17 Free Washington Life & Health Practice Questions: Annuities and Federal Tax (2026)

15 min read|Updated 2026-10-23

How to Use This Annuities and Federal Tax Set

Annuities has 9 items on the combined outline and Federal Tax Considerations for Life and Health Insurance has 6. They are small sections, but they are the ones where candidates need the most worked practice, because the answers depend on which tax rule applies to which contract, not on recall alone.

The set starts with tax on withdrawals from life policies and annuities, then moves through payout options and ownership questions, and finishes with tax on health premiums and benefits and a worked withdrawal example. Keep the order of withdrawal clear: first in, first out for non-MEC life policies, and last in, first out for annuities and MECs.

Annuities has 9 items and Federal Tax Considerations for Life and Health Insurance has 6 items on the PSI combined Life and Disability outline.

Practice Questions 1-6: Withdrawals, Disability Benefits, MECs and Long-Term Care

Basis and withdrawals from life policies, taxation of disability benefits, variable annuity earnings, the last-in first-out rule, MEC status and qualified long-term care benefits.

Question 1 (Chapter 6)

Which statement accurately describes the taxation of a non-MEC life insurance policy's cash value withdrawal that exceeds the policy's basis?

  • A) The entire withdrawal is income-tax-free.
  • B) The withdrawal is taxed as ordinary income to the extent it exceeds the policy's basis (premiums paid).
  • C) The withdrawal is subject to a 10% early withdrawal penalty regardless of age.
  • D) The withdrawal is taxed as capital gains.
Show answer & explanation

Answer: B

B is correct because withdrawals from a life insurance policy's cash value are taxed under the FIFO (first-in, first-out) rule: amounts up to the basis (total premiums paid) are tax-free, and any amount exceeding the basis is taxed as ordinary income. A is incorrect because only the portion up to the basis is tax-free. C is incorrect because the 10% penalty applies only to Modified Endowment Contracts (MECs) or if the policyholder is under 59½ and takes a distribution from a qualified plan, not to standard life insurance policy withdrawals. D is incorrect because life insurance cash value withdrawals are not taxed as capital gains; they are taxed as ordinary income when exceeding basis.

Question 2 (Chapter 6)

A Washington resident receives disability income benefits from an individual policy they purchased with after-tax dollars. How are these benefits taxed?

  • A) Income-tax-free because premiums were paid with after-tax dollars.
  • B) Fully taxable as ordinary income.
  • C) Taxable only if the benefits exceed the policyholder's lost wages.
  • D) Subject to a 20% excise tax.
Show answer & explanation

Answer: A

A is correct because disability income benefits are tax-free if the premiums were paid with after-tax dollars, as the benefits are considered a return of after-tax premiums. B is incorrect because benefits are only taxable if premiums were paid with pre-tax dollars (e.g., through an employer plan). C is incorrect because there is no lost-wages threshold for taxation; the key factor is whether premiums were pre-tax or after-tax. D is incorrect because disability benefits are not subject to an excise tax; they are either taxable or tax-free based on premium funding.

Question 3 (Chapter 6)

A variable annuity sub-account invests in equity securities. During the accumulation period, the sub-account realizes a capital gain from selling stocks. How is this gain treated for tax purposes within the annuity?

  • A) The gain is distributed to the annuity owner annually and taxed as capital gains.
  • B) The gain is subject to immediate ordinary income tax.
  • C) The gain is exempt from taxation because it is inside an insurance product.
  • D) The gain is reinvested and grows tax-deferred within the annuity contract.
Show answer & explanation

Answer: D

D is correct because all earnings, including capital gains, dividends, and interest, within a variable annuity's sub-accounts grow tax-deferred. They are not distributed or taxed until withdrawal. A is incorrect because gains are not distributed annually; they remain invested and tax-deferred. B is incorrect because gains are not taxed as ordinary income during accumulation; they are tax-deferred. C is incorrect because while taxation is deferred, it is not exempt; earnings are taxed as ordinary income upon withdrawal.

Question 4 (Chapter 6)

An annuity owner makes a withdrawal from a non-MEC deferred annuity during the accumulation period. The amount withdrawn exceeds the owner's basis in the contract. How is this withdrawal taxed under federal income tax rules?

  • A) The entire withdrawal is taxed as ordinary income.
  • B) The withdrawal is taxed using the exclusion ratio, with only the earnings portion taxable.
  • C) The withdrawal is tax-free up to the amount of the basis, with earnings taxed as capital gains.
  • D) The withdrawal is taxed as ordinary income to the extent it exceeds the basis (last-in, first-out rule).
Show answer & explanation

Answer: D

For non-MEC annuities, withdrawals during the accumulation period follow the last-in, first-out (LIFO) rule: amounts are considered to come from earnings first and are taxed as ordinary income until the earnings are exhausted; only then is the basis returned tax-free. Thus, the portion exceeding the basis is taxed as ordinary income. Option A is incorrect because the basis portion is not taxed. Option B describes annuitization, not withdrawal. Option C is incorrect because earnings are taxed as ordinary income, not capital gains.

Question 5 (Chapter 6)

Which statement accurately describes a key feature of a Modified Endowment Contract (MEC) as defined by federal tax law?

  • A) A life insurance policy becomes a MEC if it fails the 7-pay test, causing withdrawals to be taxed as ordinary income first (LIFO).
  • B) Death benefits from a MEC are subject to federal income tax.
  • C) Withdrawals from a MEC are taxed using the exclusion ratio during annuitization.
  • D) MECs are exempt from state insurance regulation and oversight.
Show answer & explanation

Answer: A

Under IRC § 7702A, a life insurance policy that fails the 7-pay test is classified as a Modified Endowment Contract (MEC). For MECs, cash value withdrawals and loans are taxed using the last-in, first-out (LIFO) rule, meaning earnings are withdrawn and taxed as ordinary income before the basis is accessed. Option B is incorrect because death benefits from a MEC remain income-tax-free. Option C is incorrect because the exclusion ratio applies to annuitization of non-MEC annuities, not MEC withdrawals. Option D is false; MECs remain subject to state insurance regulation.

Question 6 (Chapter 6)

Which of the following statements is true regarding the taxation of long-term care insurance benefits received under a qualified policy?

  • A) Benefits are always taxable as ordinary income.
  • B) Benefits are taxable only if they exceed the actual cost of long-term care services received.
  • C) Benefits are tax-free only if the policyholder is permanently disabled.
  • D) Benefits received under a qualified long-term care insurance contract are generally excluded from income, subject to certain daily limits.
Show answer & explanation

Answer: D

Under the Health Insurance Portability and Accountability Act (HIPAA), benefits received from a qualified long-term care insurance contract are generally excluded from the insured's gross income, provided they do not exceed certain statutory daily or periodic limits (e.g., the IRS per-diem limit for the year, adjusted annually). Option A is incorrect because benefits are not automatically taxable. Option B is incorrect because there is no such 'actual cost' threshold for taxation. Option C is incorrect because tax-free treatment depends on the qualification of the contract and the limits, not permanent disability status.

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Practice Questions 7-12: Payout Options, Ownership, HSAs and Health Premiums

A period certain payout, rights after an owner's death, HSAs, per-diem long-term care benefits, FSAs and the deductibility of medical premiums.

Question 7 (Chapter 6)

An annuity contract specifies a life income with 10-year period certain payout option. The annuitant dies 15 years after the annuity start date. What is the status of payments at the time of the annuitant's death?

  • A) Payments stop immediately, as the life contingent period has ended.
  • B) Payments continue to the beneficiary because the 10-year period certain is still in effect.
  • C) The beneficiary receives a lump-sum commuted value of the remaining payments.
  • D) Payments stop immediately because both the life and period certain guarantees have expired.
Show answer & explanation

Answer: D

A life income with 10-year period certain guarantees payments for the longer of the annuitant's life or 10 years. If the annuitant dies 15 years after the start date, they have lived beyond the 10-year guarantee period, so the life contingency has paid for 15 years and the period certain expired 5 years prior. At death, neither the life contingency (since the annuitant is deceased) nor the period certain (since it expired earlier) obligates further payments. Thus, payments stop immediately. Options A and B are incorrect because they misapply the guarantees. Option C is incorrect because period certain options do not typically commute to a lump sum upon death after the guarantee period.

Question 8 (Chapter 6)

A Washington resident purchases a deferred fixed annuity and names their spouse as the annuitant and their child as the beneficiary. The owner dies during the accumulation period. Who has the right to surrender the contract or change the beneficiary designation?

  • A) The spouse, as the annuitant, has all contractual rights.
  • B) The child, as the beneficiary, inherits the contract upon the owner's death.
  • C) The owner's estate, as the owner's rights transfer to the estate upon death.
  • D) A successor owner, if one was named in the contract; otherwise, the contract terms dictate the next steps.
Show answer & explanation

Answer: D

The owner holds all contractual rights in an annuity, including the right to surrender, change beneficiaries, and select payout options. Upon the owner's death, these rights do not automatically transfer to the annuitant or beneficiary. If a successor owner was named in the contract, that person assumes the owner's rights. If not, the contract's terms and the insurance company's rules determine how the contract is handled, which may involve the estate or a designated successor. The annuitant's life only determines the payout amount; the beneficiary only receives proceeds upon the annuitant's death.

Question 9 (Chapter 6)

Which of the following is a defining characteristic of a Health Savings Account (HSA) that distinguishes it from a Flexible Spending Account (FSA) or Health Reimbursement Arrangement (HRA)?

  • A) Funds in the account must be used by the end of the plan year or are forfeited.
  • B) Only the employer can contribute to the account on behalf of the employee.
  • C) The account is owned by the individual, is portable, and allows unused funds to roll over from year to year.
  • D) The account can be used to pay for health insurance premiums without any restrictions.
Show answer & explanation

Answer: C

A key distinguishing feature of an HSA is that it is owned by the individual, not the employer. This makes it portable—it stays with the employee if they change jobs or leave the workforce. Additionally, unlike an FSA (which generally has a 'use-it-or-lose-it' provision), HSA funds roll over from year to year indefinitely if not used. While HSAs can be used to pay for certain health insurance premiums (like long-term care insurance, COBRA, or unemployment compensation premiums, and Medicare premiums after age 65), they cannot be used to pay for typical individual market health insurance premiums without tax consequences. HRAs are employer-owned and funded, and FSAs are employer-established but funded by employee salary reduction (with possible employer contributions).

Question 10 (Chapter 6)

A Washington resident receives long-term care insurance benefits from a qualified long-term care insurance contract. The benefits are paid on a per-diem basis and total $250 per day. How are these benefits treated for federal income tax purposes?

  • A) The entire $250 per day is taxable as ordinary income.
  • B) The benefits are tax-free only if used to pay for licensed long-term care facility services.
  • C) The benefits are excluded from income up to certain IRS limits; any amount exceeding the daily limit is taxable.
  • D) The benefits are tax-free if the recipient is chronically ill, regardless of the amount received per day.
Show answer & explanation

Answer: C

Benefits received from a qualified long-term care insurance contract are generally excludable from income for federal income tax purposes, but only up to certain limits set by the IRS. For per-diem or periodic payment benefits (as opposed to reimbursement for actual expenses incurred), there is a maximum daily amount that can be excluded. For 2026, this limit is the IRS per-diem limit for the year. Since the benefit of $250 per day is below this limit, the entire amount would be excludable. However, if the benefit exceeded the daily limit, the excess would be taxable as ordinary income. The key point is that exclusion is not automatic; it is subject to these statutory limits. The recipient must also be chronically ill as defined by the Internal Revenue Code for the benefits to qualify for this favorable tax treatment.

Question 11 (Chapter 6)

An employee in Washington contributes $2,800 to their employer's Flexible Spending Account (FSA) for medical expenses via salary reduction. They incur $3,200 in qualified medical expenses during the plan year. Which statement is true regarding the tax and use rules for these FSA funds?

