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Health Insurance for Large Businesses

Description: This quiz is designed to evaluate your understanding of Health Insurance for Large Businesses. It covers various aspects such as types of plans, benefits, costs, and regulations. By answering these questions, you can assess your knowledge and identify areas where you may need further learning.
Number of Questions: 15
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Tags: health insurance large businesses group health plans employer-sponsored insurance cobra
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Which type of health insurance plan is commonly offered to employees of large businesses?

  1. Individual Health Insurance

  2. Group Health Insurance

  3. Medicare

  4. Medicaid


Correct Option: B
Explanation:

Group Health Insurance is typically provided by employers to their employees and their families. It offers coverage for a range of medical expenses and is often more affordable than individual health insurance plans.

What is the primary benefit of having health insurance coverage through a large employer?

  1. Lower premiums

  2. Access to a wider network of providers

  3. Employer contributions to premiums

  4. All of the above


Correct Option: D
Explanation:

Large employers often negotiate lower premiums with insurance companies, provide access to a wider network of providers, and contribute a portion of the premiums, making health insurance more affordable and accessible for employees.

Which federal law regulates group health insurance plans offered by employers?

  1. Health Insurance Portability and Accountability Act (HIPAA)

  2. Employee Retirement Income Security Act (ERISA)

  3. Affordable Care Act (ACA)

  4. Consolidated Omnibus Budget Reconciliation Act (COBRA)


Correct Option: B
Explanation:

ERISA is the primary federal law that regulates group health insurance plans offered by employers. It sets standards for participation, benefits, funding, and reporting requirements.

What is the maximum annual deductible allowed for group health insurance plans under ERISA?

  1. $1,500

  2. $2,000

  3. $2,500

  4. $3,000


Correct Option: C
Explanation:

Under ERISA, the maximum annual deductible for group health insurance plans is set at $2,500 for individual coverage and $5,000 for family coverage.

Which type of health insurance plan typically offers the most comprehensive coverage?

  1. Health Maintenance Organization (HMO)

  2. Preferred Provider Organization (PPO)

  3. Exclusive Provider Organization (EPO)

  4. Point-of-Service (POS) Plan


Correct Option: B
Explanation:

PPO plans offer the most comprehensive coverage among the listed options. They allow members to choose providers both within and outside of the network, providing greater flexibility and choice.

What is the term used to describe the portion of the health insurance premium paid by the employer?

  1. Employer Contribution

  2. Employee Contribution

  3. Premium Sharing

  4. Cost-Sharing


Correct Option: A
Explanation:

Employer Contribution refers to the portion of the health insurance premium paid by the employer. It is a common practice for employers to contribute a certain percentage of the premium, making health insurance more affordable for employees.

Which federal law allows employees to continue their group health insurance coverage after leaving their job?

  1. Health Insurance Portability and Accountability Act (HIPAA)

  2. Employee Retirement Income Security Act (ERISA)

  3. Affordable Care Act (ACA)

  4. Consolidated Omnibus Budget Reconciliation Act (COBRA)


Correct Option: D
Explanation:

COBRA is the federal law that allows employees to continue their group health insurance coverage after leaving their job. It provides temporary coverage for a specified period, typically 18 or 36 months, at the employee's expense.

What is the maximum duration of COBRA coverage for employees who leave their job voluntarily?

  1. 12 months

  2. 18 months

  3. 24 months

  4. 36 months


Correct Option: B
Explanation:

For employees who leave their job voluntarily, COBRA coverage typically lasts for 18 months. However, certain exceptions may allow for coverage to extend up to 36 months.

Which type of health insurance plan is known for its limited network of providers but often has lower premiums?

  1. Health Maintenance Organization (HMO)

  2. Preferred Provider Organization (PPO)

  3. Exclusive Provider Organization (EPO)

  4. Point-of-Service (POS) Plan


Correct Option: C
Explanation:

EPO plans have a limited network of providers, which allows them to offer lower premiums compared to other types of plans. However, members are required to stay within the network for covered services.

What is the term used to describe the out-of-pocket expenses that an insured individual is responsible for before the insurance coverage begins?

  1. Coinsurance

  2. Copayment

  3. Deductible

  4. Premium


Correct Option: C
Explanation:

Deductible refers to the out-of-pocket expenses that an insured individual is responsible for paying before the insurance coverage starts. Once the deductible is met, the insurance company begins to cover a portion of the medical expenses.

Which type of health insurance plan offers coverage for a wide range of medical services and allows members to choose providers freely?

  1. Health Maintenance Organization (HMO)

  2. Preferred Provider Organization (PPO)

  3. Exclusive Provider Organization (EPO)

  4. Point-of-Service (POS) Plan


Correct Option: D
Explanation:

POS plans offer a wide range of medical services and allow members to choose providers both within and outside of the network. However, members may pay higher out-of-pocket costs for services received outside the network.

What is the term used to describe the percentage of the medical expenses that an insured individual is responsible for paying after the deductible is met?

  1. Coinsurance

  2. Copayment

  3. Deductible

  4. Premium


Correct Option: A
Explanation:

Coinsurance refers to the percentage of the medical expenses that an insured individual is responsible for paying after the deductible is met. It is typically a fixed percentage, such as 20% or 30%.

Which type of health insurance plan requires members to choose a primary care physician who coordinates their care?

  1. Health Maintenance Organization (HMO)

  2. Preferred Provider Organization (PPO)

  3. Exclusive Provider Organization (EPO)

  4. Point-of-Service (POS) Plan


Correct Option: A
Explanation:

HMO plans require members to choose a primary care physician (PCP) who coordinates their care. The PCP is responsible for referring members to specialists and authorizing medical services.

What is the term used to describe the fixed amount that an insured individual pays for a specific medical service, such as an office visit or prescription drug?

  1. Coinsurance

  2. Copayment

  3. Deductible

  4. Premium


Correct Option: B
Explanation:

Copayment refers to the fixed amount that an insured individual pays for a specific medical service, such as an office visit or prescription drug. It is typically a small, flat fee.

Which federal law prohibits group health plans from denying coverage or charging higher premiums based on an individual's health status?

  1. Health Insurance Portability and Accountability Act (HIPAA)

  2. Employee Retirement Income Security Act (ERISA)

  3. Affordable Care Act (ACA)

  4. Consolidated Omnibus Budget Reconciliation Act (COBRA)


Correct Option: A
Explanation:

HIPAA prohibits group health plans from denying coverage or charging higher premiums based on an individual's health status. It also ensures that individuals can keep their health insurance coverage when they change jobs or lose their job.

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