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Quiz 2025 Virginia-Life-Annuities-and-Health-Insurance Exam Vce Free - Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Realistic Test Collection Pdf
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Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q148-Q153):
NEW QUESTION # 148
Which benefit is usually excluded from major medical plan coverage?
- A. Hospital expense
- B. Surgical expense
- C. Physicians' visits
- D. Custodial care
Answer: D
Explanation:
Virginia Code § 38.2-3500 et seq. governs major medical plans, which cover catastrophic costs like hospital expenses (option A), physicians' visits (option C), and surgical expenses (option D). Option B (custodial care)
-non-medical assistance with daily living (e.g., bathing)-is typically excluded, as it's not "medically necessary" under standard definitions (Virginia Code § 38.2-3407.10). The study guide likely lists inclusions (A, C, D) with examples-e.g., $5,000 for surgery-versus exclusions like custodial care, covered by LTC policies instead, making B the usual exception.
NEW QUESTION # 149
If a patient with a preferred provider plan chooses to use a non-preferred provider, the patient usually can expect:
- A. A one-year waiting period before re-enrolling in the preferred provider plan
- B. To pay the full cost of care
- C. To have higher out-of-pocket expenses
- D. 100% reimbursement for the service provided
Answer: C
Explanation:
Detailed Answer in Step-by-Step Solution:
* In a PPO, using a non-preferred (out-of-network) provider typically results in higher out-of-pocket expenses (A) due to lower reimbursement rates (e.g., 60% vs. 80% in-network) and potential excess charges.
* Option B (full cost) may apply to HMOs, not PPOs, which still offer some coverage. Option C (100% reimbursement) is false. Option D (waiting period) is unrelated to provider choice.
The Virginia study guide explains that PPOs offer flexibility to use out-of-network providers, but at a higher cost to the insured due to reduced coinsurance or additional charges. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Managed Care Plans."
NEW QUESTION # 150
One premium payment covers which period of time in a single premium whole life policy?
- A. The full life of the policy
- B. To the insured's age 65
- C. One month
- D. One year
Answer: A
Explanation:
Detailed Answer in Step-by-Step Solution:
* A single premium whole life policy is a type of permanent life insurance where the entire premium for the policy's lifetime coverage is paid in one lump sum at issuance.
* Unlike policies with recurring premiums (e.g., monthly or annual), this single payment funds the policy for the insured's full life (D).
* Options A (one month) and B (one year) apply to term or recurring premium policies.
* Option C (to age 65) might relate to limited-pay policies, not single premium ones.
Per the Virginia study guide, a single premium whole life policy requires one payment upfront, providing coverage for the insured's entire life and building immediate cash value. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Types of Life Insurance Policies."
NEW QUESTION # 151
When the business of insurance is no longer conducted under an assumed name, an agent must notify:
- A. The National Association of Insurance Commissioners
- B. The Chamber of Commerce
- C. The Surety Organization of Virginia
- D. The Bureau of Insurance
Answer: D
Explanation:
Detailed Answer in Step-by-Step Solution:
* Agents must notify the Virginia Bureau of Insurance (A) of changes like discontinuing an assumed name, as it regulates licensing and business conduct.
* The NAIC (B), Chamber (C), and Surety Organization (D) have no direct authority over this requirement.
The Virginia study guide mandates that agents report significant business changes, including assumed name cessation, to the Bureau of Insurance per state law. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Agent Responsibilities."
NEW QUESTION # 152
All of the following are types of insurance policy exchanges that can be made without current taxation EXCEPT:
- A. The exchange of an annuity for a life insurance policy
- B. The exchange of a life insurance policy for an annuity
- C. A life insurance policy exchanged for another life policy
- D. An annuity exchanged for another annuity contract
Answer: A
Explanation:
Under IRC § 1035, certain insurance exchanges avoid immediate taxation: option B (life to annuity), option C (annuity to annuity), and option D (life to life) qualify if like-kind and properly executed, deferring gains.
Option A (annuity to life) isn't permitted tax-free; annuities (income-focused) and life insurance (death- benefit-focused) aren't "like-kind," triggering taxable gain recognition. Virginia Code § 38.2-3100 et seq.
aligns with federal tax rules. The study guide likely explains § 1035 exchanges with examples-e.g., swapping a $50,000 life policy for an annuity tax-free (B)-noting A's taxable status due to product mismatch, making it the exception.
NEW QUESTION # 153
......
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