Insurance Exam Prep

[Health Insurance] 53, Group Health Insurance Fundamentals

3 min · 19 de may de 2026
Portada del episodio [Health Insurance] 53, Group Health Insurance Fundamentals

Descripción

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 distinction between the master contract held by the employer and the certificate of insurance provided to employees. - Common eligibility requirements for group coverage, including waiting periods for new hires. - The key differences between contributory and noncontributory plans, including their required participation percentages. - The function and importance of the annual open enrollment period for making coverage changes. - How experience rating is used for large groups to determine premiums based on their specific claims history. 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

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141 episodios

episode [Health Insurance] 66, Tax Treatment of Employer-Provided Health Insurance and Disability Benefits artwork

[Health Insurance] 66, Tax Treatment of Employer-Provided Health Insurance and Disability Benefits

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: - Employer-paid group health insurance premiums are a deductible business expense, and the benefit is tax-free to the employee. - The core rule for group disability insurance: the tax treatment of the premium determines the taxability of the benefit. - Why benefits from a non-contributory (100% employer-paid) disability plan are fully taxable to the employee. - How benefits from a disability plan paid entirely by an employee with after-tax dollars are received completely tax-free. - How to calculate the taxable portion of disability benefits in a contributory plan where costs are shared between the employer and employee. 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

Ayer3 min
episode [Health Insurance] 65, Tax Treatment of Individual Health Insurance Premiums artwork

[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

31 de may de 20262 min
episode [Health Insurance] 64, Dental and Vision Insurance Plans artwork

[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

30 de may de 20262 min
episode [Health Insurance] 63, Critical Illness and Hospital Indemnity Plans artwork

[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

29 de may de 20263 min
episode [Health Insurance] 62, Accidental Death and Dismemberment Insurance artwork

[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

28 de may de 20263 min