Ok-Life-Accident-and-Health-or-Sickness-Producer Practice Test Questions

100 Questions


Long-Term Care Policies exclude coverage for all of the following EXCEPT


A. alcoholism or drug addiction


B. acts of war while serving in the military.


C. self-inflicted injuries.


D. Alzheimer’s disease.






Explanation:

Long-Term Care (LTC) insurance policies are specifically designed to cover chronic conditions, including cognitive impairments like:

Alzheimer’s disease
Dementia
Parkinson’s disease
These are core qualifying conditions that often trigger LTC benefits, especially when they impair the insured's ability to perform Activities of Daily Living (ADLs) such as bathing, eating, dressing, etc.

Why the other options are excluded:

A. Alcoholism or drug addiction
Typically excluded as a preventable or self-inflicted condition
B. Acts of war while serving in the military
Standard exclusion in most health and life policies
C. Self-inflicted injuries
Deliberate harm is generally excluded from coverage

A licensee who has a change of address must notify the Insurance Commissioner within


A. 30 days.


B. 60 days.


C. 90 days.


D. 120 days.






Explanation:
According to Oklahoma insurance law, a licensed insurance producer (or other licensee) is required to notify the Insurance Commissioner of a change of address within 30 days of the change.

Failing to do so may result in:
Administrative penalties
Possible suspension or revocation of the license
This requirement helps ensure the state can maintain accurate and current contact information for regulatory purposes and legal notifications.

To apply for a life or health insurance policy,


A. the insured must report all information about family illnesses.


B. a physical examination must be performed by a licensed physician.


C. all possible serious medical conditions must be diagnosed and recorded.


D. the insured individual’s medical history may be reviewed and reported.






Explanation:

When applying for life or health insurance, insurers typically:

1.Review Medical History: The applicant must disclose personal health information (e.g., pre-existing conditions, surgeries, medications) via the application form.
2.Underwriting Process: Insurers may request medical records, lab tests, or exams (but not always).
Not all policies require a physical exam (e.g., simplified-issue or guaranteed-acceptance policies).
Family medical history may be asked but is not always mandatory (unlike personal history).

Why the Other Options Are Incorrect:
A. Family illnesses → Insurers may ask, but reporting is not universally required (depends on policy type).
B. Physical exam by a physician → Only required for fully underwritten policies, not all.
C. Diagnose all serious conditions → Impossible; applicants report known conditions, but insurers conduct their own evaluation.

Key Takeaway:
Honesty is critical: Misrepresenting medical history can lead to claim denials or policy rescission.
Underwriting varies: Exams are common for large policies but waived for some no-exam products.

In Oklahoma, a foreign insurer is one formed under the laws of


A. Oklahoma.


B. a country other than the United States.


C. another state or government of the United States.


D. Oklahoma or under the laws of a state geographically bordering Oklahoma.





C.
  another state or government of the United States.

Explanation:

In insurance terminology, the term "foreign insurer" has a specific legal definition:

Domestic Insurer: Formed under the laws of Oklahoma (the state where it is licensed).
Foreign Insurer: Formed under the laws of another U.S. state (e.g., a company headquartered in Texas but doing business in Oklahoma).
Alien Insurer: Formed under the laws of a country outside the United States (e.g., a Canadian insurer).

Why the Other Options Are Incorrect:
A. Oklahoma → This would be a domestic insurer.
B. A country other than the U.S. → This describes an alien insurer, not a foreign insurer.
D. Oklahoma or bordering states → Incorrect; "foreign" refers to any other U.S. state, not just neighbors.

Key Takeaway:
Foreign = Another U.S. state
Alien = Outside the U.S.
Domestic = Home state (Oklahoma)

How many days does the insured have to notify the insurer to add a newly-born child to continue coverage?


A. 31 days.


B. 30 days.


C. 21 days.


D. 14 days.





A.
  31 days.

Explanation:
Under standard health insurance policy provisions (including those based on NAIC models and federal guidelines like the ACA), a newborn child must be added to the policy within 31 days of birth to ensure continuous coverage.

Key Rules for Newborn Coverage:
Automatic Coverage: Newborns are typically covered from birth for the first 30 days (even if not yet added to the policy).
Notification Deadline: The insured has 31 days to formally notify the insurer and add the child to the policy for ongoing coverage beyond the initial 30 days.
No Medical Underwriting: The child cannot be denied due to health conditions (per ACA rules).

Why the Other Options Are Incorrect:
B. 30 days → This is the automatic coverage period, not the deadline to notify.
C. 21 days / D. 14 days → Too short; inconsistent with federal and NAIC standards.

An insurance producer who knowingly and willfully makes a fraudulent statement relating to an application for insurance is subject to all of the following EXCEPT


A. suspension.


B. revocation.


C. discrimination.


D. censure





C.
  discrimination.

Explanation:

An insurance producer who knowingly and willfully makes fraudulent statements on an insurance application is subject to severe penalties under state insurance laws, including:

A. Suspension → Temporary loss of license.
B. Revocation → Permanent termination of license.
D. Censure → Formal reprimand or public disciplinary action.

However, C. Discrimination is not a penalty for fraud. It refers to unfair treatment based on protected characteristics (e.g., race, gender), which is unrelated to fraudulent acts.

Key Takeaway:
Fraudulent producers face regulatory actions (suspension, revocation, fines, or censure).
Discrimination is a separate legal issue governed by civil rights laws, not insurance fraud penalties.

Transacting insurance includes any of the following EXCEPT


A. selling insurance.


B. preliminary negotiations.


C. delivering insurance contracts.


D. gathering prospective buyer information.






Explanation:

Transacting insurance is a legally defined term under Oklahoma insurance law (and generally consistent across many states). It refers to specific activities that require a license, such as:

Included in “Transacting Insurance”:
1.Solicitation (e.g., approaching potential customers)
2.Preliminary negotiations (e.g., discussing terms)
3.Selling or binding insurance
4.Delivering insurance policies or contracts
5.Collecting premiums
These actions involve the actual process of negotiating or finalizing insurance coverage.

