In addition to the application, MIB, or consumer reports, underwriters can acquire information from all of the following EXCEPT
Correct Answer: D
Underwriters use various sources to assess an applicant's risk, including the application, Medical Information Bureau (MIB) reports, consumer reports, medical questionnaires, attending physician statements (APS), and physical examinations, as permitted under Oklahoma's underwriting practices (Title 36 O.S. § 1204). However,genetic testingis generally restricted or prohibited for life and health insurance underwriting due to federal and state laws, such as the Genetic Information Nondiscrimination Act (GINA) of 2008, which limits the use of genetic information in health insurance decisions. * Option A: Incorrect. Medical questionnaires are a standard underwriting tool. * Option B: Incorrect. Attending physician statements provide medical history and are commonly used. * Option C: Incorrect. Physical examinations are often required for underwriting. * Option D: Correct. Genetic testing is typically not allowed for underwriting due to legal restrictions. : Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: General Knowledge - Underwriting). Oklahoma Insurance Department, Title 36 O.S. § 1204 (insurance business conduct). Genetic Information Nondiscrimination Act (GINA), 42 U.S.C. § 2000ff et seq. Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
How long is the contestable period for a life insurance policy?
Correct Answer: C
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.
Every licensee must keep records pertaining to insurance transactions for how many years?
Correct Answer: B
Oklahoma insurance law requires licensed insurance producers to maintain records of insurance transactions for a minimum of5 years, as specified in Title 36 O.S. § 1435.13. This ensures compliance with regulatory oversight and allows for audits or investigations by the Oklahoma Insurance Department. * Option A: Incorrect. 3 years is insufficient per Oklahoma law. * Option B: Correct. Licensees must keep records for 5 years. * Option C: Incorrect. 7 years exceeds the requirement. * Option D: Incorrect. 10 years is not mandated by Oklahoma insurance regulations. This question falls under the Prometric content outline section on "State Insurance Statutes, Rules, and Regulations," which includes recordkeeping requirements. : 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. § 1435.13 (producer recordkeeping). Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
Misrepresenting the advantages and benefits of a new policy to induce replacement of an existing policy is
Correct Answer: B
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.
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
Correct Answer: B
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.