an academic paper design for success – Page 162 of 264

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an academic paper design for success – Page 162 of 264

correct regarding maternity coverage?
Individual policies may not offer this benefit or have limitations
Group policies treat maternity like any other sickness or accident
When an employee has enrolled in a group health plan, he/she will receive what document?
An abridged copy of the master contract
A certificate of coverage
All of the following are true about group insurance EXCEPT:
There are usually no health questions for group
The rates for larger groups can be based on that group’s claims experience
The rates may change on the anniversary of the contract
Every employee can tailor make his/her own plan within the group
Smaller employer group rates are usually determined by a preset table that deals with the demographic make up of that group of individuals. This process is known as:
Industry rating
Group rating
Community rating
An employee’s eligibility for group enrollment may be determined by all of the following EXCEPT:
Number of hours worked weekly or monthly
Job classification
Gender
The process by which an employee may enroll in an employer group without regard or restriction for any pre-existing condition is referred to as:
Automatic enrollment
Conditional enrollment
Prospective enrollment
Guaranteed Issue
While the definition of a pre-existing condition may vary to some degree, a pre-existing condition is one that:
The employee received treatment or was diagnosed prior to joining the group 12 months before employment.
Matilda is

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