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Group Accident & Health Insurance (AZ-AHS)

Characteristics and Marketing

Small Group vs. Large Group
Group Contract
Certificate of Coverage
Contributory vs. Non-Contributory
Experience Rating vs. Community Rating
Regulatory Jurisdiction

Types of Eligible Groups

Eligible Groups
Employment-Related Groups
Associations
Customer Groups
Discretionary Groups

Large Group

Insurer Underwriting Criteria
Eligibility for Coverage
Annual Open Enrollment Period
Special Enrollment Period
Coordination of Benefits (COB)

Large Group Loss of Coverage

Change of Insurer — Carryover
Change of Insurer — No-Loss No-Gain
Events that Terminate Coverage
Extension of Benefits
Conversion Rights
Continuation of Individual Coverage
Reinstatement for Military Personnel

COBRA

What is COBRA?
Eligibility
Duration of Coverage
Premium

Small Employer Plans

Definition of Small Employer
Accountable Health Plan
Health Benefits Plan
Late Enrollee
Availability and Eligibility
Prohibited Marketing Practices
Renewability
Limitations on Exclusions
Uninsured Small Business
Reduction in Premium Tax
Rating Factors

Privacy Protections

Insurance Information
Customer Information Security
HIPAA Privacy Protections
Electronic Notices
Affordable Care Act

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Monday thru Friday

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(801) 518-1956

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