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Dumps Real Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Exam Questions [Updated 2025]

NO.84 Preferred provider organizations (PPOs) encourage patients to use specified hospitals by:

Making public service announcements

Offering outpatient diagnostic coverage

Extending days of hospitalization coverage

Offering greater coinsurance percentages

Detailed Answer in Step-by-Step Solution:
* PPOs incentivize use of in-network providers (e.g., specified hospitals) by offering higher coinsurance percentages (D), meaning the insurer pays a larger share of costs (e.g., 80% vs. 60% out-of-network).
* Option A (announcements) is not a direct incentive.
* Option B (diagnostic coverage) applies broadly, not specifically to in-network use.
* Option C (extending hospital days) is not a typical PPO feature.
The Virginia study guide notes that PPOs encourage in-network use through financial incentives like higher coinsurance or lower out-of-pocket costs, distinguishing them from HMOs. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Managed Care Plans.”

NO.85 All of the following have a restricted ability to enter into a contract EXCEPT:

Individuals who are intoxicated

Individuals who are mentally ill

Minors under a certain age

Individuals who are retired

Virginia contract law, reflected in Virginia Code § 38.2-102, requires capacity to form an insurance contract.
Option A (intoxicated individuals) lacks capacity if impaired, voiding consent. Option B(mentally ill individuals) may lack comprehension, restricting ability unless adjudicated competent. Option C (minors, typically under 18 per § 38.2-3405) can’t contract without guardian consent, except for necessities. Option D (retired individuals) has no legal restriction; retirement is a status, not a capacity limiter-e.g., a 65-year-old retiree can buy insurance freely. The study guide likely covers capacity in a legal basics section, with examples like a drunk person’s void policy versus a retiree’s valid one, making D the exception.

NO.86 Under an absolute assignment, a life insurance policyowner transfers:

Limited policy rights to another party

The requirement to pay premiums to a third party

All policy ownership rights to a new owner

Ownership rights as collateral for a loan

Detailed Answer in Step-by-Step Solution:
* An absolute assignment transfers all ownership rights (C) of a life insurance policy to a new owner, relinquishing the original owner’s control.
* Option A (limited rights) is a partial assignment. Option B (premium payment) is not ownership.
Option D (collateral) is a collateral assignment, not absolute.
The Virginia study guide defines absolute assignment as the complete transfer of all policy rights to a new owner, distinct from collateral assignments for loans. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Policy Assignments.”

NO.87 The interest that an insurance company earns on life insurance premiums paid helps to:

Increase the life insurance premium rate

Increase the mortality rate

Decrease the life insurance premium rate

Decrease the mortality rate

Detailed Answer in Step-by-Step Solution:
* Life insurance premiums are calculated based on three factors: mortality (death rates), interest (investment earnings), and expenses (operating costs).
* When an insurer earns interest on premiums invested, it increases the funds available to pay claims, reducing the amount needed from policyholders.
* This results in a decrease in the premium rate (C), as higher interest earnings offset the cost of coverage.
* Option A (increase premium rate) would occur if interest earnings decreased.
* Options B and D (mortality rate changes) are unrelated to interest, as mortality is a statistical factor, not a financial one.
The Virginia study guide explains that interest earned on premiums is a key component of pricing life insurance, allowing insurers to lower premium rates when investment returns are favorable. Reference:
Virginia Life, Annuities, and Health Insurance study guide, section on “Premium Determination.”

NO.88 Which type of health insurance helps to pay for the cost of care in cases where hospitalization is not required but the individuals are unable to care for themselves?

Medicare

Long-term care

Major medical

Disability income

Detailed Answer in Step-by-Step Solution:
* Long-term care insurance (B) is designed to cover custodial care (e.g., help with daily activities like bathing or dressing) when individuals cannot care for themselves, often outside a hospital setting.
* Medicare (A) provides limited long-term care coverage (e.g., skilled nursing for a short period), not comprehensive custodial care.
* Major medical (C) covers hospital and medical expenses, not long-term custodial care.
* Disability income (D) replaces lost income, not care costs.
The Virginia study guide defines long-term care insurance as coverage for extended care needs, such as in nursing homes or at home, when individuals cannot perform activities of daily living, distinguishing it from Medicare or major medical plans. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Types of Health Insurance.”

