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[General] Detailed Virginia-Life-Annuities-and-Health-Insurance Answers, Exam Virginia-Lif

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【General】 Detailed Virginia-Life-Annuities-and-Health-Insurance Answers, Exam Virginia-Lif

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Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q90-Q95):NEW QUESTION # 90
When the employer pays the premium, covered individuals normally receive tax-free benefits under all of the following group health plans EXCEPT:
  • A. Disability income
  • B. Major medical
  • C. Dental
  • D. Health maintenance organization
Answer: A
Explanation:
Detailed Answer in Step-by-Step Solution:
* Employer-paid premiums for group health plans like major medical (B), dental (C), and HMOs (D) result in tax-free benefits under IRC Section 106.
* Disability income (A) benefits are taxable if the employer pays the premium, per IRS rules, unlike medical benefits.
The Virginia study guide, aligned with IRS regulations, notes that employer-funded disability income benefits are taxable to the recipient, while medical, dental, and HMO benefits remain tax-free. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Taxation of Insurance Benefits."

NEW QUESTION # 91
(If Kim applies for a life insurance policy on Kim's own life and names Chris to receive the death benefit
  • A. Chris is the applicant and the beneficiary
  • B. Kim is the insured and the beneficiary
  • C. Chris is the policyowner and the insured
  • D. Kim is the policyowner and the applicant
Answer: D
Explanation:
In life insurance, the applicant is the person who applies for coverage and is usually the policyowner. The insured is the person whose life is covered, and the beneficiary is the person or entity designated to receive the death benefit. When a person applies for insurance on their own life, they are both the applicant and the insured, and they typically become the policyowner. In this scenario, Kim applies for the policy on Kim's own life, making Kim the applicant and policyowner. Chris is named only as the beneficiary. None of the other answer choices correctly identify these roles based on the information provided.

NEW QUESTION # 92
(What is the MINIMUM percentage of employees who must participate in an employer's noncontributory group life insurance plan?)
  • A. 100%
  • B. 85%
  • C. 75%
  • D. 90%
Answer: A
Explanation:
In a noncontributory group life insurance plan, the employer pays the entire premium. Because employees are not required to contribute, Virginia group insurance standards require 100% participation of eligible employees to prevent adverse selection.
Lower participation thresholds apply only to contributory plans, where employees share premium costs. Therefore, option D correctly reflects the participation requirement for noncontributory group life insurance.

NEW QUESTION # 93
The insurance with other insurers provision in an individual health insurance policy allows an insurer to pay benefits to the insured on a pro-rata basis when the:
  • A. Policy has entered into the grace period for premium payment
  • B. Insurer was not notified prior to the claim that the insured has other health coverage
  • C. Insured has submitted claims in excess of $2,000 during the policy year
  • D. Policy is within 31 days of the renewal date
Answer: B
Explanation:
The insurance with other insurers provision prevents over-insurance and duplication of benefits by allowing insurers to coordinate coverage. If an insured has multiple policies with different insurers and fails to notify, each insurer will pay only a proportionate share of the claim.
Exact Extract (Virginia Health Policy Provisions): "If the insurer was not notified that the insured has other valid coverage, benefits will be prorated to prevent duplication." Reference (Virginia Documents / Study Guide):
- Virginia Health Insurance Examination Outline, Required Policy Provisions

NEW QUESTION # 94
In a deferred annuity, which event initiates benefit payments to the annuitant?
  • A. The beneficiary dies
  • B. A cash refund is paid
  • C. The contract is surrendered
  • D. The contract matures
Answer: D
Explanation:
In a deferred annuity, benefit payments to the annuitant typically begin when the contract matures. Maturity occurs at a specified time, such as the annuitant's retirement age or another defined period. The annuity may then begin making periodic payments to the annuitant or a beneficiary, depending on the terms of the contract.

NEW QUESTION # 95
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