CEBS - GBA 1 - Module 4
Core benefits - -Benefits intended to address the primary needs of most of
the group members
-Optional benefits - -Additional voluntary benefits generally fully paid for by
the plan member
-Ancillary benefits - -Benefits that reflect needs that influence an
individual's well-being and work productivity
-Insuring provisions - -Provisions in a master contract addressing
definitions, eligibility requirements, commencement and termination of
insurance
-Benefit provisions - -Provisions in a master contract addressing waive of
premium, definition of disability qualifying period, benefit period
-Claims provisions - -Provisions in a master contract addressing
requirements and processes for adjudication and settlement of claims
-Premium provisions - -Provisions in a master contract addressing
obligations for paying premium, including grace period
-Death benefits - -Lump sum benefits to mitigate financial losses due to
death of a covered person
-Income replacement benefits - -Protection against loss of income in the
event of illness or injury resulting in disability
-Extended health care (EHC) benefits - -Non-cash compensation that
protects against expenses arising from unexpected or ongoing medical
conditions
-Traditional benefit plan - -A benefit plan where the plan sponsor makes all
the decisions about what benefits to provide
-Add-ons - -Benefits that plan members can choose to supplement coverage
in certain areas and pay for through payroll deduction
-Modular flex - -A plan that provides members with at least two predefined
benefit modules or packages
-Full flex - -A plan that offers a wide range of different options to plan
members
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