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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q64-Q69):
NEW QUESTION # 64
Misrepresenting the advantages and benefits of a new policy to induce replacement of an existing policy is
- A. forfeiting.
- B. rebating.
- C. defamation.
- D. twisting.
Answer: D
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 # 65
Unlike HMO plans, PPO plan members MOST often
- A. receive no medical benefits while traveling to other states.
- B. can see a physician on a walk-in basis.
- C. must designate a primary care physician.
- D. have more choices of doctors and medical service providers.
Answer: D
Explanation:
Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs) are two common types of managed care plans in health insurance. According to standard insurance study materials for the Oklahoma Life, Accident, and Health or Sickness Producer exam, a key distinction between PPOs and HMOs lies in the flexibility of provider choice. PPOs allow members to choose from a broader network of doctors and medical service providers, both in-network and out-of-network, without requiring a referral from a primary care physician. HMOs, in contrast, typically restrict members to in-network providers and require a designated primary care physician to coordinate care.
* Option A: Incorrect. PPO plans often provide coverage for out-of-state medical services, especially within their network or through out-of-network benefits, though at potentially higher costs. This is not a defining characteristic compared to HMOs.
* Option B: Correct. PPOs are known for offering more choices of doctors and medical service providers, as they do not mandate a primary care physician or referrals for specialists, unlike HMOs.
* Option C: Incorrect. HMOs require members to designate a primary care physician, while PPOs do not.
* Option D: Incorrect. While PPOs offer flexibility, the ability to see a physician on a walk-in basis is not a standard feature distinguishing them from HMOs, as both may vary in appointment requirements.
This aligns with the Prometric exam content outline under "Health Providers and Products," which emphasizes understanding differences between health insurance plans like HMOs and PPOs.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Health Providers and Products).
Oklahoma Insurance Department, Title 36 O.S. § 652 et seq. (regulations on managed care plans).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
NEW QUESTION # 66
A whole life insurance policy issued by a mutual insurer that provides a return of divisible surplus is called a
- A. straight whole life insurance policy
- B. continuous premium whole life insurance policy
- C. participating whole life insurance policy
- D. limited pay whole life insurance policy
Answer: C
Explanation:
Aparticipating whole life insurance policyissued by a mutual insurer allows policyholders to receive a return of divisible surplusin the form of dividends, which reflect the insurer's excess profits. This is a feature of mutual insurers, as defined in Oklahoma's regulations (Title 36 O.S. § 4002). Limited pay, continuous premium, and straight whole life policies do not inherently include dividends.
* Option A: Incorrect. Limited pay whole life has a shorter premium payment period, not necessarily dividends.
* Option B: Correct. A participating whole life policy provides dividends from surplus.
* Option C: Incorrect. Continuous premium whole life refers to lifelong premium payments, not dividends.
* Option D: Incorrect. Straight whole life is a general term, not specific to dividends.
:
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 # 67
How many employees are REQUIRED before an employer is subject to COBRA?
- A. 30 employees
- B. 50 employees
- C. 20 employees
- D. 31 employees
Answer: C
Explanation:
TheConsolidated Omnibus Budget Reconciliation Act (COBRA), as regulated under federal law (29 U.S.
C: § 1161 et seq.), requires employers with20 or more employeesto offer continuation of group health insurance coverage to employees and their dependents after certain qualifying events (e.g., termination of employment). This applies to private-sector employers and is enforced in Oklahoma.
* Option A: Correct. COBRA applies to employers with 20 or more employees.
* Option B: Incorrect. 30 employees is not the threshold.
* Option C: Incorrect. 31 employees is not the specific requirement.
* Option D: Incorrect. 50 employees is unrelated to COBRA's threshold.
This question aligns with the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers federal laws like COBRA.
:
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. § 6060.3 (health insurance regulations).
COBRA, 29 U.S.C. § 1161 et seq.
NEW QUESTION # 68
In a term life insurance policy, premiums may be increased at the renewal of the policy. Prior to renewal, the premiums would be considered
- A. adjustable.
- B. level.
- C. convertible.
- D. variable.
Answer: B
Explanation:
In aterm life insurance policy, premiums are typicallylevelduring the policy term (e.g., 10, 20 years), meaning they remain constant. At renewal, premiums may increase based on the insured's attained age, but during the initial term, they are fixed, as outlined in Oklahoma's life insurance regulations (Title 36 O.S. §
4002).
* Option A: Incorrect. Convertible refers to a policy's ability to convert to permanent insurance, not premium structure.
* Option B: Correct. Premiums are level during the term prior to renewal.
* Option C: Incorrect. Variable premiums apply to certain flexible policies like universal life, not term.
* Option D: Incorrect. Adjustable premiums are not a standard term for level term policies.
:
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 # 69
......
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