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

1. 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) ERISA.
C) Medicaid.
D) HIPAA.

2. Which of the following is NOT a key factor in underwriting life insurance?

A) Marital status.
B) Age.
C) Tobacco use.
D) Family history.

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) The husband's insurer will pay as much of the claim as the policy permits, then the wife's insurer will pay the remainder.
B) Only the wife's insurer will pay expenses toward the loss.
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 primary insurer will pay expenses toward the loss under the limits of the plan.

4. Any person entitled to reimbursement for expenses of health care services and procedures under an Accident and Health Insurance Policy issued by an insurer is

A) an insured.
B) a practitioner.
C) a Preferred Provider Organization.
D) an insurer.

5. How is ownership of a mutual insurance company evidenced?

A) ownership of stock
B) certificate of deposit
C) bonds of the company
D) ownership of a policy

Solutions: