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[General] Real & Free Ok-Life-Accident-and-Health-or-Sickness-Producer Download Demo N

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【General】 Real & Free Ok-Life-Accident-and-Health-or-Sickness-Producer Download Demo N

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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q53-Q58):NEW QUESTION # 53
Which of the following is an Unfair Claims Settlement Practices Act under Oklahoma law?
  • A. failing to maintain complete policy notes involving claims.
  • B. not maintaining an audit trail of premium history and claim transactions.
  • C. knowingly misrepresenting to a claimant pertinent facts or policy provisions that relate to coverage.
  • D. failing to interview all involved parties within 45 days of the filing of proof of loss forms.
Answer: C
Explanation:
The Oklahoma Unfair Claims Settlement Practices Act, under Title 36 O.S. § 1250.5, defines practices that constitute unfair or deceptive acts in the settlement of insurance claims. Knowingly misrepresenting pertinent facts or policy provisions related to coverage to a claimant is explicitly listed as an unfair practice, as it misleads policyholders and undermines fair claim handling.
* Option A: Correct. Misrepresenting facts or policy provisions is an unfair claims settlement practice under Oklahoma law.
* Option B: Incorrect. There is no specific 45-day requirement to interview parties in the Act; timelines relate to acknowledging or settling claims.
* Option C: Incorrect. Maintaining an audit trail is a best practice but not explicitly an unfair claims settlement practice.
* Option D: Incorrect. Incomplete policy notes are not specifically cited as an unfair practice under the Act.
This question aligns with the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers unfair claims 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. § 1250.5 (Unfair Claims Settlement Practices Act).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.

NEW QUESTION # 54
All documents required under law in an insurance transaction may be stored, delivered, or presented by electronic means so long as it meets the requirements of the
  • A. Uniform Electronic Transaction Act.
  • B. Uniform Commercial Code.
  • C. Oklahoma Insurance Commissioner.
  • D. National Association of Insurance Commissioners.
Answer: A
Explanation:
TheUniform Electronic Transactions Act (UETA)is a model law adopted by Oklahoma (codified in Title
12A O.S. § 15-101 et seq.) that governs the use of electronic records and signatures in transactions, including insurance. It allows insurance documents to be stored, delivered, or presented electronically, provided they meet UETA's requirements for consent, accessibility, and record retention. Oklahoma's Insurance Code incorporates these standards for electronic transactions in insurance.
* Option A: Incorrect. The Uniform Commercial Code (UCC) governs commercial transactions, such as sales of goods, not electronic insurance documents.
* Option B: Correct. The Uniform Electronic Transactions Act provides the legal framework for electronic insurance documents in Oklahoma.
* Option C: Incorrect. The Oklahoma Insurance Commissioner enforces regulations but does not set the legal standard for electronic transactions.
* Option D: Incorrect. The National Association of Insurance Commissioners (NAIC) develops model laws but does not directly govern Oklahoma's electronic transaction requirements.
This question is part of the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers Oklahoma's laws on insurance transactions.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section: State- Specific Knowledge - Oklahoma Insurance Statutes).
Oklahoma Insurance Department, Title 12A O.S. § 15-101 et seq. (Uniform Electronic Transactions Act).
Oklahoma Insurance Department, Title 36 O.S. § 1204 (insurance business conduct).

NEW QUESTION # 55
Which type of life insurance policy is written under a single contract for both spouses in which it is payable upon the first death?
  • A. family term
  • B. dual capacity
  • C. joint
  • D. whole
Answer: C
Explanation:
Ajoint life policy(first-to-die) covers both spouses under a single contract and pays the death benefit upon the first spouse's death, as defined in Oklahoma's life insurance regulations (Title 36 O.S. § 4002). This is often used for financial protection needs like mortgages.
* Option A: Incorrect. "Dual capacity" is not a standard life insurance term.
* Option B: Incorrect. Family term covers dependents but is not specific to first-to-die spousal coverage.
* Option C: Incorrect. Whole life is a permanent policy type, not inherently joint.
* Option D: Correct. A joint life policy pays on the first spouse's death.
:
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.

NEW QUESTION # 56
A new mother is guaranteed a 48-hour hospital stay after a regular delivery of a child under which federal law and regulations for group health insurance?
  • A. COBRA.
  • B. HIPAA.
  • C. ERISA.
  • D. Medicaid.
Answer: B
Explanation:
TheHealth Insurance Portability and Accountability Act (HIPAA)includes provisions from the Newborns' and Mothers' Health Protection Act (NMHPA) of 1996, which mandates that group health plans cannot restrict hospital stays for childbirth to less than 48 hours for a vaginal delivery or 96 hours for a cesarean section. This federal law applies to group health insurance plans in Oklahoma and ensures minimum coverage for maternity care.
* Option A: Incorrect. COBRA allows continuation of group health coverage after certain events but does not mandate maternity stay durations.
* Option B: Incorrect. Medicaid is a state-federal program for low-income individuals, not a law mandating hospital stays for childbirth.
* Option C: Correct. HIPAA, via the NMHPA, guarantees the 48-hour hospital stay for regular deliveries.
* Option D: Incorrect. ERISA governs employee benefit plans but does not specifically address maternity hospital stays.
This question is part of the Prometric content outline under "State Insurance Statutes, Rules, and Regulations," which covers federal and state laws affecting health insurance.
:
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. § 6060.9 (maternity benefits).
HIPAA, Newborns' and Mothers' Health Protection Act, 29 U.S.C. § 1185.

NEW QUESTION # 57
Disability policies MOST often pay benefits in the form of
  • A. an annuity.
  • B. a lump sum payment based on projected income.
  • C. a lump sum reimbursement for wages lost.
  • D. periodic income.
Answer: D
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 # 58
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