Free Virginia-Life-Annuities-and-Health-Insurance Exam braindumps download (Virginia-Life-Annuities-and-Health-Insurance exam dumps Free)

QUESTION: 181

Which one of the following determines the amount of loss that the insured must pay before a major medical expense policy begins to pay for a covered loss?

Unallocated benefit amount
Nonparticipation insurance amount
Deductible amount
Coinsurance percentage

Answer(s): C

Explanation:

The deductible is the initial portion of covered expenses the insured must pay before the insurer pays benefits. Coinsurance applies only after the deductible has been met. Exact extract: "The deductible is the amount of covered expenses an insured must pay out of pocket before the insurer is obligated to pay under the major medical policy." This provision ensures cost-sharing and discourages excessive claims.

Reference:

Virginia Health Insurance Study Guide -- Major Medical Insurance Provisions.
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QUESTION: 182

An agent learned that a client covered by a large employer group health plan has just suffered kidney failure.
Which health plan will be primary during the months immediately following the onset of kidney failure?

Medicare Part A Hospital Insurance
Medicare Part B Medical Insurance
The Medicaid program
The employer group health plan

Answer(s): D

Explanation:

For individuals with end-stage renal disease (ESRD), employer group coverage is primary for the first 30 months of treatment, even if the individual also qualifies for Medicare. After 30 months, Medicare becomes primary. Exact extract: "Employer group health plans are primary for 30 months for ESRD patients; thereafter Medicare assumes primary responsibility."

Reference:

Federal Medicare Secondary Payer Rules; Virginia Licensing Study Guide.

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QUESTION: 183

All of the following factors are used to determine insurability when underwriting an individual health insurance application EXCEPT:

Age
Weight
Occupation
Religious preference

Answer(s): D

Explanation:

Insurers may evaluate actuarial risk factors such as age, health, weight, and occupation. Religion is never a permissible underwriting factor. Exact extract: "Underwriting practices may not discriminate based on race, color, creed, or religion." This ensures compliance with fairness standards and anti- discrimination laws.

Reference:

Virginia Unfair Trade Practices Act -- Prohibited Discriminatory Practices.
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QUESTION: 184

What is the effect on a life insurance policy if the insured fails to repay the full value of loans taken against the policy?

The policy becomes void
The premium is increased
Dividends are suspended
The death benefit is reduced

Answer(s): D

Explanation:

Outstanding policy loans reduce the policy's death benefit and cash value by the unpaid balance plus accrued interest. Exact extract: "Any outstanding loan amount at the insured's death shall be deducted from the death benefit." Policies remain in force as long as cash value is sufficient to cover charges.

Reference:

Virginia Life Insurance Study Guide -- Policy Loans.
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QUESTION: 185

Which type of life insurance policy often contains a payor benefit rider?

Juvenile
Group life
Credit life
Second-to-die

Answer(s): A

Explanation:

Juvenile life insurance often includes a payor benefit rider, which waives premiums if the policy owner (usually a parent) dies or becomes disabled before the child reaches adulthood. Exact extract:
"The payor benefit rider is typically attached to juvenile policies, ensuring coverage continues without premium payment if the payor dies or is disabled."

Reference:

Virginia Life Insurance Licensing Study Guide -- Riders.
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Free Virginia-Life-Annuities-and-Health-Insurance Exam Braindumps Virginia Life, Annuities, and Health Insuranceination Series 1101 Questions 181–185 (page: 38)

QUESTION: 181

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QUESTION: 182

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QUESTION: 183

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QUESTION: 184

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QUESTION: 185

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Free Virginia-Life-Annuities-and-Health-Insurance Exam Braindumps
Virginia Life, Annuities, and Health Insuranceination Series 1101 Questions 181–185 (page: 38)