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| Section | Weight | Objectives |
|---|
| Topic 1: Health and Medical Insurance Core | 28% | - Disability Income and Medical Plans
- 1. Major medical and managed care plans
- 2. Disability income policies
- Health Insurance Basics
- 1. Policy structures and provisions
- 2. Individual health insurance regulations
|
| Topic 2: General Insurance Concepts | 6% | - Fundamental principles
- 1. Risk management and insurance purpose
- 2. Agency relationships and duties
- 3. Contract law and policy structure
|
| Topic 3: Health Insurance Taxation | 2% | - Tax rules
- 1. Federal tax treatment of health benefits
|
| Topic 4: Insurance Regulation | 10% | - Virginia Insurance Regulatory Authority
- 1. Unfair trade practices and compliance rules
- 2. State Corporation Commission jurisdiction
- 3. Licensing requirements and procedures
|
| Topic 5: Life Taxation and Qualified Plans | 4% | - Tax treatment
- 1. Qualified retirement plans basics
- 2. Federal income tax rules for life and annuities
|
| Topic 6: Life Insurance and Annuities | 33% | - Life Insurance Basics
- 1. Policy provisions, options and riders
- 2. Types of life policies
- Annuities
- 1. Fixed and variable annuity contracts
- 2. Taxation and distribution rules
|
| Topic 7: Group and Dental Coverage | 6% | - Group Insurance
- 1. Federal and state group regulations
- 2. Group health eligibility and underwriting
- Dental Insurance
- 1. Plan types and benefit structures
|
| Topic 8: Senior and Special-Needs Markets | 11% | - Long-Term Care
- 1. Long-term care insurance requirements
- 2. State and federal standards
- Medicare and Supplements
- 1. Medicare supplement policies (Medigap)
- 2. Medicare parts and eligibility
|
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Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q137-Q142):
NEW QUESTION # 137
Including a guaranteed insurability rider on a life insurance policy means that:
- A. Any extra premium charged for a health impairment will be discontinued if standard insurability is proved later.
- B. The company will require evidence of insurability for any future purchase of life insurance.
- C. The policyowner may purchase additional life insurance periodically without proving insurability.
- D. The original policy was sold on a non-medical basis.
Answer: C
Explanation:
Virginia Code § 38.2-3209 allows a guaranteed insurability rider, enabling the policyowner to buy additional coverage at specified intervals (e.g., every 3 years or life events like marriage) without proving insurability.
Option D matches this definition. Option A is unrelated; non-medical underwriting isn't implied. Option B contradicts the rider's purpose, which waives insurability proof. Option C is false; premium adjustments aren' t part of this rider. The study guide describes this rider as a planning tool for future needs, confirming D.
NEW QUESTION # 138
(Which of the following is one characteristic of a SIMPLE IRA plan?)
- A. Employees are vested after 10 years of service
- B. Employers must have a minimum of 500 employees to participate
- C. Employers do not have filing requirements
- D. Employees are mandatory contributors
Answer: C
Explanation:
A SIMPLE IRA plan is designed for small employers and is known for ease of administration. One key characteristic is that employers generally do not have complex annual filing requirements, unlike many qualified retirement plans that require detailed reporting. Employees may choose whether or not to contribute through salary deferrals, so contributions are not mandatory. SIMPLE IRA plans have immediate vesting, meaning employees are 100% vested in both employer and employee contributions right away, not after years of service. Additionally, SIMPLE IRA plans are limited to employers with 100 or fewer employees, not 500. The simplicity and low administrative burden make these plans attractive to small businesses.
NEW QUESTION # 139
For an AD&D policy with an irrevocable beneficiary designation, a change in the beneficiary can ONLY be made:
- A. When an absolute assignment is attached to the policy
- B. Upon the death of the current beneficiary
- C. At the time of policy renewal
- D. With the consent of both the policyowner and the beneficiary
Answer: B
Explanation:
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."
NEW QUESTION # 140
In individual health insurance, the 10-day free look provision:
- A. Is subject to a surrender charge
- B. Applies only when no premium has been paid
- C. Is the same as a grace period
- D. Provides for a full refund of premium
Answer: D
Explanation:
The 10-day free look provision in individual health insurance policies allows the insured to review their policy after purchase. If they are unsatisfied with the policy, they can cancel it within 10 days and receive a full refund of premiums. This provision is distinct from a grace period (which allows for late payment) and does not apply only when no premium has been paid. A surrender charge typically applies to cash-value policies, not health insurance.
NEW QUESTION # 141
Business overhead expense insurance:
- A. May cover eligible business expenses when the insured businessowner is disabled
- B. Pays monthly income to disabled employees
- C. Pays medical benefits to the disabled businessowner
- D. Covers loss of profits when the insured's business is closed down
Answer: A
Explanation:
Business overhead expense insurance is designed to cover the fixed business expenses, such as rent, utilities, and employee salaries, if the business owner becomes disabled and cannot work. This insurance ensures that the business can continue to operate in the owner's absence, covering regular business expenses but not providing a direct income replacement to the business owner.
NEW QUESTION # 142
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