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Without a Section 125 Plan in place, what would happen to an employee's payroll
contribution to an HSA?
It would be considered taxable income to the employee. Contributions to an HSA may
be pre-tax under a Section 125 Cafeteria Plan. Without a Section 125 Plan in place, it
would be considered taxable income to the employee.
A common exclusion with Vision plans is:
Lasik Surgery
If an employee contributes 50% towards the disability plan premium provided by
an employer, what would be considered the taxable income of a $1,000 monthly
disability benefit?
$500.00 (Half of the premium was paid for by the employer.)
Which of the following would be considered a possible applicant and contract
policyholder for group health benefits?
Employer
According to HIPAA, when an insured individual leaves an employer and
immediately begins working for a new company that offers group health
insurance, the individual:
Is eligible for coverage upon hire
The purpose of the coordination of Benefits provision in group accident and
health plans is to:
Avoid overpayment of claims. This is achieved by identifying primary and secondary
insurers.
Susan is insured through her Group Health Insurance plan and changed her
coverage to an individual plan with the same insurer after her employment was
terminated. This change is called a(n):
, Conversion. A conversion takes place when an insured individual changes his or her
Group Health Insurance to an individual policy with the same insurer at the termination
of employment.
What is the contract called that is issued to an employer for a Group Medical
Insurance plan?
Master Policy
Which of the following is typically NOT eligible for coverage in a group health
policy?
Temporary Employee
-Exceptions include:
-Full-Time employee
-Business owner
-Partner in a partnership
Key Person Disability insurance pays benefits to the:
Employer. Key person disability insurance provides crucial benefits to protect the
company financially in the event that a key employee can no longer work due to
disability. Key Person coverage provides cash flow to help companies move forward
and maintain a profit in the event that a key employee becomes disabled. The employer
is the policyowner and pays premiums that are NOT tax-deductible. Benefits, however,
are received tax-free to the employer.
Health insurance will typically cover which of the following perils?
Injury due to accident
The election of COBRA for continuation of health coverage will:
Maintain the same coverage and increase premium. Continuation of coverage under
COBRA results in the same coverage with increased premiums up to 102% of prior
premium.
Under group health insurance, a certificate of coverage is issued to the:
Employee. The employer is issued the master contract and considered the policyowner.
In an employer-sponsored group accident and health plan, a master contract is
issued to the: