Chapter 16 Employee Benefits: Group Life and Health Insurance

“Most health plans give you the best deal when you see a ­doctor who has a contract with your health plan. Visiting an ‘in-network’ provider usually means you will have lower ­out-of-pocket costs.”

Learning Objectives

After studying this chapter, you should be able to

  • Explain the basic underwriting principles followed in group insurance.

  • Describe the basic characteristics of group term life insurance plans.

  • Describe the major characteristics of the following managed care plans:

    • – Health maintenance organizations (HMOs)

    • – Preferred provider organizations (PPOs)

    • – Point-of-service plans (POS)

  • Understand how the Affordable Care Act affects group medical expense insurance. ...

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