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Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Health Insurance Fundamentals20-25%- Health maintenance organizations (HMOs)
- Preferred provider organizations (PPOs)
- Disability income insurance
- Major medical insurance
- Dental and vision coverage
Topic 2: Oklahoma Insurance Regulations20-25%- Licensing requirements and procedures
- Consumer protection regulations
- Oklahoma Insurance Code requirements
- Market conduct regulations
- Unfair trade practices prohibitions
Topic 3: Ethics and Professional Conduct10-15%- Fiduciary responsibilities
- Handling customer complaints
- Antifraud regulations
- Disclosure requirements
Topic 4: Insurance Marketing and Sales10-15%- Recordkeeping requirements
- Replacement regulations
- Suitable product recommendations
- Sales practices and disclosures
Topic 5: Accident and Sickness Insurance15-20%- Sickness-related coverage
- Critical illness insurance
- Accident-only policies
- Hospital indemnity insurance
Topic 6: Life Insurance Basics15-20%- Beneficiary designations
- Policy provisions and riders
- Types of life insurance policies
- Cash value and loan provisions

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

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

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


2. In a life insurance cash value policy, the automatic premium loan provision authorizes the insurance company to withdraw from the policy's cash values the amount of

A) premiums due if the premium has not been paid by the end of the grace period.
B) any outstanding loans from any policies insured with the same insurance company.
C) premiums needed to terminate the policy.
D) interest owed by the insured on outstanding policy loan amounts not repaid at the policy's maturity date.


3. An agent's underwriting duties include which of the following?

A) Setting premium amounts.
B) Declining or accepting an application.
C) Completing all applications and collecting initial premiums.
D) Issuing the policy.


4. Premiums paid by the insured for personally owned disability income insurance are

A) tax deductible.
B) not tax deductible.
C) tax deferred.
D) partially tax deductible.


5. Within a specified number of days, a free-look provision gives the

A) company the right to rescind the policy.
B) company the right to alter the policy.
C) policyowner the right to return the policy for a full refund.
D) policyowner the right to return the policy for a partial refund.


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: B
Question # 5
Answer: C

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