Basics of Health Insurance

Through what source is a person with a family most likely to obtain medical expense coverage?

• Federal government

• Only through an employer's group plan

• Individual or group health insurance policy

• Individual health insurance policy

Answer explanation

Individual or group health insurance policies providing medical expense coverage can also cover one person and the family under a single plan.

Which statement about state and federal involvement in group health insurance is NOT correct?

• The federal government regulates group plans to protect workers and dependents.

• The provisions of individual and group plans vary, even if they cover the same risk.

• The federal government exclusively regulates all health insurance.

• The government limits insurers' freedom to impose restrictions and limitations on coverage.

Answer explanation

The provisions of individual and group plans vary, even if they cover the same risk.

Under the Patient Protection and Affordable Care Act, dependent children may be covered under their parent's group medical insurance policy until what age?

• 22

• 19

• 26

• 30

Answer explanation

A group health plan that offers dependent coverage must continue such coverage for an employee's adult child until the child turns 26 years old, whether or not the child is married. Plans are not required to cover the spouse or child of eligible children.

Those eligible for family coverage under a group medical expense plan would typically be which of the following people?

• primary insured, spouse, their son, and the spouse's children from a previous marriage

• primary insured, spouse, and her brother

• primary insured, spouse, and the spouse's mother

• primary insured and his fiancée

Answer explanation

The primary insured, spouse, and children are covered. New dependents who enter the family through marriage, birth, or adoption can be added to most policies.