Other health insurance concepts

Question 1

For how long do short-term disability group plans pay benefits?

Answer 1

For up to 52 weeks

Question 2

What are the 5 basic characteristics of managed care plans?

Answer 2

1) Controlled access to providers
2) comprehensive case management
3) preventive care
4) Risk sharing
5) High quality care

Question 3

What are the 4 types of workers compensation benefits?

Answer 3

1) Medical
2) Income
3) Death
4) Rehabilitation

Question 4

Under what employer provided plan are the benefits taxable to an employee in proportion to the amount of premium paid by the employer?

Answer 4

Disability Income

Question 5

Which of the following definitions would make it easier to qualify for total disability benefits?
A) The more liberal “any occupation”
B) The more strict “own occupation”
C) The more liberal “own occupation”
D) The more strict “any occupation”

Answer 5

C) The more liberal “own occupation”

Question 6

Under which condition would an employee’s group medical benefits be exempt from taxes?
A) An employee’s group medical benefits are never exempt from taxation as income
B) When the premiums and other unreimbursed medical expenses exceed 5% of the employee’s AGI
C) When the premiums and other unreimbursed medical expenses exceed 10% of the employee’s AGI
D) An employee’s group medical benefits are generally exempt from taxation as income

Answer 6

D) An employee’s group medical benefits are generally exempt from taxation as income

(Group medical & dental are received tax free - usually paid directly to physician who provided the service)

Question 7

Under which of the following employer-provided plans are the benefits taxable to an employee in proportion to the amount paid by the employer?
A) Basic Medical Expense
B) Disability Income
C) Major Medical
D) Dental Expense

Answer 7

B) Disability Income