  • A) The employee can be reimbursed for the full $3,200 in expenses, and the additional $400 will roll over to the next plan year.
  • B) The $2,800 contribution is included in the employee's gross income but is deductible as a medical expense if they itemize.
  • C) The employer must contribute an equal amount to the FSA for the employee's contributions to be tax-free.
  • D) The employee can only be reimbursed up to $2,800, and any unused funds are forfeited at the end of the plan year.
Show answer & explanation

Answer: D

Flexible Spending Accounts (FSAs) operate under a 'use-it-or-lose-it' principle, meaning that employees must incur and submit claims for reimbursement up to the amount they elected to contribute during the plan year, or they forfeit any unused funds. In this case, the employee contributed $2,800 via salary reduction, so the maximum amount available for reimbursement is $2,800. Even though they incurred $3,200 in qualified expenses, they can only be reimbursed up to their election amount of $2,800. Any unused portion of the $2,800 is forfeited at the end of the plan year (or grace period, if offered by the employer) and does not roll over. The salary reduction contributions are made on a pre-tax basis, so they are excluded from the employee's gross income and are not subject to federal income tax, Social Security, or Medicare taxes. Employer contributions are not required for employee contributions to be tax-free.

Question 12 (Chapter 6)

Which statement correctly describes the federal income tax treatment of premiums paid for an individual accident and health insurance policy that provides coverage for medical expenses (e.g., hospital, surgical, medical)?

  • A) Premiums are deductible as a business expense for self-employed individuals.
  • B) Premiums are not deductible for federal income tax purposes.
  • C) Premiums are deductible as an itemized medical expense subject to the 7.5% of AGI floor.
  • D) Premiums are deductible only if the policy is purchased through an employer's cafeteria plan.
Show answer & explanation

Answer: C

Premiums paid for individual accident and health insurance policies covering medical expenses are deductible as an itemized medical expense on Schedule A, subject to the 7.5% of adjusted gross income (AGI) floor. They are not deductible as a business expense unless the taxpayer is self-employed and meets specific criteria (which is not stated in the question). Premiums are not deductible if paid with pre-tax dollars through a cafeteria plan, but the question does not specify this scenario. The general rule for individually purchased policies is the itemized deduction subject to the AGI floor.

Practice Questions 13-17: Section 1035, Employer Premiums, Annuitant Death and a Worked Withdrawal

Tax-free exchanges, employer-paid premiums, what happens when an annuitant who is not the owner dies, variable annuity features and a withdrawal from a deferred annuity.

Question 13 (Chapter 6)

Which statement correctly describes the federal income tax treatment of a Section 1035 exchange of a life insurance policy for an annuity contract?

  • A) The exchange is taxable to the extent the annuity's cash value exceeds the life insurance policy's basis.
  • B) The exchange is tax-free if done directly between insurers, and the annuity inherits the life insurance policy's basis for future gain calculations.
  • C) The exchange triggers immediate taxation of all gains in the life insurance policy as ordinary income.
  • D) The exchange is only tax-free if the annuity is immediate and the life insurance policy is a term policy.
Show answer & explanation

Answer: B

Under IRC Section 1035, exchanging a life insurance policy for an annuity contract is tax-free when done directly between insurers, provided no cash is received. The annuity contract assumes the basis (adjusted cost basis) of the life insurance policy for determining future taxable gains upon withdrawal or annuitization. Option A is incorrect because no gain is recognized in the exchange. Option C is incorrect as gains are not taxed at the time of exchange. Option D is incorrect because the type of annuity (immediate/deferred) or life insurance (term/permanent) does not affect the tax-free status of the exchange under Section 1035.

Question 14 (Chapter 6)

Which statement accurately describes the federal income tax treatment of premiums paid for an employer-sponsored accident and health insurance policy that provides coverage for medical expenses?

  • A) Premiums are deductible by the employee as a medical expense if they itemize deductions.
  • B) Premiums paid by the employer are excludable from the employee's gross income, and employee-paid premiums via payroll deduction are made on a pre-tax basis under a Section 125 plan.
  • C) Premiums are always taxable to the employee as wages regardless of who pays them.
  • D) Premiums are deductible by the employer only if the employee reimburses the employer for the cost.
Show answer & explanation

Answer: B

Under IRC Section 106, employer-paid premiums for accident and health insurance covering medical expenses are excludable from the employee's gross income. Additionally, if the employer offers a Section 125 cafeteria plan, employees can pay their share of premiums on a pre-tax basis through salary reduction, which also excludes those amounts from gross income and payroll taxes. Option A is incorrect because employer-paid premiums are not deductible by the employee; they are excluded from income. Option C is incorrect as the premiums are not taxable to the employee when paid by the employer or via pre-tax payroll deduction. Option D is incorrect because employer deductions are not contingent on employee reimbursement.

