Life License Qualification Program (LLQP) Practice Exam

What is a key requirement of the Florida Employee Health Care Access Act?

1. Small group benefit plans have a 60-day grace period

2. Small group benefit plans are to be issued on a "guarantee-issue" basis

3. All small group benefit plans have no lifetime benefit limits

4. Small group benefit plans need a minimum of 50% employee participation

The correct answer is: Small group benefit plans are to be issued on a "guarantee-issue" basis

The Florida Employee Health Care Access Act emphasizes the importance of access to health care coverage for small groups, and one of its key requirements is that small group benefit plans must be issued on a "guarantee-issue" basis. This means that insurance companies are obligated to provide coverage to small businesses regardless of the health status or medical history of the employees. This provision is critical as it ensures that employees cannot be denied coverage or charged higher premiums due to pre-existing conditions, thus promoting inclusivity in health coverage. This requirement addresses a significant barrier that many employees may face in securing health insurance, making it a central goal of the Act to enhance access to affordable health care for small groups. Guarantee-issue policies help stabilize the health insurance market by reducing the number of uninsured individuals, especially in small businesses that may struggle to provide competitive benefits if limited by traditional underwriting practices. In contrast, other options such as benefit limits, grace periods, or minimum participation rates do not directly address the core intent of the law, which is to ensure guaranteed access to coverage for small groups, making the requirement of guarantee-issue the most relevant and impactful aspect of the Florida Employee Health Care Access Act.