Are You Ready For Open Enrollment?
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As administrators, it is critical that you understand and accurately convey this year's changes and plan rules. Test you knowledge and find out if you're ready for open enrollment.
- 1.
What date is open enrollment effective?
- A.
April 1, 2010
- B.
April 15, 2010
- C.
March 31, 2010
- D.
April 4, 2010
Correct Answer
A. April 1, 2010Explanation
The correct answer is April 1, 2010. This is the date on which open enrollment becomes effective.Rate this question:
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- 2.
You may only change your coverage outside Open Enrollment if have a ________________.
Correct Answer
qualifying event
qualifying reason
life status
qualified event
life eventExplanation
Outside of Open Enrollment, individuals can only change their coverage if they have a qualifying event, such as getting married, having a baby, or losing other health coverage. This means that they must experience a specific life event that allows them to make changes to their coverage outside of the designated enrollment period.Rate this question:
- 3.
What are the advantages to consumer directed health care plans?
- A.
Consumer-directed plans give individuals better access to information and more control over their own health care, allowing them to make informed decisions about treatment and provider options.
- B.
Consumer-directed plans give individuals more control over their health care spending and informs them about the true cost of care, which makes them more cost conscious.
- C.
Consumer-directed plans encourage healthy behavior by promoting no-cost or low-cost services such as routine physicals, child immunizations, obesity weight-loss programs, routine prenatal care, etc.
- D.
All of the above.
Correct Answer
D. All of the above.Explanation
Consumer-directed health care plans offer several advantages to individuals. Firstly, these plans provide better access to information and give individuals more control over their own healthcare. This enables them to make informed decisions about treatment and choose their preferred healthcare providers. Secondly, consumer-directed plans empower individuals by giving them more control over their healthcare spending and informing them about the true cost of care. This makes them more cost-conscious and allows them to make more financially responsible decisions. Lastly, these plans promote healthy behavior by offering no-cost or low-cost services such as routine physicals, immunizations, weight-loss programs, and prenatal care. Therefore, the correct answer is "All of the above."Rate this question:
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- 4.
Which of the following best defines coinsurance:
- A.
Is a fixed dollar amount you pay when you use a service.
- B.
Is the amount of money you pay annually before the insurance company begins paying for certain expenses.
- C.
Is the percentage of plan costs you pay for certain expenses.
- D.
Is the maximum annual amount you pay under the plan.
Correct Answer
C. Is the percentage of plan costs you pay for certain expenses.Explanation
Coinsurance refers to the percentage of plan costs that an individual is responsible for paying for certain expenses. It is a cost-sharing arrangement between the insured individual and the insurance company, where the individual pays a percentage of the total cost of a covered service or treatment, while the insurance company covers the remaining percentage. This helps to distribute the financial burden between the insured individual and the insurance company, ensuring that both parties contribute to the cost of healthcare services.Rate this question:
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- 5.
How will associates pay for prescriptions under the new BCBS mid level plan?
- A.
Copay
- B.
Coinsurance
- C.
Combination of copay and coinsurance
Correct Answer
C. Combination of copay and coinsuranceExplanation
Under the new BCBS mid level plan, associates will have to pay for prescriptions using a combination of copay and coinsurance. This means that they will have to make a fixed payment, known as a copay, for each prescription, as well as a percentage of the total cost of the prescription, known as coinsurance. This combination of payment methods helps to share the cost of prescriptions between the insurance provider and the associate, ensuring that both parties contribute towards the expense.Rate this question:
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- 6.
Life and Disability plans are now being offered through what vendor?
- A.
Colonial Life
- B.
Prudential
- C.
Aflac
- D.
Cigna
- E.
Ameriflex
Correct Answer
D. CignaExplanation
Cigna is now offering Life and Disability plans.Rate this question:
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- 7.
What is the guaranteed issue for Life insurance for New Hires?
- A.
1x Basic Annual Earnings
- B.
2x Basic Annual Earnings
- C.
3x Basic Annual Earnings
- D.
4x Basic Annual Earnings
- E.
5x Basic Annual Earnings
Correct Answer
C. 3x Basic Annual EarningsExplanation
The guaranteed issue for Life insurance for New Hires is 3x Basic Annual Earnings. This means that new hires are eligible to receive life insurance coverage that is three times their basic annual earnings without the need for medical underwriting or providing evidence of insurability.Rate this question:
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- 8.
True or False. Guarantee issue can be defined as the right to purchase insurance without physical examination; the present and past physical condition of the applicant are not considered.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Guarantee issue refers to the right to buy insurance without a physical examination, meaning that the present and past physical condition of the applicant are not taken into account. This means that regardless of any health conditions, the applicant can still purchase insurance. Therefore, the statement is true.Rate this question:
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- 9.
True or False. In 2010, TPG made changes to the Delta Dental standard and enhanced plans.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement "In 2010, TPG made changes to the Delta Dental standard and enhanced plans" is false. According to the given information, the correct answer is false, indicating that TPG did not make any changes to the Delta Dental standard and enhanced plans in 2010.Rate this question:
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- 10.
In 2010, the cost of Vision insurance will
- A.
Stay the same
- B.
Increase
- C.
Decrease
Correct Answer
C. DecreaseExplanation
The cost of Vision insurance will decrease in 2010.Rate this question:
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- 11.
