ND ANSWERS (VERIFIED ANSWERS GRADED A+) LATE
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ST UPDATE 2024/2025
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A person covered with an individual health plan
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is issued a policy
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is issued a certificate of medical costs
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does not contract directly with the insurance company
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is not subject to medical underwriting -
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CORRECT ANSWER Is issued a policy
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Which of the following is typically NOT eligible for coverage in a group heal
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th policy?
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Full-
time employee Tempora
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ry employee Business ow
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ner
Partner in a partnership - CORRECT ANSWER Temporary Employee
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,How many employees must an employer have for a terminated employee to
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be eligible for COBRA?
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20
30
40
50 - CORRECT ANSWER 20 employees
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The election of COBRA for continuation of health coverage will
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increase the coverage and lower premium maintain t
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he same coverage and increase premium increase out
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-of-pocket costs and lower premium f f f f
decrease out-of-pocket costs and maintain same premium -
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CORRECT ANSWER maintain the same coverage and increase premium
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Justin is receiving disability income benefits from a group policy paid for by
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his employer. How are these benefits treated for tax purposes?
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Partially taxable income f f f
Non-
taxable income Taxable if f f
ncome
Conditionally taxable income - CORRECT ANSWER Taxable income f f f f f f f
,Health insurance involves two perils, accident and
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death sick f
ness disabi f
lity
liability - CORRECT ANSWER sickness f f f f
The limited period of time given to all members to sign up for a group health p
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lan is called the
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enlistment period si f f
gn-
up period probation
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ary period
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enrollment period - CORRECT ANSWER enrollment period f f f f f f
Under group health insurance, a certificate of coverage is issued to the
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emplover f
employee
producer
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sponsor - CORRECT ANSWER Employee f f f f
Which of the following would evidence ownership in a participating health i
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nsurance contract? f
, Stock ownership f
Irrevocable beneficiary status Po f f f
licy ownership
f
Collateral assignment - CORRECT ANSWER Policy ownership
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If an employee contributes 50% toward the disability plan premium provide
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d by an employer, what would be considered the taxable income of a $1,000
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monthly disability benefit? f f
$100
$250
$500
$1,000 - CORRECT ANSWER $500f f f f
Which of the following does Coordination of Benefits allow?
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Allows the secondary payor to reduce their benefit payments so no more than
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100% of the claim is paid
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Allows both a group health plan and individual health plan to coordinate their
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benefit payments
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Allows the deductible to be spread out between all the health providers
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Allows each health provider to pay 100% of the claim -
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CORRECT ANSWER Allows the secondary payor to reduce their benefit
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payments so no more than 100% of the claim is paid
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