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

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

Last Update Oct 15, 2025
Total Questions : 150

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Questions 1

All of the following are underwriting criteria for individual life insurance EXCEPT:

Options:

A.  

Gender

B.  

Religion

C.  

Occupation

D.  

Ability to pay premiums

Discussion 0
Questions 2

Which is an example of an endodontic service?

Options:

A.  

Crowns

B.  

Dentures

C.  

Root canals

D.  

Fillings

Discussion 0
Questions 3

If an individual's occupation is considered to be illegal:

Options:

A.  

It must be stated as such on a health insurance application

B.  

It may require a waiver on a disability income insurance policy

C.  

It may result in a denial of a disability income claim

D.  

It results in a substandard rating on a health insurance policy

Discussion 0
Questions 4

False advertising regarding insurance policies would be found in all of the following EXCEPT:

Options:

A.  

Past dividends paid on a policy being exaggerated

B.  

Benefits under a policy being misrepresented

C.  

An insurance policy being represented as a share of stock

D.  

Policy benefits being compared with a competitor’s

Discussion 0
Questions 5

In long-term care insurance, the guarantee of insurability option provides the insured with the ability to:

Options:

A.  

Purchase additional insurance at a later date

B.  

Replace the policy at any time with one from a different insurer

C.  

Extend coverage under the policy for the insured’s lifetime

D.  

Keep the same premium for the entire contract period

Discussion 0
Questions 6

All of the following statements about the installments for a fixed period settlement option in life insurance policies are true EXCEPT:

Options:

A.  

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

B.  

The longer the period of time, the smaller each installment

C.  

Each installment payment consists of both principal and interest

D.  

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

Discussion 0
Questions 7

A coordination of benefits provision is included in group health insurance to reduce:

Options:

A.  

Dependent coverage

B.  

Overinsurance

C.  

Probationary periods

D.  

Waiting periods

Discussion 0
Questions 8

One premium payment covers which period of time in a single premium whole life policy?

Options:

A.  

One month

B.  

One year

C.  

To the insured's age 65

D.  

The full life of the policy

Discussion 0
Questions 9

At the request of a small group medical plan policyholder the insurer must disclose all of the following EXCEPT:

Options:

A.  

The insurer’s right to increase premium rates

B.  

The insurer’s expenses

C.  

The renewability provisions

D.  

All available benefits

Discussion 0
Questions 10

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

Discussion 0
Questions 11

All of the following statements about straight whole life insurance policies are true EXCEPT:

Options:

A.  

Protection ends at the insured’s age 65

B.  

Premiums are payable for as long as the policy remains in force

C.  

Loan and nonforfeiture values are available to the policyowner

D.  

The face amount is paid when the insured survives to policy maturity

Discussion 0
Questions 12

Medicare Part B Medical Insurance pays benefits for:

Options:

A.  

Hospice care

B.  

Psychiatric hospitalization

C.  

General inpatient hospital services

D.  

Outpatient hospital treatment

Discussion 0
Questions 13

Assuming no indebtedness or dividend accumulations, how much will the insurer pay under a life insurance policy if the insured dies during the grace period without having paid the premium?

Options:

A.  

The face amount of the policy

B.  

The cash value of the policy

C.  

The face amount of the policy less the premium due

D.  

The reduced amount of paid-up insurance provided under the nonforfeiture provisions

Discussion 0
Questions 14

Claims settlement practices of insurers are regulated by:

Options:

A.  

The Internal Revenue Service

B.  

The National Association of Insurance Commissioners

C.  

Claims adjusters

D.  

State insurance departments

Discussion 0
Questions 15

An insurance agent who fails to handle premiums received in a trustworthy manner may be guilty of:

Options:

A.  

Restraint of business

B.  

Violation of the financial responsibility law

C.  

Failure to supervise representatives

D.  

Failure to act as a fiduciary

Discussion 0
Questions 16

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 Department of Commerce

D.  

The Surety Organization of Virginia

Discussion 0
Questions 17

To be complete, an application for health insurance must contain all of the following EXCEPT:

Options:

A.  

Applicant’s name and address

B.  

Applicant’s signature

C.  

Date of application

D.  

Initial premium

Discussion 0
Questions 18

If two group health insurance plans have coordination of benefits provisions, the plan that pays first is called the:

Options:

A.  

Master contract

B.  

Qualified plan

C.  

Primary plan

D.  

Comprehensive major medical plan

Discussion 0
Questions 19

If a long-term care insurance policy is canceled, which benefit would reimburse the insured with a portion of the premiums paid?

Options:

A.  

Inflation protection

B.  

Return of premium

C.  

Right to return

D.  

Incontestibility

Discussion 0
Questions 20

Who is a contingent beneficiary to a life insurance policy?

Options:

A.  

The person who receives the policy proceeds if no beneficiary has been named

B.  

The person who receives the policy proceeds if the primary beneficiary dies before the insured

C.  

The person who pays the premium if the insured becomes disabled

D.  

The lender in whose favor a collateral assignment has been made

Discussion 0
Questions 21

All of the following statements about insurance are true EXCEPT:

Options:

A.  

A large uncertain loss is exchanged for a small certain expenditure

B.  

As the number of insured units increases, the number of losses decreases

C.  

The insured transfers the risk of loss to the insurer

D.  

The insured may retain part of the loss through deductibles

Discussion 0
Questions 22

When a Medicare Supplement policy is purchased during the open enrollment period:

Options:

A.  

The premium cost may be higher than usual

B.  

The benefits may be lower than usual

C.  

The exclusions may be more numerous than usual

D.  

The policy must be issued regardless of health status

Discussion 0
Questions 23

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

Discussion 0
Questions 24

Immediate annuities are often purchased by people who:

Options:

A.  

Desire a tax deduction in the current year

B.  

Want to contribute to a tax-sheltered annuity

C.  

Have a lump sum to invest at retirement

D.  

Want to accumulate funds for retirement at a later date

Discussion 0
Questions 25

On an application for individual health insurance, all of the following are typically included on the agent’s report EXCEPT:

Options:

A.  

Agent’s relationship to the applicant

B.  

Applicant’s financial status

C.  

Applicant’s general character

D.  

Applicant’s signature

Discussion 0
Questions 26

Including a guaranteed insurability rider on a life insurance policy means that:

Options:

A.  

The original policy was sold on a non-medical basis.

B.  

The company will require evidence of insurability for any future purchase of life insurance.

C.  

Any extra premium charged for a health impairment will be discontinued if standard insurability is proved later.

D.  

The policyowner may purchase additional life insurance periodically without proving insurability.

Discussion 0
Questions 27

Preferred provider organizations (PPOs) encourage patients to use specified hospitals by:

Options:

A.  

Making public service announcements

B.  

Offering outpatient diagnostic coverage

C.  

Extending days of hospitalization coverage

D.  

Offering greater coinsurance percentages

Discussion 0
Questions 28

How long does an agent have to report administrative actions by other states to the Bureau of Insurance?

Options:

A.  

10 days

B.  

15 days

C.  

30 days

D.  

60 days

Discussion 0
Questions 29

All of the following are dividend options in life insurance policies EXCEPT:

Options:

A.  

Applying the dividends to reduce the premium due

B.  

Using the dividends to purchase additional paid-up life insurance

C.  

Accumulating the dividends with interest

D.  

Receiving the entire policy cash value

Discussion 0
Questions 30

Which is true when a corporation purchases and is the beneficiary of an individual disability income insurance policy on a key employee?

Options:

A.  

The value of the premiums is reportable income to the employee

B.  

The value of the benefits is reportable income to the employee

C.  

The benefits are received tax free by the corporation

D.  

The premiums are tax deductible as a business expense

Discussion 0
Questions 31

An insured has a $35,000 whole life insurance policy with the full $16,000 cash value available. The amount of insurance available to the insured under the extended term insurance nonforfeiture option of this policy is:

Options:

A.  

$16,000

B.  

$19,000

C.  

$35,000

D.  

$51,000

Discussion 0
Questions 32

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

Discussion 0
Questions 33

Pre-existing conditions include conditions of health that:

Options:

A.  

Are never insurable under any circumstances or degree of severity

B.  

Must exist before an applicant can be accepted by an insurer

C.  

Have been medically treated or diagnosed prior to the effective date of coverage

D.  

Develop after the effective date of the policy but before the expiration of the time limit on certain defenses

Discussion 0
Questions 34

The primary purpose of an HMO gatekeeper system is to:

Options:

A.  

Control plan utilization

B.  

Emphasize preventive care

C.  

Limit access to inpatient care

D.  

Guarantee provider quality

Discussion 0
Questions 35

All of the following are advantages of whole life insurance EXCEPT:

Options:

A.  

Policy loans may be available

B.  

Long-term protection is provided

C.  

The initial cost of coverage is lower than for an equivalent amount of term insurance

D.  

There is a cash value if the policy is terminated after a sufficient period of time

Discussion 0
Questions 36

In Virginia, a group health certificate of insurance must contain:

Options:

A.  

A copy of the group contract

B.  

A list of all participating physicians

C.  

The insurer’s financial statement

D.  

A summary of policy features and benefits

Discussion 0
Questions 37

A function performed by both the life insurance agent and the home office underwriter is:

Options:

A.  

Finding new clients

B.  

Evaluating risks

C.  

Collecting premiums

D.  

Reviewing a client’s coverage periodically

Discussion 0
Questions 38

Which term refers to the period of time from the beginning of confinement to the beginning of benefits under a long-term care insurance policy?

