Virginia Health Insurance Laws and Rules New 2025
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with All Questions and Answers
Under Virginia law, which of the following provisions is NOT required in a Medicare
Supplement policy
A) Suitability form
B) Guaranteed issue
C) Free-look period of 30 days
D) Limitation on pre-existing conditions for up to 12 months ------------ Correct Answer ----------
-- D) Limitation on pre-existing conditions for up to 12 months
Under which circumstance may an agent combine business funds with an insured's premiums ----
-------- Correct Answer ------------ when duly appointed and contractually authorized by an
insurer
Which of the following does COBRA allow a terminated employee to receive
A) Continued health coverage at no cost
B) Continued coverage in group health plan
C) Continued coverage for the souse of the employee only
D) Continued coverage without administrative fee ------------ Correct Answer ------------ B)
Continued coverage in group health plan
Insurance companies are required to hold an appointment on a(n) _______ who represents them -
----------- Correct Answer ------------ agent
Which of the following is NOT a requirement for testimonials used in Accident and Health
insurance
A) Testimonials must represent the current opinion of the person giving the testimonial
B) Testimonials must be accurately reproduced
C) Testimonials must be applicable to the advertised policy
D) Testimonials must be approved by the Commission ------------ Correct Answer ------------ D)
,Testimonials must be approved by the Commission
which of the following does the commissioner of insurance not have the authority to examine its
business records? ------------ Correct Answer ------------- policyholders
which of the following would be a valid reason for the state of Virginia to deny an insurance
agent license? ------------ Correct Answer ------------- Felony conviction
Which of the following would be a valid reason for suspending or revoking an insurance agent's
license? ------------ Correct Answer ------------- Participating in the act of twisting
Misrepresenting pertinent policy provisions relating to coverage after a loss is a(n) -----------
Correct Answer ------------ unfair claims settlement practice
Producers must report any bankruptcy, felony conviction, or any other administrative action that
occurs in West Virginia or another jurisdiction to the Insurance Department when? -----------
Correct Answer ------------ within 30 days after the final dispostition
What must be included when a producer reports a final disposition of an administrative action
against the producer to the Insurance Commissioner? ----------- Correct Answer ------------ - the
initial complaint
- a copy of the order
- other relevant legal documents
Insurers are responsible for submitting an appointment notice to the Commissioner when? --------
--- Correct Answer ------------ within 15 days of an agent's appointment or submission of first
insurance application
An insurer that terminates an agent appointment must notify the Commissioner when? -----------
Correct Answer ------------ within 30 days of the date of termination
John has a criminal record in which he was convicted of a felony that involved dishonesty.
Under Federal law, how would John be able to engage in insurance transactions? -----------
Correct Answer ------------ Given written consent by the state insurance regulatory agency
Every ________ year(s), an agent's license in Virginia must be renewed. ----------- Correct
Answer ------------ 2 years
The maximum prison sentence given under federal law for unfair and deceptive insurance
practices is ----------- Correct Answer ------------ 15 years
When testing for the Human Immunodeficiency Virus (HIV), Virginia law requires a consent
form? ----------- Correct Answer ------------ that discloses who may receive a copy of the results
An individual appointed by an insurance company represents the company and presents policies
on its behalf is ------------ Correct Answer ------------- An agent
,In counseling a prospective policyholder about replacing existing group health insurance, the
discussion topics should include ------------ Correct Answer ------------- Comparing the benefits
of the current and proposed plans
Under the uniform mandatory provision, an Accident and Health insurer has the right to request
an autopsy ------------ Correct Answer ------------- Only where not prohibited by law
a cease and desist order issued against an agent ------------ Correct Answer ------------- prohibits a
specific practice listed in the order
A newly licensed life and health insurance agent must complete __ hours of continuing education
every 2 years ------------ Correct Answer ------------- 24
Each long term care policy sold in Virginia must include a free look provision that refunds all
premiums within __ days of policy delivery ------------ Correct Answer ------------- 30
In Virginia, Long-Term care insurance ------------ Correct Answer ------------- must offer inflation
protection to applicants
if an administration fee is charged by an agent, the customer's written signature is required -------
----- Correct Answer ------------- in every occurrence
Beginning January 1,2014, the restricted annual limit for plans under the affordable care act will
be ------------ Correct Answer ------------- no limit
When a Medicare supplement policy is purchased during the open enrollment period ------------
Correct Answer ------------- the policy must be issued regardless of health status
Accident and Health insurance standard provision require that ------------ Correct Answer ---------
---- the policy, endorsements, and attached papers constitute the entire contract
In accident and health insurance, 60 days must pass after written proof of loss has been received
by an insurer before the insured may ------------ Correct Answer ------------- bring legal action
against the insurer
When the Commission believes an agent has violated the law, the Commission has the authority
to ------------ Correct Answer ------------- Issue a cease and desist order against the agent
How long can an insurer exclude coverage for a preexisting condition on a Medicare supplement
policy? ------------ Correct Answer ------------- 6 months
How many days notice does the Affordable Care Act require insurers to give before rescinding
coverage? ------------ Correct Answer ------------- 30
What is the actuarial value of a bronze level health plan? ------------ Correct Answer -------------
, 60
which of the following actions does the Commission in Virginia have the power to preform ------
------ Correct Answer ------------- Examine insurer solvency
B the agent recently had her license terminated because she did not meet continuing education
requirements. She may successfully appeal this decision IF ------------ Correct Answer ------------
- proof of compliance is providewd
When replacing an individual Accident and Health policy in Virginia, the required replacement
notice to the applicant must include ------------ Correct Answer ------------- Notice that pre-
existing conditions may not be covered
For group health plans covering employees in more than one state, the state regulatory
jurisdiction established for the plan may affect any of the following aspects EXCEPT ------------
Correct Answer ------------- COBRA continuation of coverage
Under Virginia standards for marketing long-term care coverage, all of these are prohibited sales
practice EXCEPT ------------ Correct Answer ------------- Replacing existing coverage
Virginia requires advertisements for Accident and Health insurance policies covering ONLY a
specified illness to prominently display ------------ Correct Answer ------------- a statement that
the policy is limited
Which type of Medicare Supplement information can be used without prior state approval? ------
------ Correct Answer ------------- Government publications
Renewal of small employer health insurance plans may be denied for all of the following reasons
EXCEPT ------------ Correct Answer ------------- Overuse of physician and hospital services
Which of the following will happen if a licensed resident insurance agent moves to another state?
------------ Correct Answer ------------- Agent's license shall terminate immediately
No existing insurance license will be revoked until ------------ Correct Answer ------------- The
licensee has been afforded to a hearing on the charges
In a long-term care policy issued in Virginia, any provision limiting preexisting conditions may
not exceed ------------ Correct Answer ------------- 6 months
when an accident and health policy requires payment of an additional premium to provide
coverage for a newborn, how many days after birth is the first payment due? ------------ Correct
Answer ------------- 31 days
Inflation protection must be included in all long-term policies delivered in Virginia UNLESS ----
-------- Correct Answer ------------- the policyholder rejects the coverage in writing
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