Free Virginia-Life-Annuities-and-Health-Insurance Exam Braindumps
Virginia Life, Annuities, and Health Insuranceination Series 1101 Questions 146–150 (page: 31)

Updated On: 10-Feb-2026

An insurance company may include provisions in a non-ACA health insurance policy which deny coverage when:

  1. The insured has not paid the premium before the due date
  2. The insured has failed to have regular physical checkups
  3. Loss results from an automobile accident, unless the insured is a pedestrian
  4. Loss results from intoxication or drugs, unless medically prescribed

Answer(s): D

Explanation:

Virginia permits exclusion for losses caused by intoxication or non-prescribed drugs but prohibits arbitrary exclusions like failure to get checkups or automobile accidents. Exact extract: "Policies may exclude losses resulting from the insured's intoxication or use of narcotics unless prescribed by a physician."


Reference:

Virginia Administrative Code, Accident and Health Policy Provisions.



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:

The application is the primary underwriting source for personal data and risk assessment. It provides the insured's age, health, occupation, and lifestyle factors. Exact extract: "The application is a written request to the company for a contract and is the source of the insurer's underwriting information."


Reference:

Virginia Life, Annuities, and Health Licensing Study Guide--Applications and Underwriting.

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Which doctor-ordered services can be performed by individuals without medical training?

  1. Rehabilitative care
  2. Therapeutic care
  3. Intermediate care
  4. Custodial care

Answer(s): D

Explanation:

Custodial care is non-medical assistance with daily living activities, requiring no professional medical training. Rehabilitative, therapeutic, and intermediate care require licensed or trained personnel. Exact extract: "Custodial care provides assistance with daily living activities and does not require medical skills."


Reference:

Virginia Long-Term Care Insurance Guidelines--Types of Care.
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A life and health insurance agent licensed in the Commonwealth of Virginia is authorized to:

  1. Approve the payment of a claim
  2. Reinstate an insurance contract after the expiration date
  3. Solicit, receive and forward applications to the insurer
  4. Replace a policy without notifying the insurer

Answer(s): C

Explanation:

Agents act as representatives of insurers to solicit, receive, and forward applications. They cannot approve claims or unilaterally reinstate or replace contracts. Exact extract: "An agent is authorized to solicit, receive, and forward applications to the insurer but has no power to approve claims or reinstate policies."


Reference:

Virginia Code Title 38.2--Licensing and Authority of Agents.
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Which medical care benefits are emphasized in HMO plans?

  1. Alternative medicine
  2. Preventive care
  3. Emergency care
  4. Home health care

Answer(s): B

Explanation:

HMOs emphasize preventive care to control costs and maintain wellness, including immunizations, checkups, and screenings. Exact extract: "Health Maintenance Organizations emphasize preventive health services as a primary means of controlling health costs."


Reference:

Virginia Life, Annuities, and Health Study Guide--HMOs.
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