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Characteristics of Group Health Insurance (ID A/H/S)

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Question 1 of 6

1. Question

A group authorized by the commissioner upon a finding that the group qualifies for group health insurance is call what?

Admitted group

Discretionary group

Contributory group

Non-contributory group

Correct

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Question 2 of 6

2. Question

A group health insurance policy in which each group member (e.g. employee) pays part of the premium is called what?

Non-discretionary plan

Discretionary plan

Contributory plan

Non-contributory plan

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Question 3 of 6

3. Question

A group policy in which the employer pays all the premium is called what?

Non-contributory plan

Contributory plan

Discretionary plan

Non-discretionary plan

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Question 4 of 6

4. Question

Which of the following statements is NOT true about group health insurance contracts?

Each covered individual receives an insurance policy.

The policyholder is typically an employer that is providing coverage for its employees.

The policyholder is also called a sponsor.

A group contract is also called a master policy.

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Question 5 of 6

5. Question

What is provided to each covered individual of a group health insurance policy that serves as evidence of insurance coverage?

Group contract

Master policy

Preauthorization

Certificate of coverage

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Question 6 of 6

6. Question

Which of the following groups is NOT eligible to qualify for group health insurance?

Groups formed for the purpose of obtaining insurance

Employers

Associations such as professional groups (doctors, dentists, teachers); and trade groups (electricians, plumbers)

Alumni groups

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