Exam 16: Employee Benefits: Group Life and Health Insurance

Which of the following statements about group short-term disability income plans is true?

A managed care plan under which members can receive medical care from non-network providers at higher out-of-pocket costs is an example of a(n)

Most group health insurance plans have adopted the coordination-of-benefits rules developed by the National Association of Insurance Commissioners.Under these rules,if a dependent child is covered by both of the health insurance plans of the child's married parents,which health plan is primary for the child's medical expenses?

The period of time during which an employee can sign up for group insurance coverage without furnishing evidence of insurability is called a(n)

Which of the following statements about recent developments in group medical coverage is (are)true? I.After increasing for many years,the premiums for group medical expense coverage have finally started to decline. II.A growing number of employers are offering plans with higher deductibles for employees.

Which of the following statements regarding recent developments in employer-sponsored health plans is (are)true? I.Preferred provider organizations (PPOs)continue to dominate group health insurance markets. II.The number of employers offering medical benefits to workers who retire early has increased.

A key feature of group medical expense plans is the employee being required to pay a percentage of covered expenses in excess of the deductible.This feature is

Turner Company self-insures its group life and group health insurance plans.Turner entered into an agreement with ABC Insurance through which ABC handles the plan design,claims processing,and record keeping for Turner.The agreement between Turner and ABC is called a(n)

An employer-funded plan with favorable tax advantages,which repays employees for medical care not covered by the employer's standard medical plan is a(n)

Many group insurers contact employers and arrange for their individual insurance producers to meet with interested employees at the workplace to conduct sales interviews.This distribution method is called a

Which of the following is a provision of the Affordable Care Act?

Under many cafeteria plans,employees make premium contributions with pre-tax dollars.Then they use money from the salary reduction to purchase group health insurance or dental insurance.This type of cafeteria plan is called a

Connors Company self-funds the medical expense benefits that it provides to its employees.Connors Company has a contract with a commercial health insurance company providing that the health insurance company will pay all claims in excess of $250,000.The arrangement with the health insurance company is called

Which of the following statements is (are)true concerning high deductible health plans? I.An employee can withdraw money tax-free from a health savings account or health reimbursement account to pay covered medical costs. II.There is a cap on an employee's out-of-pocket expenses under the plan.

Which of the following statements regarding group long-term disability income insurance plans is (are)true? I.These plans are usually limited to occupational disabilities. II.These plans typically use a more restrictive definition of disability after an initial period,such as two years.

Maria is covered under a group medical expense plan as an employee.She is also covered under her husband's plan as a dependent.If Maria is hospitalized,how will each plan respond to her medical bills if both plans have the typical coordination-of-benefits provision?

Which of the following statements about preferred provider organization (PPO)health plans is (are)true? I.A PPO plan contracts with health care providers to provide medical services to members at reduced fees. II.Plan members are given a financial incentive to use PPO providers rather than other providers.

Which of the following statements about group insurance underwriting principles is true?

All of the following statements about cost controls in dental insurance plans are true EXCEPT

Nancy's employer provides an interesting employee benefit plan.Each employee is given 250 employee benefit credits to spend.A wide array of benefits is available,and the employee uses benefit credits to select the benefits that he or she wants.This type of employee benefit plan is called a(n)