Which statement is NOT true regarding group health insurance plans and Medicare for businesses with more than 20 employees?

Disable ads (and more) with a premium pass for a one time $4.99 payment

Prepare for the Wisconsin Accident and Health Insurance Exam. Study with interactive questions, including hints and explanations. Optimize your chances of success and achieve your certification!

The statement that group health coverage is NOT available for workers over the age of 65 is incorrect. Under the group health insurance provisions, businesses with more than 20 employees must provide group health insurance coverage to all eligible employees, including those over 65.

In fact, the law ensures that employees aged 65 and over can still access the employer’s group health plan while they are still actively employed, and their coverage cannot be denied based on age. This availability ensures that older employees retain valuable health benefits while they work, which provides them with important protections and options for their healthcare needs.

The other statements reflect accurate aspects of group health insurance and its interaction with Medicare. Group plans for employees who are Medicare-eligible will continue to function, and the coordination of benefits dictates that the employer's plan is primary before Medicare kicks in as secondary coverage. Additionally, spouses of employees who are eligible for Medicare can also access the group health insurance plan, which emphasizes the inclusivity of group health policies.

Recognizing the correct aspects of group health plans and how they interact with Medicare will help individuals navigate insurance options effectively.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy