Chapter Twelve Quiz Flashcards

1
Q

What factors would an insurer consider when assessing risk and projecting losses?

A
  • Type of industry
  • Zip code
  • Geographic area
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2
Q

Can a group that is formed for the sole purpose of obtaining group insurance qualify for group coverage?

A

No, the group must be formed for a purpose other than obtaining group insurance

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3
Q

Which of the following insurance coverages would be allowed with an MSA?

A

Long-term care

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4
Q

What are the three basic coverages for medical expense insurance?

A

Hospital, surgical, medical

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5
Q

What is the purpose of COBRA?

A

To provide continuation for coverage for terminated employees

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6
Q

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?

A

Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)

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7
Q

Which of the following will be covered by a nonoccupational policy?

A

John gets hurt in a car accident during his lunch break

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8
Q

Other than for a qualified life event, when can a change be made in benefits for a Flexible Spending Account (FSA)?

A

During the open enrollment period

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9
Q

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:

A

The insurance through his company is primary

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10
Q

HIPPA applies to groups of:

A

2 or more

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11
Q

Under the Affordable Care Act, what percentage of preventive care must be covered without cost sharing?

A

100%

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12
Q

An association could buy group insurance for its members if it meets all of the following requirements:

A
  • Holds annual meetings
  • Is contributory
  • Has a constitution and by-laws
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