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Virginia-Life-Annuities-and-Health-Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Questions and Answers

Questions 4

A typical disability income insurance policy EXCLUDES benefits for which one of the following causes of loss?

Options:

A.

Permanent injuries

B.

Intentional self-inflicted injuries

C.

Sporting accidents

D.

Falls

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Questions 5

All of the following are elements of an insurable risk EXCEPT:

Options:

A.

Speculative risk

B.

Accidental loss

C.

A large number of similar units

D.

An ability to measure the loss

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Questions 6

Which is true about the conversion privilege in term life insurance?

Options:

A.

The policyowner may convert to another term policy of the insured’s choice

B.

The policyowner may convert to permanent life insurance on an attained age basis without evidence of insurability

C.

The policyowner may convert to an annuity at attained age rates only if evidence of insurability is provided

D.

The policyowner may obtain additional term insurance at issue age rates without evidence of insurability

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Questions 7

An insurance contract that identifies individuals by relationship to a particular organization is called:

Options:

A.

Contributory insurance

B.

Group insurance

C.

Health insurance

D.

COBRA coverage

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Questions 8

An individual or business entity conducting business under an assumed or fictitious name must notify the Bureau of Insurance either at the time the license application is filed or:

Options:

A.

Within 30 calendar days from the date the name is adopted

B.

Within 60 calendar days from when the first policy is sold under the assumed name

C.

At the time of license renewal

D.

30 days before the assumed name is no longer being used

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Questions 9

A spendthrift clause in a life insurance policy would have NO effect if the beneficiary receives the proceeds as:

Options:

A.

Fixed amount installments

B.

Fixed period installments

C.

Interest-only payments

D.

One lump sum payment

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Questions 10

Under Virginia standards for marketing long-term care coverage, all of these are prohibited sales practices EXCEPT:

Options:

A.

Twisting

B.

Replacing existing coverage

C.

High pressure tactics

D.

Cold lead advertising

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Questions 11

An agent or insurer who unknowingly violates insurance laws may be charged a maximum penalty of:

Options:

A.

$500 per occurrence, with a cap of $10,000

B.

$750 per occurrence, with a cap of $10,000

C.

$1,000 per occurrence, with a cap of $10,000

D.

$1,500 per occurrence, with a cap of $10,000

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Questions 12

When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:

Options:

A.

Disability income

B.

Major medical

C.

Dental

D.

Health maintenance organization

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Questions 13

A contractual arrangement that transfers exposure from one insurer to another insurer is a:

Options:

A.

Reciprocal contract

B.

Coinsurance contract

C.

Reinsurance contract

D.

Captive contract

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Questions 14

After an insured’s death, the insurer learned that the age on the application for a whole life insurance policy was understated by five years. The rate per $1,000 for the applicant’s actual age was $18, and the rate for the understated age was $15. How much will the insurer pay?

Options:

A.

15/18 of the policy face amount

B.

95% of the policy face amount

C.

The policy face amount

D.

Nothing at all

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Questions 15

An insured with a long-term care (LTC) policy knowingly and intentionally misrepresented relevant facts relating to the insured’s health. How long does an insurer have to contest the coverage?

Options:

A.

Any time up to six months

B.

Any time up to two years

C.

Any time during the duration of the policy

D.

The insurer is prohibited from contesting the coverage

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Questions 16

When may a person insured under a group term insurance policy exercise the conversion option?

Options:

A.

Never, because group life insurance does not have a conversion privilege

B.

Anytime while insurable and still a member of the insured group

C.

Within 31 days after the person has terminated employment

D.

Anytime after the group contract has existed for five years

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Questions 17

What is a situation or condition that increases the likelihood of an insured loss occurring?

Options:

A.

Hazard

B.

Peril

C.

Exposure

D.

Risk

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Questions 18

What kind of rider may be added to an individual disability income insurance policy to increase benefits during periods of price inflation?

Options:

A.

Inflation guard

B.

Cost of living

C.

Price escalation

D.

Wage protection

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Questions 19

An agreement attached to a health insurance policy which alters either the terms of the policy or the coverage is called:

Options:

A.

A limit clause

B.

An attachment

C.

An insuring clause

D.

A rider

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Questions 20

What is a condition for which medical advice or treatment was recommended by or received from a provider of health care service within six months preceding the effective date of an individual long-term care policy?

Options:

A.

Covered illness

B.

Pre-existing condition

C.

Long-term care condition

D.

Pre-determined risk

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Questions 21

The injury or damage sustained by the insured is called:

Options:

A.

A claim

B.

A peril

C.

A loss

D.

An accident

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Questions 22

What type of insurance pays a lump sum benefit if an insured loses sight in both eyes?

Options:

A.

Hospital expense

B.

Accidental death and dismemberment

C.

Major medical

D.

Medical expense

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Questions 23

Which type of life insurance policy is designed to pay the balance of a thirty-year home mortgage loan in the event of the insured’s death?

Options:

A.

30-payment whole life

B.

30-year decreasing term

C.

30-year level term

D.

30-year endowment

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Questions 24

In individual health insurance, a proof of loss typically should be submitted to the insurer within:

Options:

A.

30 days from the date of loss

B.

60 days from the date of loss

C.

90 days from the date of loss

D.