Question 15 (Chapter 6)

A Washington resident purchases a deferred fixed annuity with a $100,000 single premium. During the accumulation period, the annuitant (who is not the owner) dies. The owner is still alive. What happens to the annuity contract?

  • A) The annuity terminates immediately, and the death benefit is paid to the owner.
  • B) The annuity continues unchanged, as the annuitant's death does not affect the contract during the accumulation period.
  • C) The owner must elect a new annuitant within 30 days or the contract is surrendered.
  • D) The annuity automatically converts to an immediate annuity payable to the owner.
Show answer & explanation

Answer: B

During the accumulation period, the death of the annuitant (if not the owner) does not terminate the annuity or trigger a death benefit. The annuity contract remains in force, and the owner retains all rights, including the ability to name a new annuitant, surrender, or annuitize later. The death benefit is only payable upon the death of the annuitant during the annuity (payout) period if a period certain or refund feature applies. Options A, C, and D incorrectly describe consequences that only apply during the payout period or misstate contract rights.

Question 16 (Chapter 6)

Which of the following is a defining characteristic of a variable annuity during the accumulation period?

  • A) The principal is guaranteed by the insurance company against market loss.
  • B) The cash value fluctuates based on the performance of the underlying investment sub-accounts.
  • C) The interest rate is fixed for a guaranteed period, then adjusts annually.
  • D) Premiums are invested exclusively in government bonds and money market funds.
Show answer & explanation

Answer: B

A variable annuity's defining feature during the accumulation period is that the cash value is not fixed but varies based on the investment performance of the sub-accounts chosen by the owner (e.g., equity, bond, or money market funds). There is no guarantee of principal or minimum return unless a separate rider is purchased. Options A and C describe features of fixed or indexed annuities, and Option D incorrectly limits investment choices.

Question 17 (Chapter 6)

A Washington resident purchases a deferred fixed annuity with a single premium of $75,000. During the accumulation period, the contract's cash value grows to $90,000. The owner then makes a partial withdrawal of $10,000. Assuming the annuity is not a Modified Endowment Contract, how is this withdrawal taxed under federal income tax rules?

  • A) The entire $10,000 withdrawal is excluded from gross income as a return of basis.
  • B) The first $7,500 is excluded from gross income, and the remaining $2,500 is taxable as ordinary income.
  • C) The entire $10,000 withdrawal is taxable as ordinary income to the extent of earnings.
  • D) The withdrawal is tax-free because it is less than the total premiums paid.
Show answer & explanation

Answer: C

For a non-MEC annuity, withdrawals during the accumulation period are taxed on a 'gain-first' basis (LIFO). The annuity has $15,000 of earnings ($90,000 cash value - $75,000 basis). The $10,000 withdrawal comes entirely from earnings, so the full amount is taxable as ordinary income. Option A is incorrect because basis is not withdrawn first. Option B incorrectly applies a pro-rata exclusion. Option D is incorrect because the withdrawal exceeds basis and is not tax-free.

The Mistakes That Cost Marks

Using first in, first out on an annuity. Non-MEC annuity withdrawals come out earnings first, which is the last-in, first-out rule, and the same is true for a MEC.

Forgetting who paid the premium. Disability benefits are tax-free when the insured paid with after-tax dollars and taxable when the employer paid and the premium was not taxed to the employee.

Ignoring the order of the guarantee. A life income with period certain pays for the longer of the life or the period, so check whether the annuitant outlived the certain period before you pick a payment answer.

Treating the annuitant as the owner. The owner holds the contract rights. The death of an annuitant who is not the owner does not end the contract.

Mixing up HSA and FSA. The HSA belongs to the individual, is portable and rolls over. The FSA is employer-linked and has use-it-or-lose-it rules.

Your Next Step

You have worked through 17 questions on this part of the exam. Check the ones you missed against the explanations, then try the same topic again after a day. When you are ready for the full picture, start with the LanePrep course preview for audio lessons and quizzes, or return to the free Washington Life & Health practice question hub to choose your next topic.

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