Exam 16: Employee Benefits: Group Life and Health Insurance

A deductible that must be satisfied after the benefits of a basic medical expense plan are exhausted and before supplemental major medical benefits are payable is called a(n)

Doris started a business 2 years ago.The business has been successful,and Doris is thinking about starting to offer some employee benefits for her workers.She plans to offer a group term life insurance benefit.All of the following are usual eligibility requirements for participation in a group life insurance plan EXCEPT

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)

ABC Company provides a group health insurance plan for its employees.The plan is a basic medical expense plan with supplemental major medical.While the basic plan provides first-dollar coverage,employees must pay a deductible once the basic insurance limit is met and before the supplemental major medical plan begins to provide benefits.This deductible is called a(n)

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

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 cafeteria plans is (are)true? I.Unspent flexible spending account balances are refunded to the employee,tax-free,at year-end. II.Cafeteria plans enable employees to select benefits that meet their specific needs.

All of the following statements about group short-term disability income plans are true EXCEPT

Which of the following statements about managed care plans is (are)true? I.Even though managed care plans emphasize cost control,total health benefit costs continue to increase. II.Many physicians are critical of managed care plans because of restrictions placed upon their freedom to treat patients.