Why Option D is NOT Included:
“Gathering prospective buyer information” (such as name, age, or general interest) is NOT in itself considered transacting insurance, as long as no discussion of coverage, terms, premiums, or contracts takes place.
This activity may be done by non-licensed support staff under supervision and does not require a producer license.

Mortgage redemption or cancellation insurance is a form of what type of insurance?


A. Increasing term.


B. Decreasing term.


C. Level premium whole life.


D. Level premium universal life.





B.
  Decreasing term.

Explanation:

Mortgage redemption (or cancellation) insurance is a specialized form of decreasing term life insurance. Here’s why:

Key Features:
Purpose: Designed to pay off the remaining balance of a mortgage if the insured dies.
Decreasing Death Benefit: The coverage amount declines over time, matching the amortization of the mortgage (as the loan balance decreases).
Term Length: Typically matches the mortgage term (e.g., 15, 30 years).

Why the Other Options Are Incorrect:
A. Increasing term → Death benefit grows over time (unrelated to mortgages).
C. Level premium whole life → Permanent insurance with a fixed death benefit and cash value.
D. Level premium universal life → Flexible permanent insurance, but not tied to mortgage balances.

Key Takeaway:
Decreasing term is cost-effective for mortgage protection because premiums are lower (coverage decreases with the loan balance).

Term life insurance is more appropriate than whole life insurance when the


A. policyowner wants to borrow against the life insurance policy values.


B. policyowner desires an accumulation of cash values.


C. maximum protection is needed, but the insured cannot afford premium payments for permanent insurance.


D. insured needs low cost permanent life insurance protection.






Explanation:
Term life insurance provides pure death benefit coverage with no cash value accumulation. It is ideal when someone:

Needs high coverage (e.g., for income replacement or debt like a mortgage)
Wants low initial premiums
Only needs the coverage for a temporary period (e.g., 10, 20, or 30 years)

Why Option C is Correct:
Term insurance is significantly cheaper than whole life insurance.
It is best suited for individuals needing maximum coverage on a budget, especially when permanent insurance premiums are too costly.

Why the Other Options Are Incorrect:
A. Borrowing against the policy requires cash value, which term insurance does not have.
B. Term policies have no cash value accumulation. Whole life or universal life would be appropriate here.
D. Term is not permanent insurance. It eventually expires. For low-cost permanent coverage, look at guaranteed universal life or simplified whole life options.

One advantage of a whole life insurance policy is that it offers


A. Liberal underwriting guidelines.


B. Initial lower premiums.


C. Variable premium amounts.


D. Permanent coverage.






Explanation:

The primary advantage of a whole life insurance policy is that it provides permanent (lifelong) coverage, as long as premiums are paid. Key features include:

Guaranteed death benefit: Pays out whenever the insured dies.
Fixed premiums: Unlike term life, premiums do not increase with age.
Cash value accumulation: A savings component grows tax-deferred over time.

Why the Other Options Are Incorrect:
A. Liberal underwriting guidelines → Whole life requires full underwriting (medical/financial review), similar to term life.
B. Initial lower premiums → Term life has lower initial premiums; whole life is more expensive but stable.
C. Variable premium amounts → Whole life premiums are fixed; universal life (a different type of permanent insurance) allows flexibility.

Key Takeaway:
Whole life is ideal for those needing lifelong protection + cash value growth, despite higher costs.

In regards to advertising, insurers are responsible for which of the following?


A. maintaining control over content and form.


B. maintaining control over the cost of delivery.


C. maintaining control over the cost of production.


D. maintaining control of communications between agents.





A.
  maintaining control over content and form.

Explanation:

According to the NAIC Model Regulation and industry compliance standards, insurers are responsible for maintaining control over the content, form, and method of dissemination of all advertisements related to their policies—even if the ad is created by a third party or producer.

This responsibility ensures that:
Advertisements are truthful and not misleading
All required disclosures are present
The insurer maintains regulatory compliance
As stated in the First Consulting compliance guide and confirmed by the NAIC Model Regulation:
“Every insurer must maintain a system of control over the content, form, and method of distribution of all advertisements.”

Why the Other Options Are Incorrect

B. Cost of delivery
Not a regulatory responsibility; it's a logistical or marketing concern
C. Cost of production
Financial decisions are separate from compliance obligations
D. Communications between agents
Not part of advertising control; falls under internal operations and supervision

Which of the following is a potential DISADVANTAGE of a fixed annuity?


A. The insured invests payments in variable securities, and the return fluctuates with an uncertain economic market.


B. There is no guaranteed specific benefit amount to the annuitant.


C. Annuitants could experience a decrease in the purchasing power of their payments over a period of years due to inflation.


D. Payments continue only for a maximum of 2 years after the annuitant’s death.






Explanation:

A fixed annuity provides the annuitant with guaranteed periodic payments, typically for life or a set period. These payments are fixed in dollar amount, which is both an advantage and a disadvantage.

Why Option C is Correct:
While payments are predictable, they are not indexed to inflation.
Over time, inflation erodes the real (purchasing) value of those fixed payments.
This is a major disadvantage, especially for retirees on a fixed income.

Why the Other Options Are Incorrect:
A. This describes a variable annuity, not a fixed one. Fixed annuities do not invest in variable securities.
B. Fixed annuities do provide a guaranteed benefit amount, which is their primary feature.
D. Payments duration depends on the contract (e.g., life only, period certain); there’s no standard 2-year rule for fixed annuities.


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