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Virginia Insurance Virginia-Life-Annuities-and-Health-Insurance Exam
Virginia Life, Annuities, and Health Insuranceination Series 1101 (Page 16 )

Updated On: 4-Feb-2026
Page 16 of 89
PDF with 440 Questions

A licensed agent must report a felony conviction to the Commission within how many calendar days?

  1. 10 days
  2. 20 days
  3. 30 days
  4. 60 days

Answer(s): C

Explanation:

Virginia Code § 38.2-1826(C) requires licensees, including insurance agents, to report any felony conviction to the State Corporation Commission's Bureau of Insurance within 30 calendar days of the final disposition (option C). "Final disposition" means the court's conclusive ruling--e.g., sentencing after a guilty plea. This rule ensures the Bureau can assess the agent's fitness to retain their license, protecting the public from untrustworthy practitioners. Option A (10 days) is too short and not specified in Virginia law for this purpose. Option B (20 days) lacks statutory support and falls between standard reporting periods. Option D (60 days) exceeds the mandated timeline, delaying oversight. The study guide likely highlights this 30-day deadline in a licensing compliance section, with examples--e.g., an agent convicted of fraud on June 1 must report by July 1--aligning with Virginia's adoption of NAIC standards for licensee integrity (Virginia Code § 38.2-1800 et seq.), making C the precise requirement.



A licensee is NOT required by Virginia law to keep which of the following records?

  1. Accounting records of premium payments
  2. Files of insurance applications on current policies issued
  3. Policy renewal notices
  4. Premium quotations of unissued policies

Answer(s): D

Explanation:

Virginia Code § 38.2-1809 mandates that licensees maintain specific records for regulatory oversight and consumer protection. Option A (accounting records of premium payments) is required to track funds received and remitted, ensuring financial accountability (e.g., premiums collected for a $1,000 policy). Option B (files of insurance applications on current policies) must be kept as part of the contract and for audit purposes, per § 38.2-1810. Option C (policy renewal notices) is required to document communication with policyholders about ongoing coverage, ensuring transparency. Option D (premium quotations of unissued policies) is not mandated; while agents may provide quotes (e.g., $500 annually for a term policy), these are preliminary offers, not binding until a policy is issued, and Virginia law doesn't require retaining them unless they result in a transaction. The study guide likely details recordkeeping in a compliance chapter, contrasting required records (A, B, C) with optional ones like quotes (D), using examples--e.g., keeping a paid policy's file but not a rejected quote--making D the item not required. This reflects Virginia's focus on executed contracts over prospective ones.



What is the agent's primary role in underwriting life insurance?

  1. Assuring that the application provides proper information to the insurer
  2. Binding coverage immediately without home office approval
  3. Issuing the policy if all underwriting information is satisfactory
  4. Securing information from the Medical Information Bureau

Answer(s): A

Explanation:

In the underwriting process for life insurance, as governed by Virginia Code § 38.2-1800 et seq., the agent's primary role is to act as a field underwriter, ensuring the application provides accurate and complete information to the insurer (option A). This includes collecting personal data (e.g., age, health history) and verifying its correctness--e.g., asking about smoking habits or past surgeries--to enable the home office underwriter to assess risk properly. Option B (binding coverage immediately) is incorrect; agents typically lack authority to bind life insurance without insurer approval, unlike some property/casualty lines, unless a conditional receipt with premium is issued (Virginia Code § 38.2-3106), which isn't "immediate" or primary. Option C (issuing the policy) is false; only the insurer's home office issues policies after underwriting approval, not the agent. Option D (securing MIB information) is an underwriter's task; agents don't directly access the Medical Information Bureau--though they may note MIB codes if disclosed, their role is data collection, not retrieval. The study guide likely emphasizes the agent's frontline duty with examples--e.g., ensuring a 45-year-old applicant discloses diabetes--making A the primary role, aligning with Virginia's agency framework where agents facilitate, not finalize, underwriting.



The information which gives an insurer necessary personal data regarding an individual and helps determine whether the individual can be insured under an individual health insurance policy is contained in the:

  1. Enrollment form
  2. Policy schedule
  3. Application
  4. Agent's statement

Answer(s): C

Explanation:

Virginia Code § 38.2-3501 requires individual health insurance policies to incorporate the application as part of the contract, as it contains critical personal data (e.g., name, age, medical history) used to determine insurability (option C). This document--completed by the applicant and agent--details health conditions, lifestyle factors (e.g., smoking), and other risk indicators the underwriter evaluates--e.g., a 30-year-old with asthma noted for rating. Option A (enrollment form) applies to group health plans, not individual policies, where employees join a pre-set plan. Option B (policy schedule) summarizes coverage (e.g., limits, premiums) after issuance, not initial data for underwriting. Option D (agent's statement) may supplement the application with observations, but it's not the primary source; the application itself holds the insured's data. The study guide likely highlights the application's role in a health insurance section, with examples--e.g., a question about prior hospitalizations triggering a premium adjustment--making C the key document, per Virginia's legal requirement that it be attached to the policy (§ 38.2-3503) for transparency and enforceability.



In health insurance, the insurance policy, the endorsements, and any relevant papers attached to the policy make up the:

  1. Completed application
  2. Entire contract
  3. Uniform mandatory policy provisions
  4. Notice of coverage

Answer(s): B

Explanation:

Detailed Answer in Step-by-Step Solution:
In health insurance, the "entire contract" refers to all the documents that collectively form the legal agreement between the insurer and the policyholder.
This includes the insurance policy itself (the main document outlining coverage), any endorsements (modifications or additions to the policy), and attached papers such as the application (if attached). The completed application (A) is part of the contract only if attached, but it alone does not constitute the entire contract.
Uniform mandatory policy provisions (C) are specific clauses required by law within the policy, not the whole contract.
Notice of coverage (D) is a notification, not the contract itself.
Therefore, the correct answer is "entire contract."

The concept of the "entire contract" is a standard provision in health and life insurance policies. Per the Virginia insurance study guide, the entire contract clause ensures that all terms and conditions are contained within the policy, endorsements, and attached documents (like the application), protecting both parties by defining the full scope of the agreement.


Reference:

Virginia Life, Annuities, and Health Insurance study guide, section on "Policy Provisions and Contracts."



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