Options:

A.  

The trial period

B.  

The exclusion period

C.  

The qualifying period

D.  

The elimination period

Discussion 0
Questions 39

If a premium on a life insurance policy is paid under an automatic premium loan provision:

Options:

A.  

The loan must be repaid in thirty days

B.  

The policy has no grace period

C.  

The extended term option goes into effect

D.  

Interest accrues on the loan

Discussion 0
Questions 40

All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

Options:

A.  

Wellness programs

B.  

Discounts on local health spa memberships

C.  

Twenty-four hour access to emergency care

D.  

Outpatient medical services

Discussion 0
Questions 41

What does the annuitant usually receive during the distribution phase of an annuity?

Options:

A.  

Cash withdrawals upon request

B.  

Benefit payments at regular intervals

C.  

A lump sum

D.  

Nothing

Discussion 0
Questions 42

In dental insurance coverage, which one of the following typically is EXCLUDED?

Options:

A.  

Treatment started prior to the eligibility date

B.  

Preventive care

C.  

Dental X-rays

D.  

Root canal therapy

Discussion 0
Questions 43

The insurance with other insurers provision in an individual health insurance policy allows an insurer to pay benefits to the insureds on a pro-rata basis when the:

Options:

A.  

Policy is within 31 days of the renewal date

B.  

Policy has entered into the grace period for premium payment

C.  

Insurer was not notified prior to the claim that the insured has other health coverage

D.  

Insured has submitted claims in excess of $2,000 during the policy year

Discussion 0
Questions 44

Which of the following terms may NOT be used in the advertisement of Accident and Sickness Insurance?

Options:

A.  

Reductions

B.  

Exclusions

C.  

Pre-existing conditions

D.  

Unlimited Benefits

Discussion 0
Questions 45

Under federal law, an insurance agent may be sentenced to prison for:

Options:

A.  

Selling insurance with a nonresident license

B.  

Embezzling money from an insurance company

C.  

Inducing a client to sign an application for insurance

D.  

Suing an insurer over contract violations

Discussion 0
Questions 46

Which doctor-ordered services can be performed by individuals without medical training?

Options:

A.  

Rehabilitative care

B.  

Therapeutic care

C.  

Intermediate care

D.  

Custodial care

Discussion 0
Questions 47

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.

Discussion 0
Questions 48

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

Discussion 0
Questions 49

An example of the unfair trade practice known as twisting is:

Options:

A.  

Intimidating a person into buying a policy

B.  

Making an incomplete comparison of policies to convince a policyholder to cancel and change to a different policy

C.  

Misrepresenting the contract terms during a claims settlement

D.  

Giving special favors as an inducement to purchase insurance

Discussion 0
Questions 50

All the following are considered Essential Health Benefits under the ACA, EXCEPT:

Options:

A.  

Hospitalization

B.  

Laboratory services

C.  

Adult dental services

D.  

Preventive care services

Discussion 0
Questions 51

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?

Options:

A.  

Medicare

B.  

Long-term care

C.  

Major medical

D.  

Disability income

Discussion 0
Questions 52

The Medicare "home health care" benefit is intended to cover the cost of certain health care services for insureds who are:

Options:

A.  

Homebound in a personal residence

B.  

Residing in a custodial care facility

C.  

Admitted to a nursing home

D.  

Receiving hospice care

Discussion 0
Questions 53

When an HIV test is requested by a health insurer, who signs the consent form?

Options:

A.  

The applicant

B.  

The applicant’s physician

C.  

The insurance agent

D.  

The medical laboratory technician

Discussion 0
Questions 54

The document given to employees under a group life insurance plan that describes the basic features of the life insurance coverage is:

Options:

A.  

A joinder agreement

B.  

A certificate of insurance

C.  

An application certificate

D.  

A life policy binder

Discussion 0
Questions 55

The benefit supplement attached to a life insurance policy which insures all members of a family is called a:

Options:

A.  

Spouse term rider

B.  

Children’s term rider

C.  

Family term rider

D.  

Survivorship term rider

Discussion 0
Questions 56

When a five-year renewable term life insurance policy issued at age 35 is renewed, the premium rate will be the current rate for:

Options:

A.  

Five-year term insurance for a person aged 40

B.  

Five-year term insurance for a person aged 35

C.  

Yearly renewable term insurance for a person aged 40

D.  

Yearly renewable term insurance for a person aged 35

Discussion 0
Questions 57

Under Medicare Supplement insurance, what form provides information about services, benefits, copayments, deductibles, exclusions, premiums, and the insurer?

Options:

A.  

The outline of coverage

B.  

The notice of benefit change

C.  

The supplemental disclosure form

D.  

The notice of replacement

Discussion 0
Questions 58

All of the following have a restricted ability to enter into a contract EXCEPT:

Options:

A.  

