7. (5 points) Describe key issues that should be addressed by an insurance company to
establish the need for a new group insurance product.
**END OF WRITTEN ANSWER SECTION**
COURSE 5: November 2001 - 6 - GO ON TO NEXT PAGE
Morning Session
COURSE 5
MORNING SESSION
APPLICATION OF BASIC ACTUARIAL PRINCIPLES
SECTION B-MULTIPLE CHOICE
COURSE 5: November 2001 - 7 - GO ON TO NEXT PAGE
Morning Session
MULTIPLE CHOICE SECTION
Each of questions 1 through 2 consists of an assertion in the left-hand column and a
reason in the right-hand column. Code your answer to each question by blackening
space:
(A) If both the assertion and the reason are true statements, and the reason is a correct
explanation of the assertion.
(B) If both the assertion and the reason are true statements, but the reason is NOT a
correct explanation of the assertion.
(C) If the assertion is a true statement, but the reason is a false statement.
(D) If the assertion is a false statement, but the reason is a true statement.
(E) If both the assertion and the reason are false statements.
1.
ASSERTION
With respect to a large group
health plan, net premiums can be
a larger percentage of gross
premiums than is the case for
equivalent individual health
insurance.
BECAUSE
REASON
State regulation does not impact
large group health insurance
pricing as heavily as it does
individual health insurance
pricing.
2.
ASSERTION
In Canada, it is expected that
cost-sharing mechanisms will
become more attractive to
provincial health care plans.
BECAUSE
REASON
In Canada, provincial health plans
with cost-sharing mechanisms will
only be penalized to the amount of
the federal health transfer they
would otherwise receive.
COURSE 5: November 2001 - 8 - GO ON TO NEXT PAGE
Morning Session
Each of questions 3 through 6 consists of two lists. In the list at the left are two items,
lettered X and Y. In the list at the right are three items, numbered I, II, and III. ONE of
the lettered items is related in some way to EXACTLY TWO of the numbered items.
Indicate the related items using the following answer code:
Lettered Item Is Related to Numbered Items
(A) X I and II only
(B) X II and III only
(C) Y I and II only
(D) Y I and III only
(E) The correct answer is not given by (A), (B), (C) or (D).
3. X. Group Term Life Insurance in the
U.S.
I. Can result in imputed taxable
income
Y. Group Accidental Death and
Dismemberment Insurance
(AD&D) in the U.S.
II. Optional amounts are available
without medical evidence
III. Usually convertible to individual
coverage
4. X. Short Term Disability (STD) in the
U.S.
I. Benefits are integrated with Social
Security benefits
Y. Long Term Disability (LTD) in the
U.S.
II. Benefits are paid weekly
III. Benefit amount may be reduced to
coordinate with state disability
insurance (SDI) programs
COURSE 5: November 2001 - 9 - GO ON TO NEXT PAGE
Morning Session
5. X. Medicaid I. The beneficiaries pay fixed fees for
specified services
Y. Medicare II. The program pays a percentage of
allowable charges
III. No deductible
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