Which of the following is typically not eligible for coverage in a group health?
Asked by: Trevion Cruickshank DVM | Last update: August 13, 2023Score: 5/5 (52 votes)
Question: Which of the following is typically NOT eligible for coverage in a group health policy? (A temporary employee is typically NOT eligible for coverage in a group health policy.)
Which of the following is not eligible for coverage in a group health policy?
The following individuals are usually not eligible for small group medical coverage: Employees covered under a collective bargaining agreement. Employees of unrelated organizations. Independent contractors.
Which of the following groups may not be insured by a group of life insurance policy?
Which of the following groups may NOT be insured by a group life insurance policy? Individuals who are related by blood. A group life insurance policy may NOT insure groups consisting exclusively of persons who are related by marriage, blood or legal adoption.
Which of the following groups is least likely to be eligible for coverage through a group health plan?
Which of the following groups is least likely to be eligible for coverage through a group health plan? To qualify, the members must be a natural group formed for a purpose other than to obtain insurance. As a result, families in a neighborhood will likely not qualify.
What is included in group health insurance?
What Are Group Health Insurance Benefits? Group health insurance plans offer medical coverage to members of an organization or employees of a company. They may also provide supplemental health plans—such as dental, vision, and pharmacy—separately or as a bundle.
Group health insurance explained
What is covered by a group medical expense policy?
Group medical expense insurance is an employee benefit that pays the cost of hospital care, physicians' and surgeons' fees, prescription drugs, and related medical expenses. These plans are extremely important in providing economic security to employees and their families.
Who is eligible for health coverage under a group policy issued to a labor union?
(1) The members or employees eligible for coverage under the policy shall be all of the members or employees of the union or organization, or all of any class or classes thereof.
Which of the following is not a group of people eligible for coverage under Medicare quizlet?
Which of the following persons is NOT eligible for Medicare Part A? Rationale: Low-income children are not eligible for Medicare but may be eligible for health insurance through Medicaid.
Which of the following is not a required provision in group life policies?
An AD&D provision is not required in a group life policy.
What type of insurance is commonly used for group plans?
The most common type of group life insurance is group term insurance that renews yearly. This type of insurance provides only a death benefit and is the least expensive option. Group universal life is more expensive, but offers the opportunity to build cash value alongside the death benefit.
Which of the following may not be excluded from a group life plan?
Which of the following employees may NOT be excluded from a group life plan? Full-time employees after the probationary period. (All of these employees may be excluded from a group life plan except for "Full time employees after the probationary period").
Which of the following are generally not considered when underwriting group insurance?
Which of the following are generally NOT considered when underwriting group insurance? The insureds' medical history (Group life insurance is written on a group, not individual basis. Each individual completes an application that identifies the participant and beneficiary.
Which of the following is the most common type of group insurance?
Group insurance is insurance coverage of a group under one master contract. The most common types of group insurance are life and health insurance, both of which can be given as a tax-free benefit to employees.
Which of the following individuals will be eligible for coverage on the health insurance marketplace?
To be eligible to enroll in health coverage through the Marketplace, you: Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses.
Which of the following does Medicare Part A not provide coverage for?
Please note that Medicare Part A hospital insurance does not cover the costs for a private room (unless medically necessary), private-duty nursing, personal care items like shampoo or razors, or other extraneous charges like telephone and television.
Which of the following in ineligible to participate in a Section 125 plan?
However, certain people are excluded from participating in section 125 plans. These include self-employed individuals, partners within a partnership, and shareholders who own more than 2% of a subchapter S-corporation.
Which of the following is not applicable in life insurance?
The contract of indemnity is defined as, " A contract where one party promises to save the other from the loss caused by the conduct of the promisor himself or by the conduct of any other party." In a life insurance contract, nobody can save the life of the person. Hence, contract of indemnity does not apply here.
What is typically excluded from life policies?
Risky activity: Any death due to risky activities, such as skydiving or rock climbing, are usually counted as an exclusion. Substance abuse: If a policyholder's death is the result of drug or alcohol abuse, it may be excluded from their policy.
What percentage of eligible employees must participate in a noncontributory group plan?
Contributory versus noncontributory plans
Under a noncontributory plan, the employer pays the entire premium. Insurance companies typically require 100 percent of eligible employees to participate in noncontributory plans.
Which of the following individuals are eligible for coverage under Medicare?
People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
Which of the following individuals are eligible for coverage under Medicare services?
Be age 65 or older; Be a U.S. resident; AND. Be either a U.S. citizen, OR. Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.
Which one of the following US citizens is currently eligible for Medicare Part A coverage at no cost?
People age 65 or older, who are citizens or permanent residents of the United States, are eligible for Medicare Part A. You're eligible for Part A at no cost at age 65 if 1 of the following applies: You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).
Who is eligible for health coverage under a group policy issued to a labor union quizlet?
Groups must have at least two employees to be eligible for group insurance coverage. Group health insurance policy rates are usually based on: Group health insurance policy rates are usually based on experience rating in which premiums are based on the claims experience of the entire group.
Who is the policyholder for a group health benefit plan is considered to be?
Who is the policyholder on group insurance plans? If you enroll in insurance through your employer, your employer may be considered the ultimate policyholder, while you are the "insured."
Which groups of employees are not covered by the National Labor Relations Act?
Most employees in the private sector are covered under the NLRA. The law does not cover government employees, agricultural laborers, independent contractors, and supervisors (with limited exceptions).