Individuals who are intoxicated

B.  

Individuals who are mentally ill

C.  

Minors under a certain age

D.  

Individuals who are retired

Discussion 0
Questions 59

All changes and corrections made to an application for health insurance by an agent must be initialed by the:

Options:

A.  

Agent

B.  

Applicant

C.  

Applicant’s physician

D.  

Insurance company underwriter

Discussion 0
Questions 60

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

Options:

A.  

Hazard

B.  

Peril

C.  

Exposure

D.  

Risk

Discussion 0
Questions 61

The injury or damage sustained by the insured is called:

Options:

A.  

A claim

B.  

A peril

C.  

A loss

D.  

An accident

Discussion 0
Questions 62

If a claim payment is delayed under a health policy, the insurer must pay:

Options:

A.  

The claim proceeds ONLY

B.  

Interest on the proceeds ONLY

C.  

The claim proceeds plus interest

D.  

A $1,000 penalty

Discussion 0
Questions 63

An individual currently owns a long-term care policy. At the time of application for similar coverage, which item must be signed by the applicant and retained by the insurer?

Options:

A.  

A cancellation notice

B.  

A substitution notice

C.  

A replacement notice

D.  

A duplication notice

Discussion 0
Questions 64

If an individual health contract is issued on a conditionally renewable basis, the insurer has a right to refuse renewal:

Options:

A.  

For any reason stated or unstated

B.  

For specific reasons stated in the contract only

C.  

Because of changes in the covered individual’s health status

D.  

When losses for the policy period exceed premiums

Discussion 0
Questions 65

Medical expense insurance typically EXCLUDES payment for treatment of injury or sickness resulting from:

Options:

A.  

Auto accidents

B.  

Sporting accidents

C.  

War

D.  

Tropical disease

Discussion 0
Questions 66

The designation of a beneficiary by class in a life insurance policy means that:

Options:

A.  

The policy must be a form of business life insurance

B.  

A primary beneficiary cannot be designated in the policy

C.  

Individual beneficiaries are not specified by name

D.  

The beneficiaries are unrelated to the insured

Discussion 0
Questions 67

An agent’s appointment with an insurer:

Options:

A.  

Is in effect until terminated

B.  

Must be renewed quarterly

C.  

Must always be approved by the NAIC

D.  

Can only be terminated after a proper hearing

Discussion 0
Questions 68

In a noncancelable disability income policy:

Options:

A.  

The premium cannot be increased above the schedule specified in the policy

B.  

The premium can be increased at the insurer’s will

C.  

The insured has no renewal rights

D.  

The insurer can refuse to renew the policy

Discussion 0
Questions 69

The prevention and correction of dental and oral irregularities through the use of mechanical corrective devices is called:

Options:

A.  

Orthodontics

B.  

Endodontics

C.  

Periodontics

D.  

Prosthodontics

Discussion 0
Questions 70

An insured died six months after a life insurance policy was issued. The full death benefit will NOT be paid if the cause of death was:

Options:

A.  

Accidental injury

B.  

Lung cancer

C.  

Suicide

D.  

Heart attack

Discussion 0
Questions 71

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

Discussion 0
Questions 72

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

Discussion 0
Questions 73

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 insurer

C.  

Not valid notice to the company

D.  

Contrary to the uniform mandatory provisions

Discussion 0
Questions 74

Which concept states that the insured is entitled to the coverage under a policy that a sensible and prudent buyer would expect it to provide?

Options:

A.  

Indemnity

B.  

Reasonable expectations

C.  

Subrogation

D.  

Utmost good faith

Discussion 0
Questions 75

Short-term group disability income insurance:

Options:

A.  

Usually provides benefits expressed as a percentage of the insured’s normal weekly wage, up to a specified weekly maximum

B.  

Usually coordinates the amount of benefits paid with disability benefits received under Social Security

C.  

Often has a benefit period extending up to a maximum of ten years

D.  

Frequently provides coverage through age 65 for insureds who are over 55 when they become disabled

Discussion 0
Questions 76

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

Discussion 0
Questions 77

The coinsurance provision of a major medical expense policy requires:

Options:

A.  

A percentage of expenses in excess of the deductible to be paid by the insured

B.  

A proportional sharing of the deductible by the insured and insurer

C.  

All expenses in excess of the deductible to be paid by the insurer

D.  

The insured to bear expenses between the upper limit of basic coverage and the lower limit of major medical

Discussion 0
Questions 78

What is often payable to a life insurance policyowner when a medical condition drastically limits the insured’s life expectancy?

Options:

A.  

Death benefit

B.  

Accelerated death benefit

C.  

Reduced paid-up insurance

D.  

Extended term insurance

Discussion 0
Questions 79

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.  

Misrepresentation

Discussion 0
Questions 80

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

Discussion 0
Questions 81

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

Discussion 0