True or False. If an associate elects more than $20,000 of Spousal Life insurance they are required to complete an Evidence of Insurability form.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If an associate elects more than $20,000 of Spousal Life insurance, they are required to complete an Evidence of Insurability form. This form is necessary to provide evidence of the spouse's insurability and determine if they are eligible for the coverage amount requested.Rate this question:
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- 12.
If an associate enrolls in Life and AD&D coverage is the spouse required to elect AD&D?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
If an associate enrolls in Life and AD&D coverage, it means that they have chosen to have both life insurance and accidental death and dismemberment coverage. In this scenario, the question is asking whether the spouse of the associate is required to elect AD&D coverage as well. Since the question does not provide any additional information or context, it can be inferred that if the associate chooses to have AD&D coverage, their spouse is also required to elect it. Therefore, the correct answer is "Yes."Rate this question:
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- 13.
By completing the Evidence of Insurability form, does that guarantee that the associate will get the coverage they elected?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
Completing the Evidence of Insurability form does not guarantee that the associate will get the coverage they elected. The form is used by insurance companies to assess the individual's health and determine if they are eligible for the coverage. The insurance company may still deny coverage based on the individual's health condition or other factors. Therefore, the completion of the form does not guarantee coverage.Rate this question:
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- 14.
Associates who are already enrolled in Life insurance can increase their election up to _______ times their annual earnings (up to a maximum of $100,000) during open enrollment.
- A.
1
- B.
2
- C.
3
Correct Answer
A. 1Explanation
During open enrollment, associates who are already enrolled in Life insurance can increase their election up to 1 time their annual earnings (up to a maximum of $100,000). This means that they have the option to increase the coverage amount of their life insurance policy up to an amount equal to their annual earnings, but not exceeding $100,000.Rate this question:
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- 15.
Associates who chose not to enroll in Life insurance when hired are allowed to elect __________ times their annual earnings (up to a maximum of $100,000) during open enrollment.
- A.
1
- B.
2
- C.
3
Correct Answer
A. 1Explanation
During open enrollment, associates who initially chose not to enroll in Life insurance when hired are allowed to elect 1 times their annual earnings (up to a maximum of $100,000). This means that they have the option to select an insurance coverage amount that is equal to their annual salary, with the maximum limit being $100,000.Rate this question:
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- 16.
During open enrollment, how much can an associate increase their spousal life insurance coverage without having to complete an Evidence of Insurability?
- A.
1 unit of $5,000
- B.
2 units of $5,000
- C.
3 units of $5,000
- D.
4 units of $5,000
Correct Answer
B. 2 units of $5,000Explanation
During open enrollment, an associate can increase their spousal life insurance coverage by 2 units of $5,000 without having to complete an Evidence of Insurability.Rate this question:
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- 17.
The “grandfathered” rates for Short Term Disability (STD) will be eliminated effective April 1, 2010.
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
The "grandfathered" rates for Short Term Disability (STD) will be eliminated effective April 1, 2010. This means that the rates that were previously allowed for certain individuals will no longer be applicable after April 1, 2010. Therefore, the answer "Yes" indicates that the statement is correct and the grandfathered rates for STD will indeed be eliminated.Rate this question:
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- 18.
Pre-existing limitations will apply to which of the following associates (check all that apply):
- A.
New Hires
- B.
Associates who already have STD for more than one year and are being switched to Cigna (our new carrier)
- C.
Associates who elect STD during open enrollment
- D.
Associates who already have STD for less than one year and are being switched to Cigna (our new carrier)
Correct Answer(s)
A. New Hires
C. Associates who elect STD during open enrollment
D. Associates who already have STD for less than one year and are being switched to Cigna (our new carrier)Explanation
The pre-existing clause does not allow coverage for conditions that were diagnosed within 12-months prior to the effective date of coverage. For those associates that already have STD but have been enrolled less than one year, their time in the plan will be honored by Cigna as it relates to the pre-existing clause.Rate this question:
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- 19.
True or False. Hourly associates can obtain Long Term Disability (LTD) coverage.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Hourly associates can obtain Long Term Disability (LTD) coverage. This means that hourly employees have the option to enroll in a Long Term Disability insurance plan, which provides financial protection in the event that they are unable to work for an extended period of time due to a disability. This coverage is typically offered by employers as part of their benefits package and helps to replace a portion of the employee's income while they are unable to work.Rate this question:
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- 20.
Under Cigna's value-added programs which insurance do you need to be enrolled in to get the secure travel program and the identity theft protection?
- A.
Long Term Disability (LTD)
- B.
Short Term Disability (STD)
- C.
Supplemental Life Insurance
- D.
Supplemental Life Insurance with AD&D Coverage
Correct Answer
D. Supplemental Life Insurance with AD&D CoverageExplanation
To access Cigna's value-added programs like the secure travel program and identity theft protection, one needs to be enrolled in Supplemental Life Insurance with AD&D Coverage. This indicates that these additional benefits are only available to individuals who have this specific insurance coverage.Rate this question:
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- 21.
Is vision insurance available to part-time associates?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
Vision insurance is available to part-time associates.Rate this question:
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Aug 13, 2024Quiz Edited by
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Mar 15, 2010Quiz Created by
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