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Ok-Life-Accident-and-Health-or-Sickness-Producer合格体験記 & Ok-Life-Accident-and-Health-or-Sickness-Producer日本語練習問題
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Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Exam 認定 Ok-Life-Accident-and-Health-or-Sickness-Producer 試験問題 (Q12-Q17):
質問 # 12
The provision that the policy and a copy of an application is endorsed upon or attached to the policy when issued is the
- A. entire contract.
- B. certificate.
- C. policy summary.
- D. application.
正解:A
解説:
Theentire contract provision, as required by Oklahoma law (Title 36 O.S. § 4001 for life insurance, § 4405 for health), states that the insurance policy, along with any attached applications and endorsements, constitutes the entire contract between the insurer and policyowner. This ensures that no external documents can alter the agreement unless attached at issuance.
* Option A: Incorrect. A certificate is issued to individuals under a group policy, not the entire contract.
* Option B: Incorrect. A policy summary is a disclosure document, not part of the contract itself.
* Option C: Correct. The entire contract provision includes the policy and attached application.
* Option D: Incorrect. The application is part of the contract but not the provision itself.
This question aligns with the Prometric content outline under "Provisions, Options, Exclusions, Riders, Clauses, and Rights," which covers mandatory policy provisions.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life and Health Insurance Provisions).
Oklahoma Insurance Department, Title 36 O.S. § 4001, § 4405 (policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
質問 # 13
To apply for a life or health insurance policy,
- A. a physical examination must be performed by a licensed physician.
- B. the insured must report all information about family illnesses.
- C. the insured individual's medical history may be reviewed and reported.
- D. all possible serious medical conditions must be diagnosed and recorded.
正解:C
解説:
When applying for a life or health insurance policy in Oklahoma, the insurer's underwriting process typically involves reviewing the applicant'smedical historyto assess risk, as permitted under Title 36 O.S. § 1204. This may include questions about personal and family health, but not all family illnesses need to be reported unless specifically requested. Physical examinations are not always required, and undiagnosed conditions are not expected to be recorded; the applicant must disclose known conditions truthfully.
* Option A: Incorrect. Reporting all family illnesses is not mandatory unless relevant to underwriting questions.
* Option B: Incorrect. A physical exam is not always required; it depends on the insurer's underwriting guidelines.
* Option C: Incorrect. Undiagnosed conditions cannot be recorded; only known conditions are reported.
* Option D: Correct. The insured's medical history may be reviewed and reported during underwriting.
:
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.
質問 # 14
Employees covered by an employer health plan are issued an insurance
- A. certificate.
- B. contract.
- C. covenant.
- D. policy.
正解:A
解説:
In group health insurance, the employer or group sponsor receives themaster policy, while employees covered under the plan are issued acertificate of insurance, which summarizes their coverage but is not the policy itself, as per Oklahoma's regulations (Title 36 O.S. § 6060.3).
* Option A: Incorrect. Employees do not receive individual policies; the employer holds the master policy.
* Option B: Incorrect. The contract is the master policy, not issued to employees.
* Option C: Incorrect. "Covenant" is not an insurance term.
* Option D: Correct. Employees receive a certificate of insurance.
:
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. § 6060.3 (group health insurance provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
質問 # 15
What is the focus of major medical insurance?
- A. Reducing costs by using in-network facilities.
- B. Providing preventative care.
- C. Providing coverage for hospitalization expenses.
- D. Providing care to the needy.
正解:C
解説:
Major medical insuranceis designed to cover significant healthcare expenses, particularly those related to hospitalization, surgeries, and other high-cost medical services. It focuses on providing comprehensive coverage for catastrophic or major medical events, as opposed to routine or preventive care, which may be covered to a lesser extent or through separate plans.
* Option A: Incorrect. Preventive care is often included but is not the primary focus of major medical insurance.
* Option B: Incorrect. Using in-network facilities reduces costs but is a feature of managed care plans, not the core focus of major medical insurance.
* Option C: Correct. The focus of major medical insurance is covering hospitalization and other major expenses.
* Option D: Incorrect. Providing care to the needy is associated with programs like Medicaid, not private major medical insurance.
This question falls under the Prometric content outline section on "Health Providers and Products," which covers the characteristics of major medical insurance.
:
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. § 6060.3 (health insurance policy provisions).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
質問 # 16
One area in which errors are commonly made on life insurance applications and for which the incontestable clause does NOT apply is
- A. occupation.
- B. state of residence.
- C. education level.
- D. age.
正解:D
解説:
Theincontestable clausein life insurance policies, mandated in Oklahoma (Title 36 O.S. § 4004), prevents the insurer from contesting the policy after a specified period (typically 2 years) except for non-payment of premiums. However, errors inageor sex on the application are an exception; insurers can adjust the death benefit or premiums to reflect the correct age, even after the incontestable period, as these errors affect the policy's pricing. Other factors like occupation, education, or residence do not typically have this exception.
* Option A: Incorrect. Errors in occupation are contestable within the 2-year period but not after.
* Option B: Correct. Errors in age are not covered by the incontestable clause and can lead to adjustments.
* Option C: Incorrect. Education level is not typically material to life insurance underwriting.
* Option D: Incorrect. State of residence errors are not an exception to the incontestable clause.
:
Prometric Oklahoma Life, Accident, and Health or Sickness Producer Exam Content Outline (Section:
General Knowledge - Life Insurance Provisions).
Oklahoma Insurance Department, Title 36 O.S. § 4004 (incontestability provision).
Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing.
質問 # 17
......
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