17 Free Pennsylvania Life & Health Practice Questions: Federal Tax, Retirement Plans and Underwriting (2026)

14 min read|Updated 2026-10-23

How to Use This Set

The outline's Federal Tax Considerations block (section 13.0) is small: 2%, about 3 scored questions. This set is wider than that block on purpose, because tax treatment, retirement plans and underwriting practice are background to questions in the life and health sections, and privacy rules are part of the Pennsylvania law the outline covers (31 Pa. Code Ch. 146a).

The 17 questions come from LanePrep's Pennsylvania L&H quiz bank. They cover IRAs and Roth IRAs, employer plans, HSAs, the tax treatment of premiums, benefits and dividends, the transfer-for-value rule, and the underwriting tools producers meet.

Ask who paid with which dollars. Pre-tax in usually means taxed out; after-tax in usually means tax-free out.

Practice Questions 1-6: Tax Treatment of Plans, Premiums and Benefits

IRAs, employer-paid premiums, HSAs, delivery with a Statement of Good Health, LTC benefits and transfer for value.

Question 1 (Chapter 5)

A Pennsylvania small business owner establishes a Traditional Individual Retirement Account (IRA) for himself. He makes pre-tax contributions to this IRA annually. Which of the following statements accurately describes the tax treatment of his contributions and the growth within this Traditional IRA?

  • A) Contributions are made with after-tax dollars, and qualified withdrawals in retirement are tax-free.
  • B) Contributions are never tax-deductible, but the growth is tax-exempt.
  • C) Contributions are always tax-deductible, and withdrawals are tax-free if taken after age 59½.
  • D) Contributions may be tax-deductible, and the funds grow tax-deferred until withdrawal.
Show answer & explanation

Answer: D

For a Traditional IRA, contributions may be tax-deductible (pre-tax), meaning they reduce current taxable income. The funds then grow tax-deferred, meaning taxes on investment gains are postponed until withdrawal. Withdrawals in retirement are generally taxed as ordinary income. Option A describes a Roth IRA. Option B is incorrect as contributions can be deductible and growth is deferred, not exempt. Option C is incorrect because contributions are not always deductible (depends on income and other retirement plans), and withdrawals are taxed as ordinary income, not tax-free.

Question 2 (Chapter 5)

A manufacturing company in Harrisburg, Pennsylvania, provides a group health insurance plan for its employees. The company pays 100% of the premiums for all employees. How are these employer-paid premiums generally treated for federal income tax purposes for the employer?

  • A) The employer-paid premiums are considered taxable income to the employees.
  • B) The employer-paid premiums are not deductible for the company, but the benefits are tax-free to employees.
  • C) The employer-paid premiums are subject to a 10% excise tax for the employer.
  • D) The employer-paid premiums are a tax-deductible business expense for the company.
Show answer & explanation

Answer: D

Employer-paid premiums for group health insurance are generally considered a tax-deductible business expense for the employer. This encourages employers to provide health coverage. The premiums are typically not considered taxable income to the employees (A). Option B is incorrect because the premiums are deductible. Option C is incorrect as there is no such excise tax.

Question 3 (Chapter 5)

Which of the following statements accurately describes a key characteristic of a Health Savings Account (HSA)?

  • A) HSAs are employer-funded accounts that are 'use-it-or-lose-it' at the end of the year.
  • B) HSAs require enrollment in a high-deductible health plan (HDHP) and offer a 'triple tax advantage'.
  • C) HSAs are typically funded by both the employer and employee, but funds cannot be rolled over year-to-year.
  • D) HSAs are designed for employees of public schools and tax-exempt organizations only.
Show answer & explanation

Answer: B

Health Savings Accounts (HSAs) require enrollment in a high-deductible health plan (HDHP) to be eligible. They offer a 'triple tax advantage': contributions are tax-deductible, funds grow tax-free, and qualified withdrawals for medical expenses are tax-free. Unlike FSAs, HSA funds roll over year-to-year and are portable. Option A describes an FSA. Option C is incorrect as funds do roll over. Option D describes a 403(b) or specific tax-sheltered annuities, not HSAs.

Question 4 (Chapter 5)

Ms. Lee applies for a health insurance policy in Pennsylvania but chooses not to pay the initial premium with the application. The insurer approves her application and sends the policy to the producer for delivery. What must happen at the time of policy delivery for the coverage to become effective?

  • A) Ms. Lee must sign a new application form.
  • B) The producer must obtain a new medical exam for Ms. Lee.
  • C) The policy automatically becomes effective upon the producer receiving it from the insurer.
  • D) Ms. Lee must pay the initial premium and usually sign a Statement of Good Health.
Show answer & explanation

Answer: D

If the initial premium is not paid with the application, coverage does not become effective until the policy is delivered, the initial premium is paid, and the applicant signs a Statement of Good Health. The Statement of Good Health confirms that the applicant's health has not changed materially since the application was taken. Options A, B, and C are incorrect regarding the standard procedure for policy effectiveness when the premium is not paid upfront.

Question 5 (Chapter 5)

Regarding the taxation of Long-Term Care (LTC) insurance, how are the benefits typically treated for the insured?

  • A) Benefits are generally received income-tax-free, provided the policy is a qualified LTC contract.
  • B) Benefits are fully taxable as ordinary income.
  • C) Benefits are taxable only if they exceed the cost of the care provided.
  • D) Benefits are treated as a return of premium and are taxable only after the basis is recovered.
Show answer & explanation

Answer: A

Qualified Long-Term Care insurance benefits are generally received income-tax-free, similar to life insurance death benefits, as they are intended to reimburse for qualified long-term care services.

Question 6 (Chapter 5)

Under the 'transfer for value' rule, what happens if a life insurance policy is sold to another party for valuable consideration?

  • A) The death benefit remains entirely tax-free.
  • B) The policy is automatically converted into a MEC.
  • C) The cash value becomes immediately taxable.
  • D) The death benefit loses its tax-exempt status, and the gain is taxable as ordinary income.
Show answer & explanation

Answer: D

The transfer for value rule states that if a policy is transferred for money or other value, the death benefit may become taxable to the extent that it exceeds the consideration paid plus subsequent premiums.

Get the 25-question sample set by email

Want a full-exam practice set to study offline? Drop your email — we'll send 25 questions across every content area, each with the answer and explanation.

No spam. Just the questions and one optional follow-up.

Practice Questions 7-12: Underwriting Tools, Roth Comparison and Privacy

The producer's report, the MIB, settlement-option interest, employer plans and the privacy rules for health information.

Question 7 (Chapter 5)

What is the primary function of the 'Producer's Report' in the underwriting process?

  • A) To calculate the final premium amount.
  • B) To serve as the official medical record for the applicant.
  • C) To guarantee that the policy will be issued.
  • D) To provide the insurer with the producer's personal observations about the applicant.
Show answer & explanation

Answer: D

The producer's report is a confidential statement by the agent to the insurer, detailing their knowledge of the applicant's financial condition, character, and potential risks.

Question 8 (Chapter 5)

What is the main tax difference between a Traditional IRA and a Roth IRA regarding withdrawals?

  • A) Traditional IRA withdrawals are taxed as ordinary income; qualified Roth IRA withdrawals are tax-free.
  • B) Traditional IRA withdrawals are always tax-free; Roth IRA withdrawals are always taxable.
  • C) Both are always tax-free.
  • D) Both are always fully taxable.
Show answer & explanation

Answer: A

Traditional IRA contributions are often pre-tax, so withdrawals are taxed as income. Roth IRA contributions are after-tax, so qualified withdrawals are tax-free.

Question 9 (Chapter 5)

What is the primary role of the Medical Information Bureau (MIB)?

  • A) To act as the primary insurer for high-risk applicants.
  • B) To regulate insurance rates in Pennsylvania.
  • C) To provide free medical advice to policyholders.
  • D) To provide a central database for insurers to share medical information about applicants to prevent fraud.
Show answer & explanation

Answer: D

The MIB is a non-profit trade association that stores medical information on applicants. Insurers use it to verify the accuracy of medical information provided by applicants.

Question 10 (Chapter 5)

Mr. Henderson, a beneficiary in Pennsylvania, receives a $250,000 life insurance death benefit. Instead of a lump sum, he chooses a settlement option that pays out the principal over 10 years, along with an additional $5,000 in interest annually. How is the $5,000 annual interest generally treated for federal income tax purposes?

  • A) The entire $5,000 annual interest is tax-free, similar to the death benefit principal.
  • B) Only the portion of interest exceeding 10% of the death benefit is taxable.
  • C) The $5,000 annual interest is considered taxable income to Mr. Henderson.
  • D) The interest is tax-deferred until all the principal has been paid out.
Show answer & explanation

Answer: C

While the death benefit principal from a life insurance policy is generally received income-tax-free, any interest paid under a settlement option is considered taxable income to the beneficiary. This is a key distinction in the taxation of life insurance settlements.

Question 11 (Chapter 5)

An employer in Scranton, Pennsylvania, offers a 401(k) retirement plan to its employees and provides a matching contribution. How are the employer's contributions to an employee's 401(k) generally treated for federal income tax purposes for the employee?

  • A) They are considered tax-deferred income and are not taxed until withdrawn by the employee in retirement.
  • B) They are immediately taxable as ordinary income to the employee in the year they are contributed.
  • C) They are tax-free income to the employee, similar to a gift.
  • D) They are taxed as capital gains when the employee retires.
Show answer & explanation

Answer: A

Employer contributions to a qualified plan like a 401(k) are considered tax-deferred income for the employee. The employee does not pay income tax on these contributions in the year they are made. Instead, taxes are deferred until the funds are withdrawn during retirement.

Question 12 (Chapter 5)

During the underwriting process for a life insurance policy, an insurer in Pennsylvania requests the applicant's medical records from their physician. Which federal and state regulations primarily govern the privacy and disclosure of this health information?

  • A) The Fair Credit Reporting Act (FCRA) and the Unfair Insurance Practices Act (UIPA).
  • B) The Employee Retirement Income Security Act (ERISA) and the Pennsylvania Insurance Guaranty Association Act.
  • C) The Health Insurance Portability and Accountability Act (HIPAA) and 31 Pa. Code Ch. 146a (Privacy of Consumer Financial and Health Information).
  • D) The Social Security Act and the Pennsylvania Workers' Compensation Act.
Show answer & explanation

Answer: C

The Health Insurance Portability and Accountability Act (HIPAA) sets national standards for the protection of individually identifiable health information. In Pennsylvania, 31 Pa. Code Ch. 146a specifically addresses the privacy of consumer financial and health information, complementing federal regulations. Insurers must comply with these laws when requesting and using medical records for underwriting.

Practice Questions 13-17: Dividends, Rating Classes and Rollovers

How dividends are taxed against basis, what substandard means, and the 403(b) and rollover rules.

Question 13 (Chapter 5)

Mr. Kim, a Pennsylvania policyholder, has a participating whole life insurance policy. Over the years, he has paid $20,000 in premiums. He has received $18,000 in dividends to date. This year, he receives an additional dividend of $3,000. How will this most recent $3,000 dividend be treated for federal income tax purposes?

  • A) The entire $3,000 dividend is tax-free.
  • B) $2,000 of the dividend is tax-free, and $1,000 is taxable as ordinary income.
  • C) The entire $3,000 dividend is taxable as ordinary income.
  • D) $2,000 of the dividend is taxable, and $1,000 is tax-free.
Show answer & explanation

Answer: B

Dividends from a participating life insurance policy are generally considered a return of unused premium and are tax-free up to the policy's cost basis (total premiums paid). Once the cumulative dividends received exceed the total premiums paid, any further dividends are considered taxable income. In this scenario, Mr. Kim has paid $20,000 in premiums and received $18,000 in dividends. The next $2,000 of the current $3,000 dividend ($20,000 - $18,000) will be tax-free, bringing his total tax-free dividends to $20,000. The remaining $1,000 of the current dividend ($3,000 - $2,000) will be taxable as ordinary income.

