Question

What is the purpose of having an automatic basis to determine the level of coverage per employee in a group insurance scheme?

a.

To allow the employer to have discretion in determining benefits for each employee.

b.

To encourage less healthy employees to choose higher levels of coverage.

c.

To avoid anti-selection by ensuring that coverage is objectively determined.

d.

To provide flexibility for employees to negotiate their coverage levels.

Answer: (c).To avoid anti-selection by ensuring that coverage is objectively determined. Explanation:The purpose of having an automatic basis to determine the level of coverage per employee in a group insurance scheme is to avoid anti-selection by ensuring that coverage is objectively determined. By establishing predetermined criteria, such as employee rank, salary, or years of employment, for determining coverage levels, the scheme can prevent less healthy employees from selecting higher levels of coverage to exploit the insurance benefits. This helps maintain fairness and equity within the insurance pool while minimizing the risk of adverse selection.

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Q. What is the purpose of having an automatic basis to determine the level of coverage per employee in a group insurance scheme?

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