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Certified Financial Services Auditor (CFSA) Questions 196–200 (page: 41)

Updated On: 10-Feb-2026
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All members of a group insurance plan (group insureds) are covered under a single contract, known as a master group insurance contract. The employer or entity purchasing the group insurance is known as group policyholder. In , group insureds do not pay any premium for the coverage.

  1. Noncontributory plan
  2. Contributory plan
  3. Life insurance
  4. Preexisting provision condition

Answer(s): A



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Group insurance policies typically include a preexisting condition provision that excludes:

  1. Coverage for conditions that the individual received treatment for during specified period prior to the effective date of coverage
  2. Provisions to prevent individuals covered under more than one plan from receiving benefits greater than the expense incurred
  3. Provisions to prevent mutual fund covered under more than one plan from receiving benefits greater than the expense incurred
  4. Coverage for conditions that the individual received treatment for after specified period prior to the effective date of coverage

Answer(s): A



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Most of the group health policies contain a to prevent individuals covered under more than one plan from receiving benefits greater than the expense incurred.

  1. Coordination of benefits provisions
  2. Preexisting condition provision
  3. Consumer-driven health
  4. Renewable term provision

Answer(s): A



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Many group disability income policies contain a physical examination provision that requires a doctor to examine a claimant before the claim is paid. The insurer may also require the claimant to undergo periodic examinations to verify:

  1. That the disability still exists
  2. That the correct amount was paid
  3. That the claim is properly satisfied
  4. None of these

Answer(s): A



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is a type of insurance that employers provide for employees. Injured employees must file with the agency that administrates it in their state and notify their employer. It pays:
Medical expenses for employees and rehabilitation benefits for employees who become disables through work Death benefits for survivors of employees who die because of an occupational injury or disease

  1. Dental insurance
  2. Presumptive disability provision
  3. Consumer-driven health plan
  4. Worker's compensation

Answer(s): D



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