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

1. Which of the following describes the gatekeeper strategy used by HMOs?

A) The process of obtaining referrals to specialists from primary care physicians.
B) The refusal of coverage for patients with preexisting conditions.
C) The use of supplemental services on an additional cost basis.
D) The emphasis on preventing enrollees from using patient services.

2. Any act, practice, or arrangement, at or prior to a policy issuance for the benefit of a person who does NOT have an insurable interest in the insured is called a

A) life settlement.
B) financial transaction.
C) settlement option.
D) stranger-owned life insurance (STOLI) policy.

3. The type of insurance used to indemnify a firm for the loss of earnings brought about by the death or disability of an officer or other significant employee is

A) key person.
B) employee welfare.
C) business continuation life.
D) business overhead.

4. A PRIMARY difference between precertification provision and concurrent review is that only the precertification provision

A) requires the consent of the patient.
B) involves a review by the insurance company.
C) is designed to be a cost containment measure.
D) occurs before the treatment is provided.

5. Disability policies MOST often pay benefits in the form of

A) periodic income.
B) a lump sum payment based on projected income.
C) an annuity.
D) a lump sum reimbursement for wages lost.

Solutions: