Florida 2-15 Life, Health and Variable Annuity AgentFlorida Laws and Regulations Specific to Health InsuranceMedium

A Florida employer with 40 employees is offering group health insurance. The insurer requires at least 75% of eligible employees to participate in the plan for it to be implemented. This requirement is in place to prevent which of the following?

  1. AAdverse selection
  2. BInsurable interest
  3. CSubrogation
  4. DMoral hazard
Show answer & explanation

Correct answer: A. Adverse selection

Participation requirements, like the 75% rule in group health insurance, are designed to prevent adverse selection. This occurs when only individuals with a higher-than-average risk (e.g., those who expect to use more healthcare) choose to enroll in a plan, leading to higher costs for the insurer.

Why the other options are wrong

  • B. Insurable interest means a person would suffer a financial loss if an insured event occurs, which is a general principle, not specifically addressed by participation rates.
  • C. Subrogation is the insurer's right to recover payments from a third party responsible for a loss, unrelated to participation rates.
  • D. Moral hazard refers to increased risk-taking behavior due to insurance coverage, not the initial enrollment decision.

Adverse Selection (Group Health)

The tendency for individuals with a higher probability of loss (e.g., those in poorer health) to seek and continue insurance more often than those with a lower probability of loss. Group health participation rules aim to counteract this.

  • Higher risk individuals disproportionately enroll
  • Leads to higher claims and increased premiums for everyone
  • Participation requirements (e.g., 75% rule) mitigate adverse selection

Memory trick: High participation avoids high risk.

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