The Purpose of a Coordination-Of-Benefits Provision in Group Health Insurance

question 41

Multiple Choice

The purpose of a coordination-of-benefits provision in group health insurance plans is to

• A)determine which plan pays first if more than one plan covers a loss.
• B)determine which health care provider an insured may use for his or her care.
• C)determine if the calendar-year deductible has been satisfied by the insured.
• D)determine if the employee is eligible for coverage under the group health plan.

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Definitions:

Virtual Teams

are groups of individuals who work together from different geographic locations, connected by technology.

Demonstrated Benevolence

Evident actions or behavior by an individual showing goodwill, kindness, and a willingness to do good towards others.

Self-Fulfilling Prophecy

A prediction that directly or indirectly causes itself to become true, by the very terms of the prophecy itself, due to positive feedback between belief and behavior.

Virtual Teams

Groups of people who work together from different geographical locations, connected by technology such as email, videoconference, and collaborative software.