Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
For an employee to be insured under a newly issued group health policy, the employee generally must:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Group health policies specify eligibility conditions that each member must satisfy, typically including an actively-at-work requirement on the policy effective date and membership in an eligible class, such as full-time employees. Eligibility is defined uniformly for the group rather than through individual medical underwriting, which is what allows group plans to cover all eligible members without health questions. This eligibility framework is part of the qualified-group material under AH-III.B.1a, which distinguishes group eligibility rules from individual underwriting.
Why the other options are wrong
- B) There is no statutory five-year service requirement; eligibility is set by the plan for classes of employees.
- C) Group plans generally do not require individual medical exams for eligible employees, unlike individual policies.
- D) No supplemental accident policy is a prerequisite to joining a group medical plan.
Memory hook
Show up for work on day one; that is the group plan's medical exam.