Author Question: The purpose of a coordination-of-benefits provision in group health insurance plans is to A) ... (Read 48 times)

mp14 · **on:** Jul 11, 2018

The purpose of a coordination-of-benefits provision in group health insurance plans is to

A) determine which plan pays first if more than one plan covers a loss.
B) determine which health care provider an insured may use for his or her care.
C) determine if the calendar-year deductible has been satisfied by the insured.
D) determine if the employee is eligible for coverage under the group health plan.

Question 2

Mark owns a building that he insured for 90,000. The replacement cost of the building is 100,000.

Mark's property insurance policy has an 80 percent coinsurance clause. Ignoring any deductible, if Mark's building is destroyed by a covered peril, how much will Mark receive from his insurer?
A) 80,000
B) 90,000
C) 101,250
D) 112,500