Virginia Life, Annuities, and Health Insurance Examination Series 11-01 Questions and Answers
Question 57
What are long-term care insurance "ADL's"?
Options:
A.
Aggregate dollar limits
B.
Aggregate days limitation
C.
Activities of daily living
D.
Approved doctor lists
Answer:
C
Explanation:
Virginia Code § 38.2-5200 defines ADLs (Activities of Daily Living, option C) as essential tasks—e.g., bathing, dressing, eating—used to determine LTC benefit eligibility (typically inability to perform 2 of 6). Option A (aggregate dollar limits) refers to coverage caps, not ADLs. Option B (aggregate days limitation) might confuse with elimination periods, not ADLs. Option D (approved doctor lists) relates to provider networks, not functional criteria. The study guide likely details ADLs with examples—e.g., needing help with mobility—emphasizing their role in claims, making C the correct term.
Question 58
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
Answer:
A
Explanation:
Once an agent is appointed by an insurer in Virginia, the appointment remains in effect until either the insurer or the Bureau of Insurance terminates it. No quarterly renewal or NAIC approval is required.
Exact Extract (Virginia Producer Licensing Rules): “Appointments remain in effect until terminated by the insurer or the Bureau of Insurance.”
References (Virginia Documents / Study Guide):
— Code of Virginia §38.2-1833 (Appointments of agents)
Question 59
The purpose of the Rules Governing Standards for Medicare Supplement Policies is to:
Options:
A.
Provide guaranteed coverage that duplicates Medicare
B.
Provide coverage for Accident and Sickness Insurance to individuals of Labor Unions
C.
Ensure no Medicare Supplement policy or certificate contains limitations and exclusions of coverage
D.
Provide full disclosure in the sale of Accident and Sickness Insurance to persons eligible for Medicare
Answer:
D
Explanation:
The purpose of Medicare supplement regulation is to ensure consumer protection, fair marketing, and full disclosure. Policies must clearly explain benefits, costs, and relationship to Medicare coverage. Exact extract: “The intent of the rules is to protect Medicare eligible persons by requiring full disclosure in the sale of accident and sickness insurance policies marketed as Medicare supplements.” These rules prevent misleading practices and ensure seniors understand their coverage.
[References: Virginia Administrative Code — Rules Governing Standards for Medicare Supplement Policies., ===========, ]
Question 60
Employer-paid premiums for qualified long-term care insurance are:
Options:
A.
Included in an employee’s gross income
B.
Deductible as a business expense
C.
Deductible on an employee’s federal income tax return
D.
Reimbursed by the employee
Answer:
B
Explanation:
Detailed Answer in Step-by-Step Solution:
Employer-paid premiums for qualified long-term care insurance are treated as a business expense and are tax-deductible for the employer (B), provided the plan meets IRS requirements.
These premiums are not included in the employee’s gross income (A), as they are tax-exempt benefits under IRC Section 106.
Employees cannot deduct these premiums (C) since they are employer-paid.
Reimbursement (D) does not apply.
The Virginia study guide, aligned with IRS rules, notes that employer-paid premiums for qualified long-term care insurance are deductible as a business expense and excluded from employees’ taxable income. Reference: Virginia Life, Annuities, and Health Insurance study guide, section on "Taxation of Insurance Benefits."