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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Oklahoma Insurance Regulations | 20-25% | - Licensing requirements and procedures - Consumer protection regulations - Unfair trade practices prohibitions - Oklahoma Insurance Code requirements - Market conduct regulations |
| Topic 2: Accident and Sickness Insurance | 15-20% | - Hospital indemnity insurance - Critical illness insurance - Sickness-related coverage - Accident-only policies |
| Topic 3: Ethics and Professional Conduct | 10-15% | - Handling customer complaints - Antifraud regulations - Fiduciary responsibilities - Disclosure requirements |
| Topic 4: Insurance Marketing and Sales | 10-15% | - Replacement regulations - Sales practices and disclosures - Recordkeeping requirements - Suitable product recommendations |
| Topic 5: Life Insurance Basics | 15-20% | - Policy provisions and riders - Cash value and loan provisions - Types of life insurance policies - Beneficiary designations |
| Topic 6: Health Insurance Fundamentals | 20-25% | - Preferred provider organizations (PPOs) - Dental and vision coverage - Disability income insurance - Health maintenance organizations (HMOs) - Major medical insurance |
1. One advantage of an individual term life insurance policy is
A) Premiums will decrease as insured ages.
B) Death benefits always remain level.
C) It offers a cash value.
D) Initial costs are lower.
2. Term life insurance is more appropriate than whole life insurance when the
A) insured needs low cost permanent life insurance protection.
B) maximum protection is needed, but the insured cannot afford premium payments for permanent insurance.
C) policyowner wants to borrow against the life insurance policy values.
D) policyowner desires an accumulation of cash values.
3. Both husband and wife have group health insurance through their employers. Each spouse is covered under both policies. Under the coordination of benefits provision, how will the benefits be paid if the wife incurs a
$400 covered loss?
A) Only the primary insurer will pay expenses toward the loss under the limits of the plan.
B) The husband's insurer will pay as much of the claim as the policy permits, then the wife's insurer will pay the remainder.
C) The primary insurer will pay as much of the claim as the policy permits, then the secondary insurer will pay the remainder of the claim as its policy permits.
D) Only the wife's insurer will pay expenses toward the loss.
4. Which one of the following types of benefits is often excluded from coverage under an HMO plan?
A) In-patient surgeries.
B) Physical examinations.
C) Out-of-area emergency services.
D) Adult routine eye examinations.
5. In addition to the application, MIB, or consumer reports, underwriters can acquire information from all of the following EXCEPT
A) genetic testing.
B) medical questionnaires.
C) attending physician statements.
D) physical examinations.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: A |
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