Chapter 5 Cont 8 Flashcards
Purpose of cobra
To provide coverage for dependents
To protect insureds against insolvent insurers
To provide continuation of coverage for terminated employees
Continuation of coverage for terminated employees
In order to maintain COBRA how soon fro term must employee exercise extension of benefits
7 days
10
30
60
60 days
Qualifying event re cobra
Term of employment for stealing
Eligibility or Medicare
Term due to downsizing
Term due to downsizing
Event of divorce, which would allow divorcee to continue receiving group coverage under insured spouse’s plan for additional 36 months
HIPAA
Social security
Cobra
Msa
Cobra
Insureds health policy only pays for medical costs related to accidents. Which of the following types of policies does insured have
Comprehensive
Accident only
Restrictive
Accidental death
Accident only
Policy that pays lump sum if insured suffers a heart attack or stroke is known as
Add
Medical expense
Major medical
Critical illness
Critical illness
Which is qualifying event under cobra
Promotion
Divorce
Marriage
Relocation
Divorce
Hospital indemnity policy will pay
All expenses incurred by stay in the hospital
Any expenses incurred by stray in hospital minus coinsurance payments and deductibles
A benefit for each day insured is in hospital
A benefit for each day insured is in a hospital
These policies pay specific amounts that depend on the amount of time insured is confined to hospital
Hospice
Endowment
Hospital confinement indemnity
Hospital confinement indemnity
Which type of hospital policy pays a fixed amount each day that insured is in hospital
Blanket
Medigap
Indemnity
Surgical
Indemnity
Hospital indemnity policy pays a fixed amount each day the insured is hospitalized unrelated to
Medical expenses
Hospital indemnity aka hospital confinement policy will provide payment based on
Medical expense incurred
Number of days confined in hospital
Type of illness
Premiums paid into policy
Number of days confined in hospital
Important feature of dental expense ins plan that is not typically found in medical expense ins plan
Low cost deductibles
Diagnostic and preventive care
Broad coverage area
Low monthly premium
Diagnostic and preventive care
Which would accident only policy not cover
Boating accident hospitalization
Motorcycle accident
Amputation of leg burned during house fire
Surgery to repair wrist damaged by tendinitis
Surgery to repair wrist damaged by tendinitis
Type of dental plan incorporated into major medical expense plan is
Supplemental dental
Stand-alone dental
Blanket dental
Integrated dental
Integrated dental
How many pairs of glasses in a 12 month period will vision expense ins plan cover
1
2
3
Unlimited
One
If a dental plan is integrated it is combined with what
Life
Medical
Secondary dental
Supplemental
Medical
Health insurers must offer pediatric dental coverage as essential health benefit under
Health plan or as standalone
Insurd with accidental death and dismemberment loses left arm
What benefit
Did principal in monthly installments
Capital in lump sum
Principal in lump sum
Capital in lump sum
Employee has been paying 25 monthly for group coverage. Employer contributes 75. 100 is total monthly cost/ if employee leaves company what would be maximum monthly premium for cobra
25
100
102
102
Permitted to collect 102% of individuals group premium rate … 102% of 100% is 102%
Which of following are not true re boe
Benefits are usually limited to six months
Benefits are limits to nine months
Benefits are limited to one month
Benefits recd are taxable to biz
Usually limited to six months
Maintain cobra =
60 days
Indemnity =
Fixed amount each day
