Health and Accident Insurance: Group Plans and Coordination of Benefits

Health & accident Question Answer If an employee sponsored contributory group disability income plan. The employer pay 60% off of 60% of the benefit our premium and each employee pays 40% . Any income benefits paid our taxes to the employee at? It would be considered taxable income to the employee Without a section 125 plan in place, what would to an HSA may be made pretax under a section happen to an employee payroll contribution to an contributions 125 cafeteria plan HIP AAA considers which of the following HS a? as individual I don’t know viable health information What is issued to each employee of an employer Certificate health plan? Which of the following would be considered a Employer, would be a possible applicant and contract possible application and contract policyholder for a policyholder of a single master contract or master policy for group health benefits group health benefits. Which of the following does coordination of Allows the secondary payer to reduce their benefit payments benefits allow? so no more than 100% of clean is paid provider organization plan, coordination of Coordination of benefits regulation applies to all of Preferred benefits regulation on group health policies does not apply to the following plans except individual health insurance policies. Employee a certificate of coverage is this you to the employee that outlines their benefits the employer is issued the master contract and consider the policy owner According to the health insurance portability and Participation or contribution roles have been violated policy accountability act – Hyppa when can a group health renewal can be denied when participation or contribution policy renewal will be denied roles have been violated What is the contract called that is issued to an Master policy – a single contract for a group medical employer for a group medical insurance plan insurance issue to the employer is known as a master policy. Which of the following would evidence ownership Policy ownership would evidence ownership in a in a participating health insurance contract participating healthcare insurance contract waiting period for coverage of a pre-existing Under the HIPPA, the employees new group health Employees condition it can be reduced under the new employees health plan would verify credible coverage so that the plan The purpose of the coordination of benefits Avoid over payment of claims provides group accident health plans to And insured has the right to recover payment made Subrogation to the insured from the negligent to party is called Continued coverage under COBRA would provide a covered employee is terminated for gross misconduct to all of the following except for Ron has a new employer and wishes to enroll in the companies group policy plan which is pre-existing 63 condition applies. Ron cannot have more than – – – previous health insurance And her group health insurance is certificate of Employee coverage is issued to the In an employer sponsored group acting and health Employer – – the employer is considered the policy owner in plan a master contractors issue to the is issued the master contract HIP AAA considers which of the following as A persons health claim information individually identifiable health information Group health plans may deny participation based Members part time employment status upon of the Under the subrogation clause, legal action can be Responsible third-party taken by the insurer against the Which of the following is typically not eligible for Temporary employee coverage in a group health policy Credit accident and health plans are designed to Help pay off existing loans during period of disability Which of the following would evidence ownership Policy ownership Dash – policy ownership what evidence in a participating health insurance contract ownership in a participating health insurance contract And your group health insurance, a certificate of coverage is issued to Key person disability insurance pays benefits to the Employer – – provides a crucial benefit to protect the company employee can no longer work during to a disability A group disability income plan that pays tax free Non_contributory benefits to cover employees is considered Which type of business insurance is meant to cover the cost of continuing to do a business while owners disabled