Review Questions

  1. Describe the basic underwriting principles followed in group insurance.

  2. Explain the typical eligibility requirements that employees must meet in group insurance plans.

  3. a.

    1. Describe the major characteristics of Blue Cross and Blue Shield plans.

    2. Explain the reasons employers self-insure (self-fund) their group medical expense plans?

  4. Briefly explain the basic characteristics of the following types of managed care plans:

    1. Health maintenance organizations (HMOs)

    2. Preferred provider organizations (PPOs)

    3. Point-of-service (POS) plans

  5. Identify the major provisions of the Affordable Care Act that affect individuals, families, and employers.

  6. Identify the basic features of group medical expense plans.

  7. What is a consumer-directed health plan ...

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