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QUESTION CARD Q073 · HEALTH PLANS & COSTS

Group Documents

Understand the answer, compare the alternatives, and review the related terms.

CARD Q073

An employer holds the group master policy. What document generally describes an insured employee’s coverage?

  1. The group’s enrollment application
  2. Certificate of coverage
  3. The insurer’s certificate of authority
  4. A sales illustration of projected benefits
CORRECT ANSWER · B

Certificate of coverage

The employer or other group policyholder holds the master contract; covered members receive certificates describing their benefits.

Why each choice is right or wrong

A. The group’s enrollment application

Incorrect. An application requests coverage rather than describing issued member benefits.

B. Certificate of coverage

Correct. The employer or other group policyholder holds the master contract; covered members receive certificates describing their benefits.

C. The insurer’s certificate of authority

Incorrect. A certificate of authority concerns insurer authorization, not an employee’s benefits.

D. A sales illustration of projected benefits

Incorrect. A sales illustration is not the member’s certificate of group coverage.

Review the related terms

Use these lessons to revisit the concepts and try additional practice questions.

Sources & further reading