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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Sample Questions:

1. Accidental death covers death from

A) infections.
B) self-inflicted wounds.
C) drowning.
D) terminal illness.

2. An insured individual takes out a life insurance policy on himself and commits suicide 13 months later. Since the policy has an expressed provision limiting the liability of the insurer against suicide, the insurer is

A) liable to pay the full value of the policy.
B) not liable to make any payouts on the policy.
C) obligated to reimburse the amount of the premiums paid for the policy.
D) liable for the full value of the policy if the insured individual was proven to be insane at the time of his death.

3. Which of the following describes the gatekeeper strategy used by HMOs?

A) The emphasis on preventing enrollees from using patient services.
B) The refusal of coverage for patients with preexisting conditions.
C) The use of supplemental services on an additional cost basis.
D) The process of obtaining referrals to specialists from primary care physicians.

4. 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) jurisdiction over complaints against anyone engaged in the insurance business in Oklahoma.
C) authority to conduct hearings.
D) responsibilities to adopt reasonable rules and regulations.

5. What is the purpose of the coordination of benefits provision in group health care?

A) To determine which parent's plan covers a dependent child.
B) To determine what is paid by the primary and secondary insurers in case of a claim.
C) To protect a secondary insurer from paying a claim.
D) To ensure that the insured gets all the treatment needed.

Solutions: