17 Free Arizona Life & Health Practice Questions: Annuities; Federal Tax Considerations (2026)

12 min read|Updated 2026-10-23

How to Use This Annuities Set

This set combines two outline sections: Annuities, at 7% of the Arizona combined exam, and Federal Tax Considerations for Life and Health Insurance, at 5%. They belong together because most annuity questions end in a tax question.

The 17 questions below cover payout options, LIFO taxation of withdrawals, the exclusion ratio, flexible spending and health reimbursement accounts, modified endowment contracts, HSAs, annuity bonuses, QLACs and the taxation of disability benefits. Work the calculation questions on paper.

Practice Questions 1-6: Annuity Payouts and Taxation

Period certain payouts, LIFO withdrawals, the use-it-or-lose-it rule for FSAs, tax deferral in a variable annuity, dividend interest and joint and survivor payments.

Question 1 (Chapter 6)

An Arizona resident purchases a fixed annuity with a single premium of $100,000. The annuity earns 4% interest annually during the accumulation period. After 10 years, the annuitant elects to annuitize the contract under a life with 10-year period certain option. If the annuitant dies 5 years into the annuity period, what is the beneficiary entitled to receive?

  • A) Nothing, as the annuitant died before the life-only period ended.
  • B) The accumulated value at the time of death.
  • C) A lump sum equal to the total premiums paid.
  • D) The remaining 5 years of guaranteed payments.
Show answer & explanation

Answer: D

D is correct because a life with period certain option guarantees payments for a minimum period (here, 10 years) regardless of the annuitant's survival. If the annuitant dies during the period certain, the beneficiary receives the remaining guaranteed payments. A is incorrect because the period certain guarantee overrides the life contingency. B is incorrect because annuitization converts the accumulated value into a stream of payments; the lump sum is no longer available. C is incorrect because the beneficiary receives payments, not a return of premiums.

Question 2 (Chapter 6)

Which statement accurately describes the income taxation of a partial withdrawal from a non-qualified deferred annuity taken before the contract is annuitized?

  • A) Withdrawals are taxed using the FIFO method, with principal returned first.
  • B) Withdrawals are taxed using the LIFO method, but only after the contract has been annuitized.
  • C) Withdrawals are entirely tax-free if used to pay for qualified medical expenses.
  • D) Withdrawals are taxed as ordinary income to the extent of earnings, using the LIFO method.
Show answer & explanation

Answer: D

D is correct. Withdrawals from a non-qualified deferred annuity before annuitization are taxed last-in, first-out: earnings are deemed withdrawn first and are ordinary income, and a 10% penalty applies to the taxable portion if the owner is under 59½. A describes the first-in, first-out treatment that applies to pre-1982 contracts and to withdrawals from non-MEC life insurance, not to annuities. B is wrong because LIFO applies before annuitization; after annuitization each payment is split by the exclusion ratio. C is wrong because there is no medical-expense exemption.

Question 3 (Chapter 6)

Which of the following statements about equity indexed annuities (EIAs) in Arizona is correct?

  • A) EIAs are registered with the SEC and require a securities license to sell.
  • B) EIAs provide direct ownership of the underlying index's stocks.
  • C) EIAs are exempt from state insurance regulation because they are investment products.
  • D) EIAs guarantee a minimum interest rate and offer returns linked to a stock market index.
Show answer & explanation

Answer: D

D is correct because equity indexed annuities are insurance products that provide a minimum guaranteed interest rate while offering potential returns based on the performance of a specified equity index, such as the S&P 500. A is incorrect because EIAs are not securities and are not registered with the SEC; they are regulated by state insurance departments. B is incorrect because the annuitant does not own the underlying stocks; returns are based on index performance. C is incorrect because EIAs are insurance products subject to state insurance regulation, not exempt from it.

Question 4 (Chapter 6)

A variable annuity offers sub-accounts that mimic mutual funds. The annuity owner allocates funds to an equity sub-account. During the accumulation period, the sub-account increases in value due to market performance. Which statement is true regarding taxation during this period?

  • A) The growth is taxed annually as ordinary income.
  • B) The growth is taxed annually as capital gains.
  • C) The growth is tax-free if held for more than one year.
  • D) The growth is tax-deferred until withdrawal or annuitization.
Show answer & explanation

Answer: D

D is correct because, like all annuities, variable annuities provide tax-deferred growth during the accumulation period. Earnings are not taxed until they are withdrawn or the contract is annuitized. A and B are incorrect because there is no annual taxation of growth inside the annuity. C is incorrect because annuity growth is tax-deferred, not tax-free, and holding period does not change the tax character upon withdrawal.

Question 5 (Chapter 6)

Which of the following is true about the taxation of life insurance dividends when they are left to accumulate at interest with the insurer?

  • A) The dividends are taxable as ordinary income when received.
  • B) Both the dividends and the interest are tax-free until withdrawn.
  • C) The dividends are taxable as capital gains when received.
  • D) The dividends are tax-free, but the interest earned on them is taxable as ordinary income.
Show answer & explanation

Answer: D

D is correct because life insurance dividends are considered a return of premium and are not taxable when received or left on deposit. However, any interest earned on those dividends while held with the insurer is taxable as ordinary income when credited or withdrawn. A is incorrect because the dividends themselves are not taxable. B is incorrect because the interest is taxable. C is incorrect because dividends are not taxed as capital gains.

Question 6 (Chapter 6)

An annuity contract is annuitized under a joint and survivor life option with 50% survivor benefit. The primary annuitant dies after 8 years of payments. What happens to the payment amount?

  • A) Payments continue at 50% of the original amount for the survivor's life.
  • B) Payments stop because the primary annuitant died.
  • C) Payments continue at 100% of the original amount for the survivor's life.
  • D) Payments increase to 150% of the original amount for the survivor's life.
Show answer & explanation

Answer: A

A is correct because a joint and survivor annuity with a 50% survivor benefit means that upon the death of the primary annuitant, the survivor continues to receive 50% of the original payment amount for the remainder of their life. B is incorrect because payments do not stop; the survivor benefit ensures continuity. C is incorrect because the survivor benefit is 50%, not 100%. D is incorrect because there is no provision for increasing payments beyond the original amount in this option.

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Practice Questions 7-12: Exclusion Ratio, Tax-Advantaged Accounts and MECs

The exclusion ratio, health reimbursement accounts, QLACs, dividends, FSA elections and the taxation of a withdrawal from a modified endowment contract.

Question 7 (Chapter 6)

Which of the following statements about the exclusion ratio for a non-qualified immediate annuity is correct?

  • A) For a life annuity, the exclusion ratio is based on the annuitant's life expectancy as determined by IRS tables.
  • B) The exclusion ratio is calculated by dividing the total premium paid by the total expected return under the annuity.
  • C) The exclusion ratio represents the portion of each annuity payment that is taxable as ordinary income.
  • D) Once the exclusion ratio is exhausted, all subsequent payments are fully taxable as ordinary income.
Show answer & explanation

Answer: A

The exclusion ratio for a non-qualified immediate annuity is the percentage of each payment that is a return of principal and thus not taxable. It is calculated by dividing the investment in the contract (total premium paid) by the expected return (based on the annuitant's life expectancy using IRS actuarial tables). For a life annuity, life expectancy is indeed determined by IRS tables, making A correct. Option B is incorrect because it describes the inverse (expected return over investment). Option C is incorrect because the exclusion ratio is the non-taxable portion, not the taxable portion. Option D is incorrect because after the exclusion ratio is exhausted (i.e., after the investment is fully recovered), subsequent payments are fully taxable, but the exclusion ratio itself is not 'exhausted' in that way—it is a fixed percentage applied to each payment until the investment is recovered.

Question 8 (Chapter 6)

An employer establishes a Health Reimbursement Account (HRA) for employees. Which of the following statements is true?

  • A) Employees can contribute pre-tax dollars to the HRA through salary reduction.
  • B) Unused funds in the HRA at the end of the year can be cashed out by the employee.
  • C) The HRA must be paired with a High Deductible Health Plan (HDHP) to be valid.
  • D) The HRA is funded solely by the employer, and unused funds typically revert to the employer.
Show answer & explanation

Answer: D

A Health Reimbursement Account (HRA) is an employer-funded account that reimburses employees for qualified medical expenses. Employees do not contribute to the HRA; it is funded solely by the employer. Unused funds at the end of the plan year typically revert to the employer and are not available for cash-out or rollover by the employee (unless the plan design allows rollover for future medical expenses, but cashing out is not permitted). The HRA does not need to be paired with an HDHP—this requirement applies only to Health Savings Accounts (HSAs). Therefore, option D is correct. Option A is incorrect because employees cannot contribute to an HRA. Option B is incorrect because unused funds cannot be cashed out. Option C is incorrect because an HRA does not require an HDHP.

Question 9 (Chapter 6)

Which of the following is true about the taxation of distributions from a Roth IRA used to purchase a qualified longevity annuity contract (QLAC)?

  • A) Distributions from the QLAC are tax-free because they originate from a Roth IRA.
  • B) The QLAC distribution is fully taxable as ordinary income, regardless of the Roth IRA source.
  • C) The amount used to purchase the QLAC is still subject to Roth IRA RMD rules.
  • D) The QLAC is not subject to required minimum distribution (RMD) rules while deferring payments.
Show answer & explanation

Answer: D

A Qualified Longevity Annuity Contract (QLAC) is a type of deferred annuity that can be purchased with funds from a retirement account like an IRA or 401(k). One of the key features of a QLAC is that the amount used to purchase it is excluded from the account balance when calculating required minimum distributions (RMDs), allowing the owner to defer receiving payments until a later age (up to 85). This applies whether the funds come from a traditional or Roth IRA. Therefore, option D is correct. Option A is incorrect because distributions from a QLAC are taxable as ordinary income (they are not tax-free, even if funded by a Roth IRA—once distributed, they are treated as ordinary income). Option B is incorrect because while distributions are taxable as ordinary income, the key point is the RMD exemption, not the taxability. Option C is incorrect because the amount used to purchase the QLAC is excluded from RMD calculations, so it is not subject to RMD rules while the deferral period is in effect.

Question 10 (Chapter 6)

An individual purchases a Health Savings Account (HSA)-qualified High Deductible Health Plan (HDHP). During the year, they contribute $3,000 to their HSA and incur $2,500 in qualified medical expenses. Which of the following is true regarding the HSA?

  • A) The HSA contribution is tax-deductible, and withdrawals for qualified medical expenses are tax-free.
  • B) The HSA contribution is taxable income, but withdrawals for medical expenses are tax-free.
  • C) The HSA contribution is tax-deductible, but withdrawals are taxed as ordinary income.
  • D) The HSA contribution is not tax-deductible, and withdrawals for medical expenses are taxable.
Show answer & explanation

Answer: A

A is correct because HSA contributions are tax-deductible (or pre-tax if through payroll), earnings grow tax-deferred, and withdrawals for qualified medical expenses are tax-free. B is incorrect because contributions are not taxable income. C is incorrect because qualified medical expense withdrawals are tax-free. D is incorrect because contributions are tax-deductible and qualified withdrawals are tax-free.

Question 11 (Chapter 6)

An annuity owner dies during the accumulation period. The designated beneficiary receives the death benefit. Which statement is true regarding the taxation of this death benefit?

  • A) The entire death benefit is always tax-free to the beneficiary.
  • B) The death benefit is subject to a 10% early withdrawal penalty if the beneficiary is under age 59½.
  • C) The death benefit is taxed using the FIFO method, with earnings taxed first.
  • D) The death benefit is taxable as ordinary income to the extent it exceeds the total premiums paid.
Show answer & explanation

Answer: D

D is correct because, upon the owner's death during the accumulation period, the death benefit received by the beneficiary is taxable as ordinary income only to the extent that it exceeds the total premiums paid (i.e., the gain). A is incorrect because the gain portion is taxable. B is incorrect because the 10% early withdrawal penalty does not apply to death benefits. C is incorrect because annuities use LIFO, not FIFO, for taxation of non-MEC contracts; however, the death benefit is taxed based on gain, not via LIFO/FIFO accounting at the time of death.

Question 12 (Chapter 6)

An Arizona resident owns a life insurance policy that is classified as a Modified Endowment Contract (MEC). The policyowner takes a withdrawal of $10,000 from the cash value. The total premiums paid into the policy are $50,000, and the current cash value is $70,000. How much of the withdrawal is taxable as ordinary income?

  • A) $10,000
  • B) $0
  • C) $2,000
  • D) $20,000
Show answer & explanation

Answer: A

A is correct. Withdrawals from a modified endowment contract are taxed last-in, first-out: earnings are deemed to come out first. The gain in the contract is $70,000 - $50,000 = $20,000, so the whole $10,000 withdrawal is treated as earnings and is taxable as ordinary income, with a 10% penalty on the taxable amount if the owner is under 59½. B would be the result under the first-in, first-out treatment of a non-MEC policy, C has no basis, and D is the total gain rather than the amount withdrawn.

Practice Questions 13-17: HSAs, Annuity Bonuses and Disability Tax

HSA distributions, how a premium bonus is treated, the tax treatment of employer-paid disability benefits and the QLAC and required minimum distributions.

Question 13 (Chapter 6)

Which of the following statements about the taxation of Health Savings Account (HSA) distributions is correct?

  • A) Distributions for non-medical expenses before age 65 are tax-free but subject to a 10% penalty.
  • B) Distributions for qualified medical expenses are taxable as ordinary income.
  • C) Distributions for qualified medical expenses are tax-free and penalty-free at any age.
  • D) Distributions for qualified medical expenses after age 65 are subject to a 20% penalty.
Show answer & explanation

Answer: C

HSA distributions used to pay for qualified medical expenses are always tax-free and penalty-free, regardless of the account holder's age. This is a key advantage of HSAs. Option A is incorrect because non-medical distributions before age 65 are subject to ordinary income tax AND a 20% penalty (not tax-free). Option B is incorrect because qualified medical distributions are tax-free, not taxable. Option D is incorrect because after age 65, while non-medical distributions are taxable as ordinary income, there is no penalty; qualified medical distributions remain tax-free and penalty-free.

Question 14 (Chapter 6)

An Arizona resident purchases a fixed indexed annuity with a 10% bonus applied to the initial premium of $50,000. Which of the following is true regarding the bonus?

  • A) The bonus is immediately taxable as ordinary income.
  • B) The bonus is subject to a 10-year vesting schedule and is forfeited if the contract is surrendered early.
  • C) The bonus is credited to the accumulation value and grows tax-deferred, but it is not part of the owner's investment in the contract.
  • D) The bonus increases the initial investment in the contract for tax purposes.
Show answer & explanation

Answer: C

C is correct. A premium bonus is credited by the insurer to the contract's accumulation value, so $5,000 is added to the $50,000 and the whole amount grows tax-deferred. The owner's investment in the contract (cost basis) stays at the $50,000 actually paid, so the bonus is gain that will be taxed when withdrawn. A is wrong because nothing is taxed at the time the bonus is credited. B is wrong because vesting schedules exist in some contracts but are not a universal feature. D is wrong because the bonus does not increase the owner's basis.

Question 15 (Chapter 6)

Which statement correctly describes a key difference between a Health Reimbursement Account (HRA) and a Health Savings Account (HSA)?

