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Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Exam Overview:

Certification Vendor:Virginia State Corporation Commission - Bureau of Insurance
Exam Name:Virginia Life, Annuities, and Health Insurance Examination Series 11-01
Exam Number:11-01
Exam Format:Multiple Choice
Passing Score:70%
Exam Price:$35 USD
Related Certifications:Virginia Property & Casualty Insurance (Series 11-03)
Virginia Personal Lines Insurance (Series 11-04)
Available Languages:English
Real Exam Qty:150
Exam Duration:150 minutes
Certificate Validity Period:2 years (renewable)
Recommended Training:Virginia Bureau of Insurance Study Materials
Exam Registration:Prometric Registration
Virginia SCC Licensing Portal
Sample Questions:Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Sample Questions
Exam Way:Computer-based, delivered at Prometric test centers; online proctoring available
Pre Condition:No formal education or experience prerequisites; must be at least 18 years old, resident or non-resident applying for Virginia license; no prior exam required
Official Syllabus URL:https://www.scc.virginia.gov/pages/Bureau-of-Insurance

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Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Exam Syllabus Topics:

TopicDetails
Topic 1
  • Disability Income and Related Insurance: This domain addresses disability income insurance including benefit qualifications, individual and group policy features, riders, underwriting considerations, business applications, and Social Security and workers compensation benefits.
Topic 2
  • Life Insurance Policies: This domain examines various life insurance products including term, whole life, universal life, specialized policies, and group life insurance, covering their characteristics, features, and appropriate applications.
Topic 3
  • Dental Insurance: This domain addresses dental insurance including types of treatment, indemnity plan structures, benefit categories, deductibles and coinsurance, and employer group dental plans.
Topic 4
  • Federal Tax Considerations for Life Insurance and Annuities: This domain examines federal tax treatment of life insurance and annuities including death benefits, policy loans, modified endowment contracts, non-qualified annuities, IRAs, and Section 1035 exchanges.
Topic 5
  • General Insurance: This domain introduces fundamental insurance concepts including risk management methods, types of insurers, agent authority, and the essential elements and characteristics of insurance contracts including legal doctrines governing agreements.
Topic 6
  • Life Insurance Basics: This domain covers insurable interest, personal and business uses of life insurance, methods for determining coverage amounts, policy classifications, premium determination factors, agent sales responsibilities, and the underwriting process.
Topic 7
  • Federal Tax Considerations for Health Insurance: This domain examines federal tax treatment of personally-owned and employer-provided health insurance, business disability insurance, and tax-advantaged accounts including HSAs, HRAs, and FSAs.
Topic 8
  • Annuities: This domain covers annuity principles, immediate versus deferred annuities, payment options, product types including fixed and variable annuities, and uses for retirement income and tax-deferred growth.
Topic 9
  • Individual Health Insurance Policy General Provisions: This domain covers uniform required and optional provisions in individual health policies including contract terms, claims procedures, grace periods, renewability classifications, and the free look period.

Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q269-Q274):

NEW QUESTION # 269
If a patient with a preferred provider organization (PPO) chooses to use a non-PPO provider, the patient usually can:

Answer: A

Explanation:
PPO plans allow members to seek care from non-network providers but at reduced benefit levels. This typically results in higher deductibles, coinsurance, and overall out-of-pocket expenses. Members retain freedom of choice, but the plan incentivizes using preferred providers.
Exact Extract (Virginia Health Insurance Study Guide): "Preferred Provider Organizations allow coverage for non-network services, but at a lower reimbursement level, leading to greater out-of-pocket expenses." Reference (Virginia Documents / Study Guide):
- Virginia Health Insurance Examination Outline, PPO Plan Features


NEW QUESTION # 270
In individual health insurance, a proof of loss typically should be submitted to the insurer within:

Answer: B

Explanation:
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."


NEW QUESTION # 271
The document given to employees under a group life insurance plan that describes the basic features of the life insurance coverage is:

Answer: A

Explanation:
Employees under group life plans receive certificates of insurance summarizing coverage, not full policies. Exact extract: "Each employee insured under a group life policy shall be given a certificate of insurance describing coverage." Reference:


NEW QUESTION # 272
All of the following are new employee eligibility requirements under most group health insurance plans EXCEPT:

Answer: C

Explanation:
Virginia requires group health plans to cover employees who meet participation requirements but prohibits imposing evidence of insurability requirements on new eligible employees. Exact extract: "No evidence of insurability shall be required for new employees who enroll during the eligibility period." Reference:


NEW QUESTION # 273
At policy delivery, to ensure that the insured has NOT experienced adverse medical conditions since the time of application for life insurance, the insured may be required to sign a:

Answer: D

Explanation:
Virginia Code § 38.2-3106 governs life insurance delivery, where insurers may require a statement of good health (option B) at policy issuance to confirm no material health changes occurred since the application (e.g., a new cancer diagnosis). This signed document protects the insurer from undisclosed risks between underwriting and delivery, potentially voiding coverage if false (subject to incontestability, § 38.2-3105).
Option A (disclosure notice) relates to privacy or policy terms, not health updates. Option C (conditional receipt) is issued at application with premium payment, providing temporary coverage, not a delivery requirement. Option D (notice of information practices) informs about data use (per § 38.2-604), not health status. The study guide likely illustrates this with a scenario-e.g., an insured signing to confirm no heart attack post-application-making B the standard practice.


NEW QUESTION # 274
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