance with licensing regulations." This makes option A the correct answer.
References:
Oklahoma Insurance Code, Title 36 O.S. § 1435.13.
Oklahoma Life, Accident, and Health or Sickness Producer Study Guide, Section on Licensing Requirements.
NEW QUESTION # 34
What is the purpose of the coordination of benefits provision in group health care?
- A. To protect a secondary insurer from paying a claim.
- B. To ensure that the insured gets all the treatment needed.
- C. To determine what is paid by the primary and secondary insurers in case of a claim.
- D. To determine which parent's plan covers a dependent child.
Answer: C
Explanation:
Thecoordination of benefits (COB)provision, regulated in Oklahoma (O.A.C. 365:10-5-4), prevents overinsurance by establishing which group health plan isprimary(pays first) and which issecondary(pays remaining covered expenses) when an insured is covered by multiple plans. This ensures claims are paid efficiently without exceeding the total expense. While COB includes rules for dependent children (e.g., the
"birthday rule"), its primary purpose is broader, covering all dual-coverage scenarios.
* Option A: Incorrect. COB focuses on payment allocation, not ensuring treatment.
* Option B: Correct. COB determines payment responsibilities between primary and secondary insurers.
* Option C: Incorrect. Determining dependent coverage is a subset of COB, not its primary purpose.
* Option D: Incorrect. COB does not protect secondary insurers from paying; it defines their payment role.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Accident and Health Insurance).
Oklahoma Insurance Department, O.A.C. 365:10-5-4 (coordination of benefits).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 35
The insured is dissatisfied with the handling of a claim. How long does the insured have to bring a lawsuit against the insurer?
- A. 5 years
- B. 1 year
- C. 7 years
- D. 3 years
Answer: A
Explanation:
Under Oklahoma's statute of limitations for insurance contracts (Title 12 O.S. § 95), an insured has5 yearsto bring a lawsuit against an insurer for breach of contract, such as dissatisfaction with claim handling, unless the policy specifies a shorter period (minimum 1 year per Title 36 O.S. § 3617).
* Option A: Incorrect. 1 year is the minimum allowed by policy terms, not the general statute.
* Option B: Incorrect. 3 years applies to some torts, not insurance contracts.
* Option C: Correct. The statute of limitations is 5 years for insurance contract disputes.
* Option D: Incorrect. 7 years exceeds the standard limitation period.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Oklahoma Insurance Statutes).
Oklahoma Insurance Department, Title 12 O.S. § 95 (statute of limitations); Title 36 O.S. § 3617 (policy limitations).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 36
A person whose life is insured under a group insurance policy has the right to designate a beneficiary and the right to
- A. have an individual policy issued in the case of termination of employment.
- B. remain as an insured in the case of termination of employment.
- C. cash in the surrender value.
- D. convert the premiums to a different policy.
Answer: A
Explanation:
Under Oklahoma law (Title 36 O.S. § 4107), individuals covered by a group life insurance policy have the right to designate a beneficiary and, upon termination of employment or group membership, the right to convertthe group coverage to an individual life insurance policy without evidence of insurability, typically within 31 days. This conversion right ensures continued coverage.
* Option A: Incorrect. Group life policies typically do not have cash surrender value for individual insureds.
* Option B: Incorrect. Converting premiums to a different policy is not a standard right.
* Option C: Incorrect. Remaining insured after termination requires COBRA (for health) or conversion, not automatic continuation.
* Option D: Correct. The insured has the right to convert to an individual policy upon termination.
This question falls under the Prometric content outline section on "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers group life insurance rights.
:
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. § 4107 (group life conversion rights).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 37
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