  • A) HSAs require enrollment in a High Deductible Health Plan (HDHP), while HRAs do not.
  • B) HRAs are funded by employee pre-tax contributions, while HSAs are funded solely by employers.
  • C) HRAs allow unused funds to be taken by the employee upon termination of employment, while HSAs do not.
  • D) HSAs are owned by the employer, while HRAs are owned by the employee.
Show answer & explanation

Answer: A

A is correct. To open and fund an HSA an individual must be covered by a qualifying high-deductible health plan; an HRA is an employer-funded arrangement with no such plan requirement. B reverses the funding: HRAs are employer-funded, HSAs may be funded by the employee, the employer or both. C is wrong because unused HRA amounts generally stay with the employer while HSA funds are portable. D reverses ownership: the HSA belongs to the individual, the HRA is the employer's arrangement.

Question 16 (Chapter 6)

Which statement accurately describes the federal income tax treatment of benefits received from an employer-paid group disability income insurance policy?

  • A) Benefits are always tax-free regardless of who pays the premium.
  • B) Benefits are tax-free if the employee pays the premium with after-tax dollars.
  • C) Benefits are taxable if the employer pays any portion of the premium.
  • D) Benefits are taxable only if the employee pays the premium with pre-tax dollars.
Show answer & explanation

Answer: C

For group disability income policies, if the employer pays any portion of the premium, the benefits received by the employee are taxable as ordinary income to the extent of the employer's contribution. If the employee pays 100% of the premium with after-tax dollars, benefits are tax-free. Option A is incorrect because employer payment makes benefits taxable. Option B is incomplete—it only applies if the employee pays 100% with after-tax dollars, which is not stated. Option D is incorrect because pre-tax employee payments (e.g., via Section 125) also result in taxable benefits.

Question 17 (Chapter 6)

An employer provides a group disability income policy where the employer pays 100% of the premium. An employee becomes disabled and begins receiving monthly benefits. Which of the following is true regarding the taxation of these benefits?

  • A) The benefits are fully taxable as ordinary income.
  • B) The benefits are partially taxable based on the employee's salary.
  • C) The benefits are tax-free because disability income is never taxable.
  • D) The benefits are tax-free if the employee uses them for medical expenses.
Show answer & explanation

Answer: A

A is correct because when the employer pays 100% of the premium for a group disability income policy, the benefits are considered to be paid with pre-tax or tax-deductible dollars, making the entire benefit taxable as ordinary income to the employee. B is incorrect because taxability is not based on salary level. C is incorrect because disability income can be taxable depending on premium payment. D is incorrect because there is no general tax exclusion for disability benefits used for medical expenses.

The Mistakes That Cost Marks

Applying first-in, first-out to an annuity or a MEC. Withdrawals from a non-qualified deferred annuity or a modified endowment contract are taxed on earnings first, and a 10% penalty can apply below 59 and a half (Questions 2 and 12).

Treating period certain as a life contingency. If the annuitant dies inside the guaranteed period, the beneficiary receives the remaining payments (Question 1).

Reversing the exclusion ratio. It is the share of each payment that is a return of the investment in the contract, and it is not taxed (Question 7).

Mixing up FSAs, HRAs and HSAs. FSAs carry a use-it-or-lose-it rule and an election made before the plan year, HRAs are employer-funded, and only an HSA requires a high-deductible health plan (Questions 3, 8, 11 and 13).

Counting a bonus as basis. The bonus grows tax-deferred but does not increase the owner's investment in the contract (Questions 14 and 15).

Forgetting who paid the disability premium. Employer-paid premiums make benefits taxable to that extent (Question 16).

Your Next Step

Practice by topic until you are comfortably above 70% on mixed questions, then move to the next block. Preview the Arizona Life & Health course to hear how the audio lessons cover this section, and use the Arizona Life & Health practice question hub to find the other topic sets.

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