Ch 18: Group Health Insurance Flashcards
1
Q
Group health insurance is a Contract is between?
A
The insurer and the employer. Employers are the main master policy holder
2
Q
A true group has more than how many members?
A
- For ca it’s 2+
3
Q
A contributory plan
A
Employer and employee contributes. Requires 75% participation
4
Q
Non-contributory plan
A
Employer only contributes. Requires 100% of eligible employees
5
Q
A legal entity of small business owners formed together to purchase group insurance (industry related employers)
A
Multiple employer trusts (MET)
6
Q
Cobha applied to companies with at least how many employees?
A
20
7
Q
Cal-Cobra applies to how many employers?
A
2-19
8
Q
TEFRA applied to employers with how many?
A
20 or more employees
9
Q
Amends SS act to make Medicare secondary to group health plans.
A
TEFRA