120 days from the date of loss

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Questions 25

The "free look" provision in individual health insurance allows the insured a period of time to:

Options:

A.

Try a policy without paying for it

B.

Compare insurance policies

C.

Change coverage on a policy without changing the premium

D.

Cancel the policy and receive a full refund

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Questions 26

A group health insurance contract is between the:

Options:

A.

Employer and employees

B.

Employee and insurance company

C.

Employer and insurance company

D.

Employer, employees, and insurance company

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Questions 27

Under a single premium deferred annuity (SPDA), the annuitant generally:

Options:

A.

Will receive benefit payments beginning immediately

B.

Can make tax-free withdrawals until the principal is recovered

C.

Is designated as the beneficiary

D.

Is permitted to make only one premium payment

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Questions 28

Coverage under a cancelable health insurance policy may be terminated by:

Options:

A.

The insurer only

B.

The insured only

C.

Either the insured or the insurer

D.

An arbitration committee

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Questions 29

An insurer operating in the U.S. but headquartered outside the U.S. is:

Options:

A.

A foreign insurer

B.

An alien insurer

C.

A captive insurer

D.

A reciprocal insurance exchange

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Questions 30

A health insurer must generally pay for all of the following types of claims EXCEPT:

Options:

A.

Those incurred before termination of coverage

B.

Those incurred after termination of coverage

C.

Those less than $20 above the deductible amount

D.

Those related to mental or nervous disorders

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Questions 31

One characteristic of flexible premium life insurance is that payment of the premium can be altered at the option of:

Options:

A.

The policyowner

B.

The contingent beneficiary

C.

The insurer, if the Consumer Price Index has risen at least 10% over the past year

D.

The insurer, if the prime interest rate falls below 6%

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Questions 32

Life insurance policies are required to have all of the following provisions EXCEPT:

Options:

A.

The waiver of premium clause

B.

The misstatement of age clause

C.

The grace period clause

D.

The incontestability clause

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Questions 33

Which of the following statements is true regarding an insurance agent’s license?

Options:

A.

The license fee is paid to the insurance company.

B.

It authorizes the agent to transact insurance until otherwise terminated, suspended, or revoked.

C.

It must be renewed annually.

D.

A separate license must be issued for each insurer the agent represents.

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Questions 34

When a health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?

Options:

A.

The premium payor

B.

The principal insured individual

C.

The patient or parent of the patient

D.

The insurer

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Questions 35

Under the notice of claim provision, notice given to a health insurance company’s agent is:

Options:

A.

An incomplete preliminary notice of claim

B.

Notice to the company

C.

Not valid notice to the company

D.

Contrary to the uniform mandatory provisions

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Questions 36

All of the following statements about universal life insurance are true EXCEPT:

Options:

A.

A mortality charge is subtracted from the cash value accumulations each month

B.

The policy stipulates the amount that will be used for company expenses

C.

Death benefits are taxed as ordinary income

D.

Policy loans affect the amount of interest credited to the policy cash value

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Questions 37

Which expenses are covered by Medicare Part D?

Options:

A.

Medical

B.

Hospital

C.

Prescription drug

D.

Dental

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Questions 38

A licensee must report an administrative action taken by another state or governmental agency tothe Bureau of Insurance within how many calendar days after final disposition?

Options:

A.

10 days

B.

20 days

C.

30 days

D.

45 days

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Questions 39

Giving policyholders some part of the agent’s commission as an inducement to purchase insurance is an unfair trade practice known as:

Options:

A.

Twisting

B.

Rebating

C.

Replacement

D.

Retention

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Questions 40

When the business of insurance is no longer conducted under an assumed name, an agent must notify:

Options:

A.

The Bureau of Insurance

B.

The National Association of Insurance Commissioners

C.

The Chamber of Commerce

D.

The Surety Organization of Virginia

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Questions 41

Since HMOs negotiate provider networks in advance of care, HMO members:

Options:

A.

Pay the entire cost for all use of non-HMO providers, regardless of circumstances

B.

Have a limited choice of care providers

C.

Waive the right to re-enroll in an insurance company indemnity plan

D.

Are encouraged to carry individual health insurance coverage

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Questions 42

For an AD&D policy with an irrevocable beneficiary designation, a change in the beneficiary can ONLY be made:

Options:

A.

At the time of policy renewal

B.

When an absolute assignment is attached to the policy

C.

Upon the death of the current beneficiary

D.

With the consent of both the policyowner and the beneficiary

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Questions 43

Which is true about ownership of a deferred annuity contract?

Options:

A.

All of the participants in a group contract are part-owners

B.

Ownership rights are neither transferable nor assignable

C.

An owner may be the annuitant or the beneficiary or neither

D.

An owner’s rights take effect when the benefit payment phase begins

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Questions 44

Under which type of policy are benefit payments treated as taxable income?

Options:

A.

Business overhead expense

B.

Disability buy-sell

C.

Individual disability income

D.

Key person disability income

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Questions 45

An individual purchased an annuity with a series of premium payments continuing over a period of twenty years. The purchase payments were made during the:

Options:

A.

Liquidation period

B.

Annuity period

C.

Period certain

D.

Accumulation period

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Exam Name: Virginia Life, Annuities, and Health Insurance Examination Series 11-01
Last Update: Apr 30, 2025
Questions: 150
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