Chapter 11 Know This

In an employer-sponsored health plan, what document is issued to the employer?

The master policy

Under a company health plan, what serves as proof of coverage for the individual participants?

A certificate of insurance

What method is utilized to calculate premiums based on the past claims history of a specific workforce?

Experience rating

How do the costs of employer-sponsored medical coverage generally compare to policies purchased on the personal market?

They typically cost less

What standard medical underwriting requirement is bypassed when an employee signs up for benefits during the designated yearly sign-up window?

Evidence of insurability

What clause prevents a claimant from over-collecting when they are covered by more than one medical plan?

Coordination of benefits provision

Under federal continuation rules, how long can a spouse or child maintain coverage if the primary worker passes away or they legally separate?

36 month