Chapter Twelve Quiz Flashcards
What factors would an insurer consider when assessing risk and projecting losses?
- Type of industry
- Zip code
- Geographic area
Can a group that is formed for the sole purpose of obtaining group insurance qualify for group coverage?
No, the group must be formed for a purpose other than obtaining group insurance
Which of the following insurance coverages would be allowed with an MSA?
Long-term care
What are the three basic coverages for medical expense insurance?
Hospital, surgical, medical
What is the purpose of COBRA?
To provide continuation for coverage for terminated employees
Which of the following plans allows small employers who do not offer health insurance to assist in the payment of employee medical expenses and insurance premiums?
Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)
Which of the following will be covered by a nonoccupational policy?
John gets hurt in a car accident during his lunch break
Other than for a qualified life event, when can a change be made in benefits for a Flexible Spending Account (FSA)?
During the open enrollment period
A man works for Company A and his wife works for Company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim:
The insurance through his company is primary
HIPPA applies to groups of:
2 or more
Under the Affordable Care Act, what percentage of preventive care must be covered without cost sharing?
100%
An association could buy group insurance for its members if it meets all of the following requirements:
- Holds annual meetings
- Is contributory
- Has a constitution and by-laws
