C&C Flashcards
What is discrimination in Group Benefit insurance?
Discrimination refers to the unfair or unequal treatment of employees when determining eligibility, coverage levels, or premiums based on non-job-related factors
What is group insurance?
A type of insurance that provides coverage to a group of people, typically employees of a company, under a single policy.
What does ‘the experience’ refer to in group benefits insurance?
It refers to the historical claims data used by insurers to determine pricing and assess risk.
What is a renewal cap in group benefits insurance?
A limit on how much an insurer can increase premiums during policy renewal, helping businesses manage costs.
What is an AOR in group benefit insurance?
Agent of Record—an advisor or broker who has the legal authority to manage a group insurance policy on behalf of the client.
What is an EAP in group insurance?
Employee Assistance Program—a service that provides confidential support for employees dealing with personal or work-related issues.
What is ‘smart shopping’ in group benefits insurance?
The process of comparing different group benefits providers to find the most cost-effective and comprehensive coverage.
What does ‘funding arrangement’ mean in group benefit insurance?
It refers to how a group benefits plan is financed, including models like fully insured, ASO (Administrative Services Only), or hybrid funding.
What does ‘taxability’ mean with respect to group benefit insurance premiums?
It refers to whether premiums are taxable benefits to employees. For example, employer-paid life insurance premiums are typically taxable.
What is employee cost sharing in group benefits?
When employees contribute toward the cost of their benefits, such as paying a portion of health or dental premiums.
What is a Non-Evidence Maximum (NEM) in group benefits?
The maximum amount of insurance coverage an employee can receive without needing medical underwriting.
What is discrimination in group benefit insurance?
It refers to unfairly limiting or excluding certain employees from coverage based on factors like age, gender, or job title, which can be illegal in some jurisdictions.
What is compliance in group benefits insurance?
Ensuring that a group benefits plan adheres to legal and regulatory requirements, such as privacy laws, employment standards, and anti-discrimination policies.
What is an HCSA?
Health Care Spending Account—a flexible benefit that reimburses employees for eligible medical expenses beyond their standard plan coverage.
What is a WSA?
Wellness Spending Account—an employer-funded account that covers wellness-related expenses, such as gym memberships or fitness equipment.
What is a Benefits Administration Rider?
A rider attached to a commercial insurance contract that adds benefits administration services to the policy.
What is a target loss ratio in group insurance?
The percentage of premium dollars an insurer expects to pay out in claims, used to determine pricing sustainability.
What is a projected loss ratio?
An estimate of future claims costs based on past experience, used to assess plan performance.
How does an Employee Benefits Consultant add value?
By helping businesses design, implement, and manage benefit plans that align with company goals and employee needs.
What are key strategies for prospecting SMB clients for group benefits?
Target industries with high employee retention needs, leverage personal networks, and highlight flexible benefit solutions.
What are the 3 main points of C&C’s mission?
1) Industry leading benefits
2) Expert risk mitigation
3) Unparalleled client service
What is Collage HR?
Collage HR is a Canadian-based HRIS designed for SMBs (20-300 employees) that integrates HR, benefits, and payroll in one user-friendly platform.
Who owns Collage HR?
Founded in 2016, Collage HR was acquired by People Corporation in 2019.
What makes Collage HR unique?
It is one of the most affordable HRIS platforms, integrates with existing payroll & benefits providers, and eliminates duplicate data entry.