The Group Insurance Landscape

Lesson One: Introduction to Group Insurance

1. Introduction to Risk and Insurance
2. Risk
3. Risk Management
4. Purchasing Insurance Coverage
5. Group Insurance Arrangement
6. Five Characteristics of an Insurable Risk
7. Insurable Groups
8. Single-Employer Group
9. Multi-Employer Group
10. Association Group
11. Creditor Group

Total pages in this lesson: 11 pages

Lesson Two: Types of Group Insurance

1. Introduction to Insurance Companies
2. Types of Insurance Companies
3. Reinsurance
4. Group Insurance Arrangements
5. Parties in a Group Insurance Arrangement
6. Group Benefits Program and Group Benefits Plan Defined
7. General Categories of Group Benefits
8. Life Insurance
9. Accidental Death and Dismemberment (AD&D) Insurance
10. Short-Term Disability (STD) Insurance
11. Long-Term Disability (LTD) Insurance
12. Extended Health Care Insurance
13. Dental Insurance
14. Critical Illness Insurance

Total pages in this lesson: 14 pages

Lesson Three: Group Insurance Arrangements

1. The Nature of a Group Insurance Contract
2. Policyholder vs. Policyowner
3. Forming a Valid Contract
4. Rights of Insurance Companies
5. Rights of Policyholders
6. Rights of Plan Members
7. Rights of Advisors
8. Rights of Dependents
9. The Underwriting Process
10. Five Fundamental Principles of Group Insurance
11. Significance of Adverse Selection in Assessing Risk
12. Underwriting Guidelines
13. Normal Activities of the Group
14. Reason for the Group’s Existence
15. Group Size
16. Flow of New Members into the Group and Stability of the Group
17. Minimum Participation Requirements
18. Way in Which Benefit Levels will be Determined

Total pages in this lesson: 18 pages

Lesson Four: Standard Practices of Group Insurance Arrangements

1. Group Insurance Premiums—Rates
2. Group Insurance Premiums—Determining Rates
3. Group Insurance Premiums—Paying Premiums
4. Group Insurance Policy Provisions
5. Standard Provisions
6. Eligibility Provision
7. Termination Provision
8. Exclusions/Limitations Provision
9. Grace Period Provision
10. Incontestability Provision
11. Definitions Provision
12. Conversion Provision
13. Claims Provision
14. Coordination of Benefits Provision
15. Waiver-of-Premium Provision
16. Benefit Schedule

Total pages in this lesson: 16 pages