Employee Benefits Exam 2 – Study Guide, Key Concepts, and Practice Questions Page 1 2026-04-01
Employee Benefits Exam 2
– Study Guide, Key
Concepts, and Practice
Questions
1 of 21 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ 1 Employee Benefits Exam 2 – Study Guide, Key Concepts, and Practice Questions.pdf
,Employee Benefits Exam 2 Page 2 2026-04-01
Terms in this set (106)
health care plans cover the costs of services that promote sound physical and mental
health, including physical examinations, diagnostic testing, surgery,
hospitalization, psychotherapy, dental treatments, and corrective
prescription lenses for vision deficiencies
Fully Insured Plans Based on contractual relationship with one or more insurance companies
to provide health-related services for employees and their qualified
dependents. Under fully insured arrangements, insurance companies
assume the risk for paying medical claims, and insurers take responsibility
for administering the plan
Individual Coverage Health insurance purchased outside the employment setting for
themselves and qualified dependents
Group Coverage extends health insurance coverage to a group of employees and their
qualified dependents
2 of 21 2 Employee Benefits Exam 2.pdf
, Employee Benefits Exam 2 Page 3 2026-04-01
Mortality Table Indicate yearly probabilities of death based on factors such as age and
sex established by the Society of Actuaries. Insurance companies rely on
these tables in the underwriting process
Morbidity Table express annual probabilities of the occurrence of health problems. In
general, insurance companies set insurance rates higher as the probability
of death or the occurrence of health problems increases
Experience Ratings A system that establishes higher contributions (to fund insurance
programs) for employers with higher incidences of claims (more people
using insurance)
Self-Funded Plans Refer to health plans that pay benefits directly form an employer's assets
Single Coverage extends health insurance benefits only to the covered employee
Family Coverage Offers health insurance benefits to the covered employee and qualified
dependents
3 of 21 3 Employee Benefits Exam 2.pdf
Employee Benefits Exam 2
– Study Guide, Key
Concepts, and Practice
Questions
1 of 21 Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_ 1 Employee Benefits Exam 2 – Study Guide, Key Concepts, and Practice Questions.pdf
,Employee Benefits Exam 2 Page 2 2026-04-01
Terms in this set (106)
health care plans cover the costs of services that promote sound physical and mental
health, including physical examinations, diagnostic testing, surgery,
hospitalization, psychotherapy, dental treatments, and corrective
prescription lenses for vision deficiencies
Fully Insured Plans Based on contractual relationship with one or more insurance companies
to provide health-related services for employees and their qualified
dependents. Under fully insured arrangements, insurance companies
assume the risk for paying medical claims, and insurers take responsibility
for administering the plan
Individual Coverage Health insurance purchased outside the employment setting for
themselves and qualified dependents
Group Coverage extends health insurance coverage to a group of employees and their
qualified dependents
2 of 21 2 Employee Benefits Exam 2.pdf
, Employee Benefits Exam 2 Page 3 2026-04-01
Mortality Table Indicate yearly probabilities of death based on factors such as age and
sex established by the Society of Actuaries. Insurance companies rely on
these tables in the underwriting process
Morbidity Table express annual probabilities of the occurrence of health problems. In
general, insurance companies set insurance rates higher as the probability
of death or the occurrence of health problems increases
Experience Ratings A system that establishes higher contributions (to fund insurance
programs) for employers with higher incidences of claims (more people
using insurance)
Self-Funded Plans Refer to health plans that pay benefits directly form an employer's assets
Single Coverage extends health insurance benefits only to the covered employee
Family Coverage Offers health insurance benefits to the covered employee and qualified
dependents
3 of 21 3 Employee Benefits Exam 2.pdf
