Other Accident & Health Topics Flashcards
parties to a contract
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
Requirements of a contract
Agreement - offer and acceptance
Consideration
Competent Parties
Legal Purpose
Insurable interest
is proven by love and affection, economic or financial loss
in life and health it is required at the time of policy issue
MIB Medical Information Bureau
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.
association group coverage
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
Coordination of Benefits
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.
COBRA benefits
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.
MEWA coverage
multiple employer welfare associations. a group of companies organize in order to provide benefits to themselves and employees at a lower cost.
Individual Disability Income
Premiums - not deductible
Benefits - not taxable
Group Disability Income
Premium - Deductible for employer
Benefits - taxable
Individual Medical
Premiums - not deductible
Benefits - not taxable
Group Medical
Premiums - deductible by employer
Benefits - not taxable
Individual Long-term care
Premiums - not deductible
Benefits - not taxable
group long-term care
Premiums - deductible for employer
Benefits - not taxable
Individual medicare supplement
Premiums - not deductible
Benefits - not taxable