NO.89 The “free look” provision in individual health insurance allows the insured a period of time to:

Try a policy without paying for it

Compare insurance policies

Change coverage on a policy without changing the premium

Cancel the policy and receive a full refund

Virginia Code § 38.2-3502 mandates a “free look” period (typically 10 days) for individual health insurance, allowing the insured to review the policy and cancel it with a full premium refund (option D) if returned within that time. Option A (try without paying) is false; premiums are paid upfront, refundable only upon cancellation. Option B (compare policies) is a practical use but not the legal purpose; the provision ensures cancellation rights, not comparison. Option C (change coverage) isn’t allowed; modifications require underwriting, not free-look terms. The study guide likely details this consumer protection with examples-e.
g., returning a policy on day 9 for a refund-making D the precise right.

NO.90 The voluntary act of terminating an insurance contract is called:

Elimination

Rejection

Finalization

Cancellation

Cancellation, per Virginia Code § 38.2-3106 (life) and § 38.2-3508 (health), is the voluntary termination of a policy by the insured or insurer. Options A, B, and C aren’t standard terms for this action in Virginia insurance law. The study guide defines cancellation as a deliberate act, distinct from lapse (nonpayment) or nonrenewal, making D the correct term.

NO.91 To be complete, an application for health insurance must contain all of the following EXCEPT:

Applicant’s name and address

Applicant’s signature

Date of application

Initial premium

Virginia Code § 38.2-3501 requires health insurance applications to include essential details for underwriting and contract formation: the applicant’s name and address (option A), signature (option B) to affirm accuracy, and date (option C) to establish timing. These are mandatory for a complete application. Option D (initial premium) is not required on the application itself; while payment may accompany it to bind coverage (e.g., via a conditional receipt), it’s a separate transaction, not an application component. The study guide likely lists these elements in a sample application, noting that premium submission is optional until acceptance, making D the exception.

NO.92 For an AD&D policy with an irrevocable beneficiary designation, a change in the beneficiary can ONLY be made:

At the time of policy renewal

When an absolute assignment is attached to the policy

Upon the death of the current beneficiary

With the consent of both the policyowner and the beneficiary

Detailed Answer in Step-by-Step Solution:
* An irrevocable beneficiary has a vested interest, and the policyowner cannot change the designation without their consent unless the beneficiary dies (C), at which point the owner regains control.
* Option A (renewal) and B (assignment) don’t override irrevocability. Option D (consent) is true for living beneficiaries, but “ONLY” restricts it to death in this context.
The Virginia study guide notes that an irrevocable beneficiary’s rights persist until death, after which the policyowner can freely change the designation. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Beneficiary Designations.”

NO.93 Which is true about the conversion privilege in term life insurance?

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

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

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

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

Detailed Answer in Step-by-Step Solution:
* The conversion privilege in term insurance allows conversion to a permanent policy (e.g., whole life) at the insured’s current (attained) age without proving insurability (B), typically before the term expires.
* Option A (another term policy) is not standard. Option C (annuity with insurability) is incorrect; conversion is to life insurance. Option D (issue age rates) doesn’t apply; rates adjust to attained age.
The Virginia study guide explains that the conversion privilege ensures continued coverage by allowing term policies to convert to permanent ones without medical exams, based on attained age. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Term Insurance Features.”

NO.94 An agreement attached to a health insurance policy which alters either the terms of the policy or the coverage is called:

A limit clause

An attachment

An insuring clause

A rider

Virginia Code § 38.2-3500 et seq. allows health insurance policies to include riders-supplemental agreements modifying coverage or terms (e.g., adding dental benefits or exclusions). Option D (rider) is the standard term. Option A (limit clause) isn’t a distinct attachment; limits are within thepolicy. Option B (attachment) is vague and not insurance-specific. Option C (insuring clause) is the core promise of coverage, not an alteration. The study guide likely defines riders with examples-e.g., a maternity rider increasing premiums-distinguishing them from policy staples, confirming D as the answer.

