OKLAHOMA INSURANCE ADJUSTERS LICENSE EXAM

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OKLAHOMA INSURANCE ADJUSTER'S LICENSE EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: To receive WC benefits, an employee's occupations disease:

Answer:

must be caused by the conditions of the employment.Question 2: An adjuster, who is licensed in his home state, is moving too OK. The adjuster is not required to take the licensing exam to become a resident adjuster if he applies for the license within ___ after establishing legal residence in OK

Answer:

90 days Question 3: an "other insurance" clause is included in insurance policies to deal with the

problem of:

Answer:

Overinsurance Question 4: Adjuster should organize the medical information in the WC claim file using which of the following methods?

Answer:

placed in chronological order by the dates of medical treatments and procedures.

Question 5: Regulation of insurance industry in the US is primarily left to:

Answer:

state governments Question 6: An OK insurer needs more than the usual 60 days to investigate a claim that does not involve fraud or arson. What is the max amount of time the insurer has to complete the investigation of this claim?

Answer:

120 days Question 7: A document that temporarily obligates an insurance company to provide coverage

while the issuance of a policy is pending is known as:

Answer:

a binder Question 8: All of the following describe one of the four elements of a negligent act, EXCEPT:

Answer:

the defendant entered into a legal contract w the plaintiff.Question 9: In OK how long does an insured have to submit a required proof of loss statement?

Answer:

60 days Question 10: When an employer self-insures their workers' compensation risks, but would like to purchase insurance to cover claims that may exhaust their self-insured limits, what coverage should be purchased?

Answer:

Excess coverage.Question 11: If the insurance policy is issued by a surplus lines company in OK, what statement must be contained on the Declarations page of the policy?

Answer:

The fact that the coverage is not subject to the protection of any guaranty association.

Question 12: Which of the following best describes a competitive state when it comes to WC coverage?

Answer:

Private insurance companies write WC coverage, but the state also writes coverage that competes w/ the coverage offered by private carriers.Question 13: How many days does an Oklahoma Property and Casualty insurer have to either accept or reject a first-party claim?

Answer:

45 days Question 14: What benefit is paid to the surviving spouse of an employee who has died in a work related accident and then remarries?

Answer:

The spouse will receive two years of indemnity benefits Question 15: Anna is walking through the park one day while unwrapping an ice cream sandwich. It was a windy day, and the ice cream wrapper was covered with partially melted ice cream. Anna doesn't want to look for a trash can to throw away the wrapper so she simply throws it down. The wind takes the wrapper across the park and drops it to the ground just in time for Ulysses to ride onto it with his unicycle. The melted ice cream on the wrapper causes Ulysses' unicycle to slip out from under him and he falls backward, striking his head on the pavement. Several witnesses saw Anna throw the ice cream wrapper into the wind, so Ulysses sues her for his medical bills. Ultimately, Anna was not proven to be negligent and her insurance company did not have to pay damages to Ulysses. What is the most likely reason for the court's finding?

Answer:

Anna could not have foreseen that the act of throwing her ice cream wrapper into the wind would have resulted in the bodily injuries to Ulysses.Question 16: A compensable injury means damage or harm to: I. the physical structure of the body II. Prosthetic appliances III. Eyeglasses IV. Hearing aids

Answer:

*all of the above.

Question 17: The Oklahoma Insurance Commissioner may hold hearings for any purpose

deemed necessary. The Commissioner has the power:

• To take depositions.

II. Subpoena witnesses or evidence.III. Administer oaths.

Answer:

I, II, and III.Question 18: If a claimant in OK is not an attorney or represented by one, what must the insurer do in the case where the statue of limitation is factor in a first party claim?

Answer:

Provide a written notice that the statue will expire in 30 days

Question 19: Who administers the WC laws in OK?

Answer:

the OK WC court.Question 20: Which of the following is NOT a factor in the reserving of a workers' compensation claim?

Answer:

The amount of Life insurance the injured worker carries.Question 21: Which of the following classifications of disability would be most likely be provided vocational rehabilitation under workers' compensation?

Answer:

PPD Question 22: Part One of the standard workers' compensation policy describes:

Answer:

The insurer's duty to pay promptly, when due, the benefits required of the employer by the workers compensation statute..Question 23: "Experience rating" provides employers with the incentive to:

Answer:

Prioritize safety and control hazards in the workplace.