[SVL] Insurance 18

What do the individual members of a group receive as evidence that they are covered by a group health insurance policy?
A. A master policy
B. A certificate of coverage
C. A contract
D. A document of insurability

All of the following are characteristics of group health insurance EXCEPT
A. participants receive a certificate of insurance
B. it is more expensive than individual insurance
C. it is less expensive than individual insurance
D. it insures more people under one contract

Dependent coverage for employees must be made available to a participating employee's spouse or children who are under age
A. 21
B. 26
C. 25
D. 18

Insurers usually allow a period of 30 or 31 days for employees to sign up for health insurance without having to prove evidence of insurability. This period of time is known as the
A. enrollment period
B. benefits period
C. coordination of benefits
D. waiting period

A state law that requires benefits that began to be paid while a health insurance policy was in
force to continue to be paid after the policy is terminated is known as

A. extension of benefits
B. qualified benefits
C. continuation of benefits
D. COBRA

All of the following are events that terminate coverage EXCEPT

A. a non-disabled dependent child reaches age 25
B. a covered employee quits
C. a covered employee is laid off
D. the employer discontinues the coverage for a certain class of employees

All of the following could be considered dependents except the insured's
A. 26-year-old child who is disabled
B. 26-year-old child
C. adopted children
D. parents

The coordination of benefits provision provides that when a person is covered under more than one plan the
A. secondary plan pays up to its limits first and then the primary plan pays the rest
B. primary plan pays up to its limits first and then the secondary plan pays the rest
C. primary plan and secondary plan split the cost
D. secondary play does not have to pay anything

When both parents have employer-provided
group coverage, which plan would be the primary payer that their children would be covered under?

A. The plan of the parent whose birthday falls earliest in a calendar year
B. The plan of the parent whose birthday falls closest to the child's birthday
C. The father's plan
D. The mother's plan

Which federal law requires employers with more than 20 employees to include in their group insurance plan a continuation of benefits provision for all eligible employees?
A. TEFRA
B. COBRA
C. ERISA
D. OBRA

The option to elect continuation of benefits after an employee's group plan is terminated expires
A. 30 days after the individual receives notification
B. 45 days after the group plan is terminated
C. 90 days after the individual receives notification
D. 60 days after the individual receives notification

A lender, or creditor may sponsor a group health insurance plan for its group of debtors.
This is known as
A. group credit disability insurance
B. association group plans
C. credit life insurance
D. multiple employer welfare arrangements

A health insurance plan where the employees pay part of the cost and at least 75% of those eligible must participate in is known as
A. a noncontributory plan
B. an administrative plan
C. an association plan
D. a contributory plan

An insurer requirement that new employees must wait for a certain period of time before they can enroll in an employer's group health plan is called a(n)
A. eligibility period
B. new hire period
C. enrollment period
D. probationary period

Under COBRA, the maximum period of coverage for termination of employment or a reduction in hours is
A. 18 months
B. 36 months
C. 24 months
D. 12 months

A method of establishing the premium of a
group based on the group's previous claim
experience is known as

A. experience rating
B. community rating
C. premium rating
D. group rating