100%합격보장가능한Virginia-Life-Annuities-and-Health-Insurance높은통과율덤프공부문제덤프자료
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최신 Virginia Insurance License Virginia-Life-Annuities-and-Health-Insurance 무료샘플문제 (Q292-Q297):
질문 # 292
The coinsurance provision of a major medical expense policy requires:
- A. A percentage of expenses in excess of the deductible to be paid by the insured
- B. A proportional sharing of the deductible by the insured and insurer
- C. The insured to bear expenses between the upper limit of basic coverage and the lower limit of major medical
- D. All expenses in excess of the deductible to be paid by the insurer
정답:A
설명:
Coinsurance is a cost-sharing arrangement where, after the deductible is met, the insured pays a percentage of covered expenses and the insurer pays the rest. A common split is 80/20, where the insurer pays 80% and the insured pays 20% until the maximum out-of-pocket limit is reached.
Exact Extract (Virginia Health Insurance Study Guide): "Coinsurance-after the deductible has been satisfied, the insured and insurer share covered expenses in a stated ratio (e.g., 80/20)." Reference (Virginia Documents / Study Guide):
- Virginia Health Insurance Examination Outline, Major Medical Policy Provisions
질문 # 293
Renewal of small employer health insurance plans may be denied for all of the following reasons EXCEPT:
- A. Overuse of physician and hospital services
- B. Fraud by the employer
- C. Nonpayment of premiums
- D. Having less than the required number of participants
정답:A
설명:
Virginia Code § 38.2-3432.1, aligned with the Affordable Care Act (ACA), mandates guaranteed renewability for small employer health plans (1-50 employees in Virginia). Insurers can deny renewal for nonpayment of premiums (option A), insufficient participants (option B, e.g., falling below one eligible employee), or fraud (option D), per Virginia Code § 38.2-3407. However, option C-overuse of services (high claims)-a-is not a permissible reason for denial, as renewability cannot be based on claims experience or health status. The study guide emphasizes this protection under Virginia's small group market rules, making C the exception.
질문 # 294
All of the following statements about the interest ONLY settlement option in life insurance policies are true EXCEPT:
- A. The interest on the principal amount is paid periodically to the beneficiary
- B. At some later date, the principal may be paid under one of the other options
- C. The option can be selected only by the beneficiary
- D. The proceeds of the policy are left with the insurance company
정답:C
설명:
Virginia Code § 38.2-3115 governs life insurance settlement options. The interest-only option keeps proceeds with the insurer (option A, true), paying interest periodically to the beneficiary (option C, true, e.g., quarterly), and allows the principal to be withdrawn or redirected later (option D, true, e.g., switching to fixed period).
Option B is false; the policyowner can select this option during the policy term, not just the beneficiary post- death-though beneficiaries may elect it if not pre-specified. The study guide likely explains this flexibility with examples-e.g., a $100,000 policy earning 3% interest paid monthly-noting both parties' roles, making B the exception since it restricts choice to the beneficiary alone.
질문 # 295
Life insurance policies are required to have all of the following provisions EXCEPT:
- A. The misstatement of age clause
- B. The waiver of premium clause
- C. The incontestability clause
- D. The grace period clause
정답:B
설명:
Detailed Answer in Step-by-Step Solution:
* Life insurance policies must include a misstatement of age clause (B), grace period clause (C), and incontestability clause (D) as standard provisions under state law.
* The waiver of premium clause (A) is optional, typically a rider, not a required provision.
The Virginia study guide lists mandatory life insurance provisions (e.g., grace period, incontestability, misstatement of age) but notes that waiver of premium is an optional benefit, not required. Reference:
Virginia Life, Annuities, and Health Insurance study guide, section on "Life Insurance Policy Provisions."
질문 # 296
Who has the right to change the beneficiary of an AD&D policy with a revocable beneficiary designation?
- A. The agent
- B. The beneficiary
- C. The insurer
- D. The policyowner
정답:D
설명:
In an AD&D (Accidental Death and Dismemberment) policy with a revocable beneficiary designation, the policyowner has the right to change the beneficiary. A revocable beneficiary designation means that the policyowner can change the beneficiary at any time without the beneficiary's consent. This is in contrast to an irrevocable beneficiary designation, where the beneficiary's consent would be required to make a change.
질문 # 297
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