Exam 16: Employee Benefits: Group Life and Health Insurance

Which of the following statements about group insurance underwriting principles is (are) true? I.If a plan is contributory, 100 percent of the eligible employees must be covered. II.Ideally, there should be a flow of older people into the group and younger people out of the group.

Which of the following statements is (are) true with regard to group life insurance? I.Most group life insurance is whole life coverage. II.Most group life insurance plans allow a modest amount of life insurance on the employee's spouse and dependent children.

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?

All of the following are reasons why employers self-insure medical expense plans EXCEPT

Which of the following statements about group accidental death and dismemberment (AD&D) insurance is (are) true? I.The principal sum is paid if the employee dies in an accident. II.A percentage of the principal sum is paid for certain types of dismemberments.

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)

Advantages of cafeteria plans include all of the following EXCEPT

Under one type of HMO, the physicians are employees of the HMO and are paid a salary and sometimes an incentive bonus to hold down costs. This type of HMO is called a(n)

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

Which of the following statements concerning managed care plans is true? I. Most employees are covered under some form of managed care plan. II. Managed care plans emphasize cost controls and preventative care.

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

An HMO physician who determines if medical care from a specialist is necessary is called a(n)

The Affordable Care Act created program that enables small firms to offer health insurance to their employees. The program provides flexibility, choice, and the convenience of on-line account management. This program is called the

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

Which of the following statements about the eligibility requirements for group insurance is true?

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 about group insurance underwriting principles is true?

HMOs typically pay network physicians or medical groups a fixed annual or monthly payment for each member, regardless of the frequency or type of service provided. This payment is called a

Under many cafeteria plans, employees make premium contributions with pre-tax dollars and a salary reduction that are used to purchase group health insurance or dental insurance. This type of cafeteria plan is called a

Which of the following statements about group term life insurance is true?