NO.95 In individual health insurance, a proof of loss typically should be submitted to the insurer within:

30 days from the date of loss

60 days from the date of loss

90 days from the date of loss

120 days from the date of loss

Detailed Answer in Step-by-Step Solution:
* The proof of loss is a formal statement of a claim, and standard health insurance policies require it within 90 days of the loss (C), unless the policy specifies otherwise or state law extends it.
* Options A (30 days) and B (60 days) are too short for most policies, while D (120 days) exceeds the typical requirement.
The Virginia study guide aligns with the NAIC model laws, stating that proof of loss must typically be filed within 90 days of the loss, though insurers may accept later submissions if not prejudicial. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Health InsuranceClaims Provisions.”

NO.96 All of the following statements about the installments for a fixed period settlement option in life insurance policies are true EXCEPT:

The amount of the periodic payment is based on the beneficiary’s age

The longer the period of time, the smaller each installment

Each installment payment consists of both principal and interest

The beneficiary may elect this option unless the policyowner has specified otherwise

The fixed period settlement option in life insurance, per Virginia Code § 38.2-3115, pays the death benefit in equal installments over a set time (e.g., 10 years), determined by the policyowner or beneficiary if not restricted. Option B is true; a longer period spreads the principal and interest over more payments, reducing each installment (e.g., $100,000 over 20 years yields smaller paymentsthan over 5 years). Option C is true; payments blend principal and interest earned on the remaining proceeds held by the insurer. Option D is true; Virginia law allows beneficiaries to choose settlement options unless the policyowner locks in a method (e.g., via a policy endorsement). Option A is false; the payment amount depends on the proceeds, interest rate, and period length-not the beneficiary’s age, which might influence a life income option instead. The study guide likely contrasts fixed period (time-based) with life annuity (age-based) options, using examples like $500 monthly for 10 years, making A the exception.

NO.97 When a Medicare Supplement policy is purchased during the open enrollment period:

The premium cost may be higher than usual

The benefits may be lower than usual

The exclusions may be more numerous than usual

The policy must be issued regardless of health status

Detailed Answer in Step-by-Step Solution:
* The Medicare Supplement open enrollment period (6 months starting the first month a person is 65 and enrolled in Medicare Part B) guarantees issuance of a policy without regard to health status (D).
* Premiums (A), benefits (B), and exclusions (C) are standardized and not altered during this period due to health.
The Virginia study guide states that during the Medicare Supplement open enrollment, insurers must issue policies without medical underwriting, ensuring access regardless of health. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Medicare Supplement Insurance.”

NO.98 All of the following are dividend options in life insurance policies EXCEPT:

Applying the dividends to reduce the premium due

Using the dividends to purchase additional paid-up life insurance

Accumulating the dividends with interest

Receiving the entire policy cash value

Virginia Code § 38.2-3207 allows participating life policies to offer dividend options: option A (reduce premium), option B (buy paid-up additions increasing coverage), and option C (accumulatewith interest) are standard, reflecting insurer profits shared with policyowners. Option D (receiving the entire cash value) isn’t a dividend option; it’s a surrender or nonforfeiture action, terminating the policy, not distributing profits. The study guide likely lists these options with examples-e.g., $100 dividend reducing a $500 premium (A)- contrasting them with cash value withdrawal, making D the exception.

NO.99 Which expenses are covered by Medicare Part D?

Medical

Hospital

Prescription drug

Dental

Detailed Answer in Step-by-Step Solution:
* Medicare Part D (C) specifically covers prescription drug costs for enrollees.
* Medical expenses (A) are under Part B, hospital costs (B) under Part A, and dental (D) is generally not covered by Medicare unless supplemental.
The Virginia study guide states that Medicare Part D, introduced in 2006, provides prescription drug coverage through private plans, distinct from Parts A and B. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on “Medicare.”

NO.100 In HMO coverage, preventive services include:

Rehabilitation therapy

Treatment for alcoholism

Childhood immunizations

Home health services

Health Maintenance Organizations (HMOs) in Virginia, per Virginia Code § 38.2-4306, emphasize preventive care to reduce long-term costs. Preventive services, as defined in the study guide and aligned with ACA standards, include childhood immunizations (option C), such as vaccines for measles or polio, offered at no cost to members. Option A (rehabilitation therapy) is restorative, not preventive, addressing existing conditions. Option B (treatment for alcoholism) is a treatment service, not prevention, though HMOs cover it separately. Option D (home health services) supports recovery or chronic care, not primary prevention. The study guide likely lists immunizations as a core preventive benefit, contrasting them with treatment-oriented services, confirming C as the correct answer.

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