Question

Jill has a group health plan with an employer that covers employees in more than one state. Which of the following aspects is NOT affected by the State regulatory jurisdiction established for this plan?

A) Coverage requirements
B) Premium rates
C) Provider network
D) Claim processing procedures

Answer 1

Premium rates are not affected by the State regulatory jurisdiction established for a group health plan that covers employees in more than one state.

Step-by-step explanation:

The aspect that is NOT affected by the State regulatory jurisdiction established for a group health plan that covers employees in more than one state is B) Premium rates. Premium rates are typically determined by the insurance company based on factors such as the age, health status, and location of the insured individuals, rather than by the state regulatory jurisdiction. State regulatory jurisdiction may impact coverage requirements, the provider network, and claim processing procedures.