Texas General Lines — Life, Accident, Health and HMOHealth InsuranceMedium

A small business with 20 employees is considering offering group health insurance. Which of the following is typically NOT a characteristic of a small employer group health plan in Texas?

  1. AExperience rating based on the group's claims history.
  2. BGuaranteed renewability, regardless of health status.
  3. CCoverage for essential health benefits.
  4. DPre-existing condition limitations are generally prohibited.
Show answer & explanation

Correct answer: A. Experience rating based on the group's claims history.

Small employer group health plans (typically 2-50 employees) are generally community-rated, meaning premiums are based on the risk of the entire community, not the specific claims experience of the small group. This protects small businesses from high rate increases due to a few high-cost claims.

Why the other options are wrong

  • B. Guaranteed renewability is a common characteristic, ensuring the employer can continue coverage.
  • C. Essential health benefits are mandated for most health plans under the ACA, which applies to small group plans.
  • D. Pre-existing condition limitations are generally prohibited by ACA rules for most health plans, including small group plans.

Small Employer Group Health Plan Rating

Small employer group health plans (usually 2-50 employees) are typically community-rated, meaning premiums are based on the broader population's health risk rather than the specific group's claims history.

  • Applies to groups of 2-50 employees (varies by state/law).
  • Aims to protect small groups from high costs due to individual claims.
  • Contrasts with experience rating, often used for larger groups.

Memory trick: Small Group, Big Protection, Community's Affection.

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