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LLQP (Life Licence Qualification Program) Practice Exam · Question

What is the primary purpose of the 'Coordination of Benefits' provision in group health insurance?

The 'Coordination of Benefits' (COB) prevents a person from profiting from a claim; total reimbursement from all plans cannot exceed 100% of the actual expenses

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Question: What is the primary purpose of the 'Coordination of Benefits' provision in group health insurance?

Answer options:

  • To ensure the client receives double the benefits.
  • To prevent insurance companies from paying any benefits. ✅ To ensure that total benefits from all plans do not exceed 100% of the actual expenses.
  • To allow the agent to collect two commissions.

Correct answer: To ensure that total benefits from all plans do not exceed 100% of the actual expenses.

Explanation: The 'Coordination of Benefits' (COB) prevents a person from profiting from a claim; total reimbursement from all plans cannot exceed 100% of the actual expenses. Strategy: Claim first from own plan, then from spouse's plan.

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