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| Section | Weight | Objectives |
|---|---|---|
| Accident and Sickness Insurance | 15-20% | - Accident-only policies - Sickness-related coverage - Hospital indemnity insurance - Critical illness insurance |
| Life Insurance Basics | 15-20% | - Policy provisions and riders - Types of life insurance policies - Beneficiary designations - Cash value and loan provisions |
| Oklahoma Insurance Regulations | 20-25% | - Market conduct regulations - Consumer protection regulations - Unfair trade practices prohibitions - Oklahoma Insurance Code requirements - Licensing requirements and procedures |
| Health Insurance Fundamentals | 20-25% | - Dental and vision coverage - Health maintenance organizations (HMOs) - Preferred provider organizations (PPOs) - Major medical insurance - Disability income insurance |
| Insurance Marketing and Sales | 10-15% | - Suitable product recommendations - Recordkeeping requirements - Sales practices and disclosures - Replacement regulations |
| Ethics and Professional Conduct | 10-15% | - Disclosure requirements - Handling customer complaints - Fiduciary responsibilities - Antifraud regulations |
1. How will covered expenses be paid if an insured has a scheduled dental policy?
A) The insurer will pay a percentage of each expense.
B) After the deductible is paid, benefits will be paid in a lump sum directly to the insured.
C) Benefits will be limited to a specific maximum dollar amount per procedure.
D) All expenses will be paid after the insured's deductible is paid.
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. A deliberate lie by an insured to the insurer to obtain a lower premium is an example of
A) concealment.
B) aleatory.
C) fraud.
D) omission.
4. 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 ensure that the insured gets all the treatment needed.
C) To determine what is paid by the primary and secondary insurers in case of a claim.
D) To protect a secondary insurer from paying a claim.
5. The act of using misrepresentation to induce an insured person to terminate an existing policy and purchase a new policy is referred to as
A) churning.
B) subrogation.
C) rebating.
D) twisting.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |
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