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Virginia Insurance Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Sample Questions (Q81-Q86):
NEW QUESTION # 81
Disability income insurance policies usually provide coverage for loss of income resulting from:
- A. Disability resulting from war
- B. Self-inflicted injuries
- C. Accidental injuries
- D. Injuries incurred while in military service
Answer: C
Explanation:
Detailed Answer in Step-by-Step Solution:
* Disability income insurance covers loss of income from accidental injuries (D), provided they aren't excluded.
* Self-inflicted injuries (A), military service injuries (B), and war-related disabilities (C) are standard exclusions in most policies.
The Virginia study guide specifies that disability income insurance pays for accidental or illness-related income loss, excluding self-inflicted, military, or war-related causes. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Disability Income Insurance."
NEW QUESTION # 82
Unless an insured has made fraudulent statements on the application for individual health coverage, subsequent claims may not be denied under the provision for:
- A. Grace period
- B. Time payment of claims
- C. Legal actions
- D. Time limit on certain defenses
Answer: D
Explanation:
Detailed Answer in Step-by-Step Solution:
* The "time limit on certain defenses" provision (B), often tied to incontestability, limits the insurer's ability to deny claims based on application errors after a period (e.g., 2 years), unless fraud is proven.
* Legal actions (A) governs lawsuits, grace period (C) covers premium delays, and time payment of claims (D) sets claim payment deadlines-none relate to application defenses.
The Virginia study guide explains that the time limit on certain defenses provision protects insureds by restricting post-issuance claim denials after a contestable period, absent fraud. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Health Insurance Policy Provisions."
NEW QUESTION # 83
When a health insurer requires a covered individual to undergo a physical examination, who pays the cost of the examination?
- A. The insurer
- B. The principal insured individual
- C. The premium payor
- D. The patient or parent of the patient
Answer: A
Explanation:
Detailed Answer in Step-by-Step Solution:
* If a health insurer requires a physical exam (e.g., for underwriting or claims), the insurer pays the cost (D), as it's their condition for coverage or payment.
* The premium payor (A), insured (B), or patient (C) aren't responsible for insurer-mandated exams.
The Virginia study guide specifies that insurer-required exams, such as for contesting claims, are at the insurer's expense, per the physical examination provision. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Health Insurance Policy Provisions."
NEW QUESTION # 84
When the business of insurance is no longer conducted under an assumed name, an agent must notify:
- A. The National Association of Insurance Commissioners
- B. The Surety Organization of Virginia
- C. The Chamber of Commerce
- D. The Bureau of Insurance
Answer: D
Explanation:
Detailed Answer in Step-by-Step Solution:
* Agents must notify the Virginia Bureau of Insurance (A) of changes like discontinuing an assumed name, as it regulates licensing and business conduct.
* The NAIC (B), Chamber (C), and Surety Organization (D) have no direct authority over this requirement.
The Virginia study guide mandates that agents report significant business changes, including assumed name cessation, to the Bureau of Insurance per state law. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Agent Responsibilities."
NEW QUESTION # 85
The benefit supplement attached to a life insurance policy which insures all members of a family is called a:
- A. Children's term rider
- B. Family term rider
- C. Survivorship term rider
- D. Spouse term rider
Answer: B
Explanation:
Virginia Code § 38.2-3109 allows life insurance riders to extend coverage. A family term rider (option C) attaches to a primary policy (e.g., the breadwinner's) and provides term insurance for all family members- spouse and children-under one supplement, often with a single premium. Option A (spouse term rider) covers only the spouse, not children. Option B (children's term rider) insures only children, excluding the spouse. Option D (survivorship term rider) isn't a standard term; "survivorship" typically refers to joint life policies paying at the second death, not family coverage. The study guide likely describes the family term rider as a cost-effective way to insure dependents, with examples showing level term benefits for each member, making C the accurate answer.
NEW QUESTION # 86
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