Question 14 (Chapter 5)

An insurer classifies an applicant as 'substandard' during the underwriting process. What is the most likely outcome for this applicant?

  • A) The application is automatically declined.
  • B) The policy is issued with a higher premium due to increased risk.
  • C) The policy is issued at the standard rate but with a shorter term.
  • D) The insurer must provide a lower death benefit for the same premium.
Show answer & explanation

Answer: B

A 'substandard' classification means the applicant represents a higher-than-average risk. The insurer typically compensates for this by charging a higher 'rated' premium.

Question 15 (Chapter 5)

An employer in Pennsylvania offers a 403(b) plan. Who is this plan primarily designed for?

  • A) Employees of public schools and certain non-profit organizations.
  • B) Employees of for-profit corporations.
  • C) Self-employed individuals with no employees.
  • D) Government employees at the federal level only.
Show answer & explanation

Answer: A

403(b) plans, also known as tax-sheltered annuities (TSAs), are specifically designed for employees of public school systems and certain 501(c)(3) tax-exempt organizations.

Question 16 (Chapter 5)

A producer is helping a client roll over funds from a 401(k) to an IRA. What is the advantage of a 'direct transfer' over a 'rollover'?

  • A) The client gets to keep the money for 60 days.
  • B) It allows the client to invest in non-qualified assets.
  • C) It avoids the 20% mandatory federal tax withholding and the 60-day deadline risk.
  • D) It is the only way to avoid income taxes entirely.
Show answer & explanation

Answer: C

A direct transfer (trustee-to-trustee) avoids the 20% mandatory withholding that applies to indirect rollovers and eliminates the risk of missing the 60-day window, which would trigger taxes and potential penalties.

Question 17 (Chapter 5)

A client is considering a Traditional IRA. What is the tax treatment of the withdrawals in retirement?

  • A) They are tax-free.
  • B) They are taxed as ordinary income.
  • C) They are taxed as long-term capital gains.
  • D) They are only taxed if the withdrawal exceeds the original contribution.
Show answer & explanation

Answer: B

Since contributions to a Traditional IRA are typically tax-deductible (pre-tax), the entire amount withdrawn in retirement is taxed as ordinary income.

The Mistakes That Cost Marks

  • Reading every withdrawal as tax-free. Traditional IRA withdrawals are ordinary income; qualified Roth withdrawals are not.
  • Taxing the death benefit but not the interest. The principal is generally income-tax-free; interest paid under a settlement option is taxable.
  • Counting dividends wrongly. A participating policy's dividends are tax-free up to basis and taxable beyond it.
  • Mixing up HSA and FSA. An HSA needs a high-deductible plan and rolls over; an FSA is use-it-or-lose-it.
  • Choosing an indirect rollover without the cost. A direct transfer avoids mandatory withholding and the 60-day deadline risk.

Your Next Step

You have just worked through 17 questions on this topic. To practise the whole exam in the same style, open the free Pennsylvania L&H course preview, which includes audio lessons and the full quiz format.

For more free sets by section, go to the Pennsylvania L&H practice question hub. If you are weighing the exam itself, read how hard it is and how to pass it first time.

Free: 25 Pennsylvania L&H practice questions

Liked this article? Get 25 exam-style questions emailed to you — with full answer explanations, no credit card. Closest thing to studying offline.

No spam. Just the questions and one optional follow-up.

Study this topic with LanePrep

Listen to these audio chapters on your commute — no screen required.

Related Articles

Ready to start studying?

Listen to Chapter 1 free — no signup required. Audio lessons you can take anywhere.