Chapter 1

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Which of the following premium factors is unique to health insurance (as opposed to life insurance)?

Morbidity

Business Overhead Expense Insurance pays for

business expenses when a business owner becomes disabled

What percentage of eligible employees must participate in a noncontributory group health plan before it can be put in effect?

100%

During the underwriting process for a group health policy, it was discovered that 15 out of 50 members of the group have major health issues. How would the insurer handle this?

Accept or reject the whole group

The problem of overinsurance is addressed in which health insurance provision?

Coordination of benefits

Who is financially liable for the payment of covered claims in a fully insured group health plan?

Insurer

Buy-sell plans are typically funded by which two types of insurance?

Life insurance and disability insurance

Which of the following is NOT typically covered under vision care insurance?

Retina surgery

Coverage is limited for vision and dental insurance in all of the following ways EXCEPT

Specific dollar amount for examinations

What is the income tax consequence if Marie's employer pays for her group disability income coverage

The employer can deduct the premium payments.

Minimum participation standards exist for group health insurance plans in order to

prevent adverse selection


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