Which of the following is an ADVANTAGE to the policyowner of the recurrent periods of disability provision in the disability income policy?
Correct Answer: B
Therecurrent periods of disability provisionin a disability income policy allows related or recurring disabilities within a specified timeframe (e.g., 6 months) to be treated as a single disability period. This protects the insured from serving multipleelimination periods(the waiting period before benefits begin), ensuring faster benefit payments for recurrent conditions, as per standard disability policy provisions in Oklahoma (Title 36 O.S. § 4405). * Option A: Incorrect. The provision does not reduce premiums; it affects benefit timing. * Option B: Correct. It protects the insured from multiple elimination periods for recurrent disabilities. * Option C: Incorrect. The provision does not impact insurability; it's a policy feature. * Option D: Incorrect. It does not reduce the disability period; it simplifies benefit access. : 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.
Which of the following is a core benefit of Medicare supplemental insurance?
Correct Answer: A
Medicare supplemental insurance(Medigap) covers gaps in Original Medicare (Parts A and B), such as deductibles, coinsurance, and certain costs not covered by Medicare. A core benefit, included in most Medigap plans (e.g., Plans A-N), is coverage for thefirst 3 pints of bloodeach year, which Medicare Part A does not cover. Other options like at-home recovery or prescription drugs are not core benefits, and preventive care is covered by Medicare, not Medigap. * Option A: Correct. The first 3 pints of blood is a core Medigap benefit. * Option B: Incorrect. At-home recovery is not a standard core benefit in most Medigap plans. * Option C: Incorrect. Prescription drug coverage is not a core Medigap benefit; it's covered by Medicare Part D. * Option D: Incorrect. Preventive care is covered by Medicare Part B, not a core Medigap benefit. This question falls under the Prometric content outline section on "Medicare," which covers Medigap benefits. : 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). CMS, Medicare & You Handbook (Medigap benefits).
An example of a false financial statement is which one of the following?
Correct Answer: B
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.
A PRIMARY difference between precertification provision and concurrent review is that only the precertification provision
Correct Answer: D
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.
Jim purchased a $200,000 level term-to-age-65 life insurance policy when he was 35 years old. If Jim dies at age 50, what death benefit would be paid by this policy?
Correct Answer: D
Alevel term-to-age-65 life insurance policyprovides a fixed death benefit until the insured reaches age 65, as long as premiums are paid. Since Jim purchased a $200,000 policy at age 35 and dies at age 50 (before age 65), the full death benefit of $200,000 is payable, assuming the policy is in force. * Option A: Incorrect. $50,000 is not the policy's face amount. * Option B: Incorrect. $100,000 is not the policy's face amount. * Option C: Incorrect. $150,000 is not the policy's face amount. * Option D: Correct. The $200,000 death benefit is paid, as it is a level term policy. This question falls under the Prometric content outline section on "Life Products," which covers term life insurance benefits. : 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.
