Attain Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Certification without Breaking a Sweat with PracticeMaterial's Exam Questions

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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q136-Q141):

NEW QUESTION # 136
All of the following are Medicare Advantage Plans EXCEPT

A. Preferred Provider Organization (PPO).
B. Health Maintenance Organization (HMO).
C. Social Security Disability Income (SSDI).
D. Private Fee-For-Service (PFFS).

Answer: C

Explanation:
Medicare Advantage (Part C)plans are private health plans approved by Medicare, includingPPOs,HMOs, andPFFSplans, which provide an alternative to Original Medicare.Social Security Disability Income (SSDI) is a federal program providing income support for disabled individuals, not a Medicare Advantage plan.
* Option A: Incorrect. PPO plans are a type of Medicare Advantage plan.
* Option B: Incorrect. HMO plans are a type of Medicare Advantage plan.
* Option C: Incorrect. PFFS plans are a type of Medicare Advantage plan.
* Option D: Correct. SSDI is not a Medicare Advantage plan; it is a disability income program.
This question aligns with the Prometric content outline under "Medicare," which covers Medicare Advantage plans.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Medicare).
Oklahoma Insurance Department, Title 36 O.S. § 6217 (Medicare supplement insurance).
CMS, Medicare & You Handbook (Medicare Advantage plans).

NEW QUESTION # 137
Which of the following is one of the MAIN tasks of a field underwriter?

A. Approving an individual's policy.
B. Editing an applicant's report to ensure approval.
C. Ensure the accuracy and completeness of an individual's medical information.
D. Obtaining a Medical Information Bureau (MIB) report.

Answer: C

Explanation:
Afield underwriter, typically an insurance producer, gathers initial information from applicants to assess their insurability and ensure the application is accurate and complete. A main task is ensuring the accuracy and completeness of an individual's medical information, as this is critical for the insurer's underwriting decision. Field underwriters do not approve policies or edit reports to guarantee approval; they facilitate the process by providing reliable data.
* Option A: Incorrect. Editing reports to ensure approval is unethical and not a field underwriter's role.
* Option B: Incorrect. Approving policies is the role of the insurer's underwriting department, not the field underwriter.
* Option C: Correct. Ensuring accuracy and completeness of medical information is a key task of a field underwriter.
* Option D: Incorrect. Obtaining an MIB report is typically done by the insurer, not the field underwriter.
This question aligns with the Prometric content outline under "Underwriting," which covers the role of field underwriters.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Underwriting).
Oklahoma Insurance Department, Title 36 O.S. § 1204 (insurance business conduct).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.

NEW QUESTION # 138
Which of the following is a core benefit of Medicare supplemental insurance?

A. At-home recovery.
B. Basic drugs limit of $1,250.
C. Preventive care.
D. First 3 pints of blood each year.

Answer: D

Explanation:
Medicare supplemental insurance(Medigap) covers gaps in Original Medicare (Parts A and B), such as deductibles, coinsurance, and certain costs not covered by Medicare. A core benefit, included in most Medigap plans (e.g., Plans A-N), is coverage for thefirst 3 pints of bloodeach year, which Medicare Part A does not cover. Other options like at-home recovery or prescription drugs are not core benefits, and preventive care is covered by Medicare, not Medigap.
* Option A: Correct. The first 3 pints of blood is a core Medigap benefit.
* Option B: Incorrect. At-home recovery is not a standard core benefit in most Medigap plans.
* Option C: Incorrect. Prescription drug coverage is not a core Medigap benefit; it's covered by Medicare Part D.
* Option D: Incorrect. Preventive care is covered by Medicare Part B, not a core Medigap benefit.
This question falls under the Prometric content outline section on "Medicare," which covers Medigap benefits.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Medicare).
Oklahoma Insurance Department, Title 36 O.S. § 6217 (Medicare supplement insurance).
CMS, Medicare & You Handbook (Medigap benefits).

NEW QUESTION # 139
Unlike HMO plans, PPO plan members MOST often

A. receive no medical benefits while traveling to other states.
B. have more choices of doctors and medical service providers.
C. must designate a primary care physician.
D. can see a physician on a walk-in basis.

Answer: B

Explanation:
Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs) are two common types of managed care plans in health insurance. According to standard insurance study materials for the Oklahoma Life, Accident, and Health or Sickness Producer exam, a key distinction between PPOs and HMOs lies in the flexibility of provider choice. PPOs allow members to choose from a broader network of doctors and medical service providers, both in-network and out-of-network, without requiring a referral from a primary care physician. HMOs, in contrast, typically restrict members to in-network providers and require a designated primary care physician to coordinate care.
* Option A: Incorrect. PPO plans often provide coverage for out-of-state medical services, especially within their network or through out-of-network benefits, though at potentially higher costs. This is not a defining characteristic compared to HMOs.
* Option B: Correct. PPOs are known for offering more choices of doctors and medical service providers, as they do not mandate a primary care physician or referrals for specialists, unlike HMOs.
* Option C: Incorrect. HMOs require members to designate a primary care physician, while PPOs do not.
* Option D: Incorrect. While PPOs offer flexibility, the ability to see a physician on a walk-in basis is not a standard feature distinguishing them from HMOs, as both may vary in appointment requirements.
This aligns with the Prometric exam content outline under "Health Providers and Products," which emphasizes understanding differences between health insurance plans like HMOs and PPOs.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Health Providers and Products).
Oklahoma Insurance Department, Title 36 O.S. § 652 et seq. (regulations on managed care plans).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.

NEW QUESTION # 140
The elimination period in an individual disability insurance policy refers to the

A. length of time a policy will continue to pay for specific disabilities.
B. amount of time a disabled person must wait before benefits are paid.
C. period of time that benefits are still payable after an insurance company discontinues a policy.
D. point in time when benefits are exhausted.

Answer: B

Explanation:
The elimination period in an individual disability insurance policy is the waiting period between the onset of a disability and the time when benefit payments begin. It is essentially a deductible in time, during which the insured must be disabled before receiving benefits. This period can range from 30 days to several months, depending on the policy, and is designed to reduce premiums by excluding short-term disabilities.
* Option A: Incorrect. The length of time benefits are paid is determined by the benefit period, not the elimination period.
* Option B: Correct. The elimination period is the amount of time the insured must wait after becoming disabled before benefits are paid.
* Option C: Incorrect. The point when benefits are exhausted is related to the benefit period or policy limits, not the elimination period.
* Option D: Incorrect. The elimination period does not apply after the policy is discontinued; it applies at the start of a disability claim.
This question aligns with the Prometric content outline under "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which includes knowledge of disability insurance provisions.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Accident and Health Insurance).
Oklahoma Insurance Department, Title 36 O.S. § 4405 (health insurance policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.

NEW QUESTION # 141
......

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Attain Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Certification without Breaking a Sweat with PracticeMaterial's Exam Questions

Three Easy-to-Use and Compatible PracticeMaterial Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Questions

Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam Sample Questions (Q136-Q141):

100% Pass Insurance Licensing - Latest Valid Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Discount

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