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Chapter 13 L&H
Terms in this set (15)
Under Small Employer Medical Expense Insurance, the insurer can nonrenew the health benefit plan for all of the following, except:
High claim frequency
Group health insurance can be either community or experience rated. Experience rating is based on the employers claim experience. Community rating is:
Determined by the cost of medical care particular to the geographical area the insured is located.
Generally, regulatory jurisdiction over a group insurance plan belongs to the insurance commissioner of:
The state in which the group contract was delivered to the policyowner
Which is true regarding the advertising of accidental sickness insurance?
When insurers advertise that a group endorsed a certain health product, the public must be made aware of any control the insurer may have regarding the group
Employers are obligated to provide notification statements to individuals eligible for COBRA continuation under all of the following circumstances, except:
Every time a claim is filed
When a group is covered by a MET, who is issued the Master Policy?
When employers who self-fund their employee benefits form a larger group in order to offer health insurance benefits to each employer's workers, it is called a (an):
Multiple Employer Welfare Association (MEWA)
Which provision of group health plans is used to determine primary and secondary coverage when an insured is covered by more than one insurance plan?
coordination of benefits
A small employer health benefit plan may be nonrenewed for all of the following reasons, except:
A high number of claims
The federal law that governs employer-sponsored employee retirement and welfare and benefit plans is:
The main benefit of 501(c)9 trusts is:
Contributions to these trusts may be deducted immediately, instead of when benefits are distributed
The employees of Ace Trucking company must each pay a portion of the premium for their group insurance. This means they are members of a:
Contributory group plan
Small employer plan preexisting conditions may not be excluded for any longer than ______ months.
Which of the following is true regarding COBRA coverage?
All of the answers listed
Which of the following laws requires similar treatment of physical and mental conditions?
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If an employee voluntarily leaves before being vested, he or she loses the contribution made by the employer as well as his or her own.
A premium is the best kind of insurance (T/F).
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