13.0 Group Health Insurance
Learning Objectives
Upon the completion of this chapter, you will be able to:
- Identify the key characteristics of group insurance plans
- Recognize the different types of eligible groups for coverage
- Explain the open enrollment period in employer-sponsored group plans
- Distinguish between experience rating and community rating in group health plans
- Recall the common plan design features of group insurance
- Identify the roles of COBRA and HIPAA in the health care system
Overview
This chapter examines group health insurance provisions, the group underwriting process, eligibility requirements for groups, and key elements of group plan design. It also covers the federal requirements established under COBRA and HIPAA.