Question

note: you must complete this certification exam in order to attempt it again.
14 sofia is a newly licensed insurance agent who has so far worked only with individual clients. today, she is meeting a new client, jacob, who owns a company and wishes to purchase a group insurance contract for his employees. jacob mentions that he prefers a contributory plan that provides employees with optional additional coverage. he also wants an employee assistance plan (eap) to be included in the coverage. when gathering information about the group that requires coverage, sofia should focus on all of the following, except
a. the average age and gender of plan members.
b. the turnover rate of the group.
c. the individual health status of plan members.
d. the nature of the company’s business.

Explanation:

In group insurance, when determining coverage (especially with a contributory plan and EAP), factors like average age/gender (for risk assessment), turnover rate (stability of the group), and nature of business (risk exposure) are relevant. Individual health status is not focused on in group insurance as it's about the group's overall risk, not individual members' health (since group plans typically don't underwrite based on individual health in the same way as individual plans). So the one Sofia should NOT focus on is the individual health status of plan members.

Answer:

c. the individual health status of plan members