[Health Insurance] 58, Section 125 Cafeteria Plans

[Health Insurance] 65, Tax Treatment of Individual Health Insurance Premiums

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Self-employed individuals can take an above-the-line deduction for health insurance premiums, up to the net profit of the business. - Employees paying for individual policies with after-tax dollars can only deduct premiums as an itemized medical expense. - The itemized deduction for medical expenses is only for costs that exceed 7.5% of Adjusted Gross Income (AGI). - Marketplace plans may offer a Premium Tax Credit to lower costs, which is a credit and not a deduction. - COBRA premiums are treated as a standard medical expense, subject to the 7.5% AGI floor, with no special tax treatment. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 64, Dental and Vision Insurance Plans

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Dental services are categorized as preventive (100% coverage), basic (around 80% coverage), and major (around 50% coverage). - Dental plans have an annual maximum benefit that resets each year, typically between $1,000 and $2,000. - Orthodontic coverage is subject to a lifetime maximum limit, which does not renew annually. - Waiting periods often apply to basic (3-6 months) and major (up to 12 months) dental services to prevent adverse selection. - Vision insurance primarily offers allowances, which are set dollar amounts for materials like frames and lenses. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 63, Critical Illness and Hospital Indemnity Plans

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Critical Illness insurance pays a one-time, lump-sum cash benefit directly to you upon diagnosis of a covered condition like cancer or a stroke. - Hospital Indemnity insurance pays a fixed daily or weekly amount directly to you for each day you are confined in a hospital. - Benefits from both plans are paid regardless of, and in addition to, any other major medical insurance you have. - These are considered 'stated amount' or 'valued' policies, not 'reimbursement' policies; the payout is a fixed amount, not based on actual medical bills. - A common exam trap is confusing these policies with disability income insurance, which replaces lost wages, not costs associated with a specific health event. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 62, Accidental Death and Dismemberment Insurance

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The difference between the Principal Sum (for accidental death) and the Capital Sum (for dismemberment). - Why AD&D will not pay for a death caused by a sickness, like a heart attack, even if it results in an accident. - How the 90-day time limit between the accident and the loss is a critical factor for a claim to be paid. - The key distinction between a standalone AD&D policy and a double indemnity rider on a life insurance policy. - Common policy exclusions such as suicide, war, commission of a felony, and intoxication. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

[Health Insurance] 61, Mental Health Parity and Addiction Equity Act

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - MHPAEA requires parity for financial requirements and treatment limitations between mental health/substance use disorder benefits and medical/surgical benefits. - The 2026 'Meaningful Benefits Standard' mandates that plans cover core mental health and substance use disorder treatments in every classification where medical benefits are offered. - Non-Quantitative Treatment Limitations (NQTLs), like prior authorization, cannot be applied more stringently to mental health benefits than to medical benefits. - A key exam trap is misunderstanding that MHPAEA mandates parity in limitations, not that it forces plans to offer mental health benefits in the first place. - The Act generally applies to group health plans with more than 50 employees, a detail often used in scenario-based exam questions. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep