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Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Exam
Virginia Life, Annuities, and Health Insuranceination Series 1101 (Page 14 )

Updated On: 4-Feb-2026
Page 14 of 89
PDF with 440 Questions

All of the following are common features found in health maintenance organizations (HMOs) EXCEPT:

  1. Wellness programs
  2. Discounts on local health spa memberships
  3. Twenty-four hour access to emergency care
  4. Outpatient medical services

Answer(s): B

Explanation:

Virginia Code § 38.2-4306 mandates HMO benefits, focusing on comprehensive care. Option A (wellness programs) is common, promoting prevention (e.g., smoking cessation). Option C (24-hour emergency care) is required, ensuring access via PCP coordination or direct ER services. Option D (outpatient services) is standard, covering clinic visits. Option B (discounts on local health spa memberships) isn't a typical HMO feature; while some plans offer wellness incentives, spa discounts are ancillary, not a core benefit under Virginia law or NAIC HMO models. The study guide likely lists HMO staples (A, C, D) with examples--e.g., annual checkups (D)--contrasting them with optional perks like B, making it the exception.



A health maintenance organization (HMO) member receives all preventive and routine medical care from the:

  1. Primary care physician
  2. Medical director
  3. Routine care physician
  4. Provider association

Answer(s): A

Explanation:

Virginia Code § 38.2-4303 defines the HMO model, where the primary care physician (PCP, option A) acts as the gatekeeper, delivering preventive (e.g., vaccines) and routine care (e.g., checkups), and coordinating referrals. Option B (medical director) oversees HMO operations, not direct care. Option C (routine care physician) isn't a standard term; the PCP fills this role. Option D (provider association) might imply a network, but care comes from the individual PCP, not a collective. The study guide likely explains the PCP's central role with examples--e.g., a member seeing their PCP for a flu shot-- highlighting HMO cost-control via this structure, making A the correct provider.



The "free look" provision in individual health insurance allows the insured a period of time to:

  1. Try a policy without paying for it
  2. Compare insurance policies
  3. Change coverage on a policy without changing the premium
  4. Cancel the policy and receive a full refund

Answer(s): D

Explanation:

Virginia Code § 38.2-3502 mandates a "free look" period (typically 10 days) for individual health insurance, allowing the insured to review the policy and cancel it with a full premium refund (option

D) if returned within that time. Option A (try without paying) is false; premiums are paid upfront, refundable only upon cancellation. Option B (compare policies) is a practical use but not the legal purpose; the provision ensures cancellation rights, not comparison. Option C (change coverage) isn't allowed; modifications require underwriting, not free-look terms. The study guide likely details this consumer protection with examples--e.g., returning a policy on day 9 for a refund--making D the precise right.



All of the following are types of insurance policy exchanges that can be made without current taxation EXCEPT:

  1. The exchange of an annuity for a life insurance policy
  2. The exchange of a life insurance policy for an annuity
  3. An annuity exchanged for another annuity contract
  4. A life insurance policy exchanged for another life policy

Answer(s): A

Explanation:

Under IRC § 1035, certain insurance exchanges avoid immediate taxation: option B (life to annuity), option C (annuity to annuity), and option D (life to life) qualify if like-kind and properly executed, deferring gains. Option A (annuity to life) isn't permitted tax-free; annuities (income-focused) and life insurance (death-benefit-focused) aren't "like-kind," triggering taxable gain recognition. Virginia Code § 38.2-3100 et seq. aligns with federal tax rules. The study guide likely explains § 1035 exchanges with examples--e.g., swapping a $50,000 life policy for an annuity tax-free (B)--noting A's taxable status due to product mismatch, making it the exception.



In long-term care insurance, the guarantee of insurability option provides the insured with the ability to:

  1. Purchase additional insurance at a later date
  2. Replace the policy at any time with one from a different insurer
  3. Extend coverage under the policy for the insured's lifetime
  4. Keep the same premium for the entire contract period

Answer(s): A

Explanation:

Virginia Code § 38.2-5202 allows a guaranteed insurability option in LTC insurance, letting the insured buy additional coverage later (option A) without proving insurability, typically at set intervals or life events (e.g., inflation adjustment). Option B (replace with another insurer) isn't a policy feature; it's a market action. Option C (lifetime extension) confuses with benefit periods, not insurability. Option D (fixed premium) relates to non-cancelable policies, not this rider. The study guide likely describes this with examples--e.g., adding $1,000 monthly benefit at age 70-- emphasizing future flexibility, making A the correct ability.



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