Aninsuredis the person covered by an accident and health insurance policy and entitled to reimbursement for covered health care expenses, as defined in Oklahoma’s Insurance Code (Title 36 O.S. § 4401). The insured (or their assignee, e.g., a provider) receives benefits for services like medical treatments or hospital stays.
Option A: Incorrect. An insurer is the company issuing the policy, not receiving reimbursement.
Option B: Correct. The insured is entitled to reimbursement for covered health care expenses.
Option C: Incorrect. A practitioner provides services, not receives policy reimbursements.
Option D: Incorrect. A PPO is a network of providers, not an individual entitled to benefits.
[:, 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. § 4401 (health insurance definitions)., Standard insurance study guides (e.g., Kaplan, ExamFX) for Oklahoma producer licensing., , , ]
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