FREE OK-LIFE-ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER BRAINDUMPS - NEW OK-LIFE-ACCIDENT-AND-HEALTH-OR-SICKNESS-PRODUCER TEST DUMPS

Free Ok-Life-Accident-and-Health-or-Sickness-Producer Braindumps - New Ok-Life-Accident-and-Health-or-Sickness-Producer Test Dumps

Free Ok-Life-Accident-and-Health-or-Sickness-Producer Braindumps - New Ok-Life-Accident-and-Health-or-Sickness-Producer Test Dumps

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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q99-Q104):

NEW QUESTION # 99
Employees covered by an employer health plan are issued an insurance

  • A. certificate.
  • B. policy.
  • C. covenant.
  • D. contract.

Answer: A

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 # 100
Unlike HMO plans, PPO plan members MOST often

  • A. must designate a primary care physician.
  • B. receive no medical benefits while traveling to other states.
  • C. can see a physician on a walk-in basis.
  • 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 # 101
Disability policies MOST often pay benefits in the form of

  • A. an annuity.
  • B. a lump sum reimbursement for wages lost.
  • C. periodic income.
  • D. a lump sum payment based on projected income.

Answer: C

Explanation:
Disability income insurance policies are designed to replace a portion of the insured's income if they become disabled and unable to work. These policiesmost often pay benefits in the form of periodic income, typically monthly, to provide ongoing financial support during the disability period, as outlined in Oklahoma' s health insurance regulations (Title 36 O.S. § 4405). Lump sum payments or annuities are less common and usually associated with other types of coverage.
* Option A: Incorrect. Annuities provide retirement income, not disability benefits.
* Option B: Correct. Disability policies typically pay periodic (e.g., monthly) income.
* Option C: Incorrect. Lump sum reimbursements are rare in disability policies; periodic payments are standard.
* Option D: Incorrect. Lump sum payments based on projected income are not typical for disability 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. § 4405 (health insurance provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.


NEW QUESTION # 102
How will covered expenses be paid if an insured has a scheduled dental policy?

  • A. All expenses will be paid after the insured's deductible is paid.
  • B. After the deductible is paid, benefits will be paid in a lump sum directly to the insured.
  • C. Benefits will be limited to a specific maximum dollar amount per procedure.
  • D. The insurer will pay a percentage of each expense.

Answer: C

Explanation:
Ascheduled dental policyprovides coverage based on a predetermined schedule of benefits, which lists specific maximum dollar amounts payable for each dental procedure (e.g., $100 for a filling, $500 for a crown). This contrasts with comprehensive dental plans that may pay a percentage of expenses or cover all costs after a deductible.
* Option A: Incorrect. Scheduled dental policies do not pay all expenses after a deductible; they limit payments to scheduled amounts.
* Option B: Incorrect. Paying a percentage of expenses is typical of comprehensive dental plans, not scheduled policies.
* Option C: Correct. Benefits are limited to a specific maximum dollar amount per procedure, as defined in the schedule.
* Option D: Incorrect. Benefits are not paid as a lump sum directly to the insured; they are paid per procedure up to the scheduled limit.
This question aligns with the Prometric content outline under "Health Providers and Products," which covers dental insurance structures.
:
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 provisions, including dental).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.


NEW QUESTION # 103
Which of the following is a core benefit of Medicare supplemental insurance?

  • A. First 3 pints of blood each year.
  • B. Basic drugs limit of $1,250.
  • C. At-home recovery.
  • D. Preventive care.

Answer: A


NEW QUESTION # 104
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