Free OK ACCIDENT AND HEALTH OR SICKNESS PRODUCER Practice Questions

Sample Practice Questions

Try these 10 sample questions from the OK ACCIDENT AND HEALTH OR SICKNESS PRODUCER practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1An Oklahoma producer plans to act as an insurer's agent. What must be true before the producer acts in that capacity?

   1. A. The producer must be appointed by that insurer
   2. B. The producer must hold appointments from two insurers
   3. C. The producer must register each application with the Commissioner
   4. D. The producer must obtain a surplus-lines broker license

   Answer: A

   Explanation: Section 1435.15(A) states: "An insurance producer shall not act as an agent of an insurer unless the insurance producer becomes an appointed agent of that insurer." The appointment is therefore required for this role.

   Reference: Ok Statutes Title 36 Current — 36 O.S. § 1435.15(A)

2. 2A 16-year-old, with the required signed consent, owns an Oklahoma accident policy. Which statement describes the minor's capacity under that policy?

   1. A. The minor may exercise the policy rights as though of full legal age
   2. B. The minor may exercise rights only after reaching age 18
   3. C. The minor may exercise rights only through the selling producer
   4. D. The minor may exercise rights only through the insurer

   Answer: A

   Explanation: Section 3606(B) says the qualifying minor is "deemed competent to exercise all rights and powers with respect to or under any contract" as though of full legal age. The 16-year-old with signed consent therefore has that capacity.

   Reference: Ok Statutes Title 36 Current — 36 O.S. § 3606(B)

3. 3An agent promises to waive a limitation in an Oklahoma accident and health policy but no insurer officer approves an endorsement. What is the effect of the agent's promise?

   1. A. It changes the policy when the agent records it in the application.
   2. B. It changes the policy when the insured accepts it in writing.
   3. C. It does not change the policy; the agent lacks that authority.
   4. D. It changes the policy when the first premium is paid.

   Answer: C

   Explanation: "No agent has authority to change this policy or to waive any of its provisions." An officer-approved change endorsed on or attached to the policy is required; the agent's promise does not amend it.

   Reference: Oklahoma Statutes Title 36 — §36-4405

4. 4A Marketplace applicant is legally married and will claim a child as a tax dependent. Neither the spouse nor child wants health coverage. Whom should the applicant include in household information?

   1. A. Only the applicant because the others are not enrolling.
   2. B. The applicant and spouse, but not the tax-dependent child.
   3. C. The applicant and child, but not the non-enrolling spouse.
   4. D. The applicant, spouse, and tax-dependent child.

   Answer: D

   Explanation: "Include your spouse and tax dependents even if they don’t need health coverage." Marketplace household size includes the legally married spouse and claimed dependent even when they do not seek coverage.

   Reference: HealthCare.gov Marketplace household size — Who to include in your household

5. 5An application indicates that a new accident and sickness policy will replace existing coverage. Which document must the producer provide?

   1. A. Accident and Sickness Insurance Replacement Notice
   2. B. Medicare Supplement Replacement Notice
   3. C. Medicare Benefit Modification Notice
   4. D. Medicare Supplement Outline of Coverage

   Answer: A

   Explanation: OAC 365:10-5-7 requires the prescribed "NOTICE TO APPLICANT REGARDING REPLACEMENT OF ACCIDENT AND SICKNESS INSURANCE" when replacement is involved; the other choices are distinct documents in the same health-insurance rule system.

   Reference: TITLE 365 — OAC 365:10-5-6

6. 6A customer wants an individual health policy meant to supplement major medical coverage and providing benefits below Oklahoma's minimum standard for basic hospital or medical-surgical coverage. What type of policy is it?

   1. A. A limited benefit insurance policy.
   2. B. A basic hospital expense policy.
   3. C. A major medical expense policy.
   4. D. A group health service contract.

   Answer: A

   Explanation: "which only provides coverage that is less than the minimum standard for benefits required under basic hospital expense coverage or basic medical-surgical expense coverage." A supplemental or individually purchased policy below those basic benefit standards is limited benefit coverage.

   Reference: Oklahoma Statutes Title 36 — §36-4403.1

7. 7A person has Medicare Part A and Part B and wants to receive those benefits through a Medicare-approved private health plan instead of Original Medicare. Which route fits?

   1. A. A standalone Part D drug plan.
   2. B. A Medicare Advantage Plan under Part C.
   3. C. A Medicare Supplement policy replacing Part A.
   4. D. A Medicare Savings Program helping with Part B costs.

   Answer: B

   Explanation: "If you have Part A and Part B, you can join a Medicare Advantage Plan, sometimes called “Part C” or an “MA plan.”" Part C is the private-plan Medicare Advantage route for someone with Parts A and B; Part D is prescription drug coverage.

   Reference: Medicare.gov Your health plan options — Medicare Advantage Plans

8. 8Before issuing individually marketed Oklahoma long-term care coverage, what normally must the issuer receive?

   1. A. The producer's annual sales ranking
   2. B. The applicant's completed personal worksheet
   3. C. The insurer's office-furniture budget
   4. D. The applicant's automobile declaration page

   Answer: B

   Explanation: OAC 365:10-5-48.5(c)(3) says: "A completed personal worksheet shall be returned to the issuer prior to the issuer's issuing coverage," subject to the stated employer-group exception.

   Reference: Ch 10 - Sub 5 - Part 5 - For Website _2_ — OAC 365:10-5-48.5(c)(3)

9. 9An insurer executes an agent contract on June 1 and no application is submitted earlier. By when must it file the Oklahoma appointment notice?

   1. A. Within 5 days
   2. B. Within 15 days
   3. C. Within 30 days
   4. D. Within 10 days

   Answer: B

   Explanation: Section 1435.15(B) requires a notice of appointment "within fifteen (15) days from the date the agent contract is executed, or the first insurance application is submitted."

   Reference: Ok Statutes Title 36 Current — 36 O.S. § 1435.15(B)

10. 10At what minimum age may an Oklahoma minor with signed parental or guardian consent contract for insurance on the minor's own life or body?

    1. A. 14
    2. B. 15
    3. C. 16
    4. D. 17

    Answer: C

    Explanation: The current Section 3606(B) begins: "A minor not less than sixteen (16) years of age as at nearest birthday may" contract under its stated conditions. Thus the minimum is 16, not 15.

    Reference: Ok Statutes Title 36 Current — 36 O.S. § 3606(B)