Other Accident & Health Topics Flashcards

0
Q

parties to a contract

A

must be capable of entering into a contract in the eyes of the law.
legal age, mentally competent to understand the contract, not under the influence of any drugs

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1
Q

Requirements of a contract

A

Agreement - offer and acceptance
Consideration
Competent Parties
Legal Purpose

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2
Q

Insurable interest

A

is proven by love and affection, economic or financial loss

in life and health it is required at the time of policy issue

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3
Q

MIB Medical Information Bureau

A

nonprofit organization, consisting of members of insurance companies. which receives and maintains adverse medical information from insurance companies. it is a systematic way for insurance companies to share information that may have been discovered by other companies.

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4
Q

association group coverage

A

can buy group insurance for its members:
must have at least 100 members
be organized for a reason other than buying insurance
have been active for at least two years
have a constitution, by-laws and hold at least annual meetings

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5
Q

Coordination of Benefits

A

if both parents name their children as dependents for health insurance the order of payment will be determined by the birthday rule. the coverage of the parent whose birthday is earlier in the year will be considered primary. occasionally the gender rule may apply, then the father’s coverage is primary.

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6
Q

COBRA benefits

A

coverage is extended for up to 18 months. the former employee must exercise extension of benefits within 60 days of separation.

for death or divorce the period is 36 months for the dependents.

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7
Q

MEWA coverage

A

multiple employer welfare associations. a group of companies organize in order to provide benefits to themselves and employees at a lower cost.

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8
Q

Individual Disability Income

A

Premiums - not deductible

Benefits - not taxable

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9
Q

Group Disability Income

A

Premium - Deductible for employer

Benefits - taxable

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10
Q

Individual Medical

A

Premiums - not deductible

Benefits - not taxable

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11
Q

Group Medical

A

Premiums - deductible by employer

Benefits - not taxable

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12
Q

Individual Long-term care

A

Premiums - not deductible

Benefits - not taxable

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13
Q

group long-term care

A

Premiums - deductible for employer

Benefits - not taxable

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14
Q

Individual medicare supplement

A

Premiums - not deductible

Benefits - not taxable

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15
Q

group medicare supplement

A

Premiums - deductible for employer

Benefits - not taxable

16
Q

Buy-sell

A

Premiums - not deductible

Benefits - not taxable

17
Q

Key person

A

Premiums - not deductible

Benefits - not taxable

18
Q

Business overhead expense

A

Premiums - deductible for employer

Benefits - taxable

19
Q

MSAs

A

Premiums - deductible

Benefits - not taxable when used for medical expenses
taxable when taken out at end of year

20
Q

FSAs

A

Premiums - not deductible

Benefits - not taxable

21
Q

HRAs

A

Premiums - deductible

Benefits - not taxable

22
Q

HSAs

A

Premiums - deductible

Benefits - not taxable when used for medical expenses
taxable plus 20% penalty under 65, no penalty over 65 for non medical use