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

A group health insurance plan requires a minimum percentage of eligible employees to enroll in the plan for it to be implemented. This provision helps the insurer prevent adverse selection. What is this percentage requirement called?

  1. AParticipation requirement
  2. BProbationary period
  3. CEnrollment cap
  4. DEligibility period
Show answer & explanation

Correct answer: A. Participation requirement

A participation requirement mandates a minimum percentage of eligible employees (e.g., 75%) to enroll in a group plan. This helps ensure a broad risk pool and prevents adverse selection, where only high-risk individuals might enroll.

Why the other options are wrong

  • B. A probationary period is a waiting period after an employee is hired before coverage begins.
  • C. An enrollment cap would limit the maximum number of enrollees, which is not designed to prevent adverse selection in the same way.
  • D. An eligibility period is the time an employee must work before becoming eligible for group coverage.

Group Health Participation Requirement

A provision in group health insurance that specifies a minimum percentage of eligible employees who must enroll in the plan for it to be offered or maintained, designed to prevent adverse selection.

  • Typically ranges from 50% to 75% for non-contributory plans (employer pays 100%).
  • Higher for contributory plans (employees contribute to premiums).
  • Ensures a sufficiently large and diverse risk pool.
  • Protects the insurer from having disproportionately high-risk members.

Memory trick: Group underwriting balances the risk of many individuals.

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