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

1. What is it called when a health insurance policy terminates and the policyholder is allowed to receive benefits past the termination date of the policy?

A) extension of benefits.
B) qualifying event.
C) notification statement.
D) duration of coverage.

2. Laura has a group medical plan that has an 80% coinsurance provision but no deductible. She recently incurred a $1,000 medical bill. How much will Laura have to pay?

A) $0
B) $200
C) $800
D) $1,000

3. Which of the following is an Unfair Claims Settlement Practices Act under Oklahoma law?

A) failing to maintain complete policy notes involving claims.
B) knowingly misrepresenting to a claimant pertinent facts or policy provisions that relate to coverage.
C) failing to interview all involved parties within 45 days of the filing of proof of loss forms.
D) not maintaining an audit trail of premium history and claim transactions.

4. How many employees are REQUIRED before an employer is subject to COBRA?

A) 50 employees
B) 30 employees
C) 31 employees
D) 20 employees

5. How will covered expenses be paid if an insured has a scheduled dental policy?

A) All expenses will be paid after the insured's deductible is paid.
B) After the deductible is paid, benefits will be paid in a lump sum directly to the insured.
C) The insurer will pay a percentage of each expense.
D) Benefits will be limited to a specific maximum dollar amount per procedure.

Solutions: