Healthcare Compliance Laws! Trivia Questions Quiz

1. "Michelle's Law " enrollment notice is designed for people between what ages?

0-26

27-64

65+

I don't know

Michelle’s Law allows for seriously ill or injured college students to take up to 1 year of medical leave without losing their health insurance.

Explanation

Michelle’s Law allows for seriously ill or injured college students to take up to 1 year of medical leave without losing their health insurance.

2. Who do you need to send an "initial COBRA" notice to?

Covered Employees

Covered Employees and Covered Spouse

Anyone covered under the Plan

I don't know

Many HR Professionals get this question wrong. It is important to know that both Covered Employees and Covered Spouses need to get the initial COBRA notice.

Explanation

Many HR Professionals get this question wrong. It is important to know that both Covered Employees and Covered Spouses need to get the initial COBRA notice.

3. How often must the "Women's Health and Cancer Rights Act" notice be provided?

Initial Enrollment

Annually

Initial Enrollment and Annually

Upon Request

I don't know

All employees should be getting this notice each year.

Explanation

All employees should be getting this notice each year.

4. When must you supply a "Summary Plan Description" (SPD) to participants?

Initial Enrollment

Annually

Initial Enrollment & Annually

Within 90 days of being covered

I don't know

Participants must be supplied with a "Summary Plan Description" (SPD) within 90 days of being covered. This document provides a summary of the key features and provisions of the employee benefit plan, including information about eligibility, coverage, rights, and responsibilities. It ensures that participants have access to important information about their benefits and helps them make informed decisions regarding their coverage.

Explanation

Participants must be supplied with a "Summary Plan Description" (SPD) within 90 days of being covered. This document provides a summary of the key features and provisions of the employee benefit plan, including information about eligibility, coverage, rights, and responsibilities. It ensures that participants have access to important information about their benefits and helps them make informed decisions regarding their coverage.

5. Grandfathered Plan Disclosure Notice must be included when?

Initial enrollment

In any plan materials

Annually

Within 90 days of written request

I don't know

Do you have a Grandfathered Plan? If so , you need to include your notice in ALL plan materials you distribute throughout the year.

Explanation

Do you have a Grandfathered Plan? If so , you need to include your notice in ALL plan materials you distribute throughout the year.

6. When do you have to provide "Notice of special enrollment rights"?

Initial enrollment

Annually

Initial enrollment & annually

Upon Request

I don't know

One of the documents you must produce at initial enrollment.

Explanation

One of the documents you must produce at initial enrollment.

7. An updated "SPD" must be furnished how often?

Annually

1st year and last year you have a plan

Every 5 years

Whenever changes are made

I don't know

Important that you track this one since its once every 5 years, you don’t want to forget about it!

Explanation

Important that you track this one since its once every 5 years, you don’t want to forget about it!

8. When you receive a written request for a "plan document", how long do you have to respond?

5 Business days

14 Days

30 Days

90 Days

I don't know

When you receive a written request for a "plan document", you have 30 days to respond. This allows for a reasonable amount of time to locate and provide the requested document. It also ensures that the requestor has a timely response and can proceed with their plans or actions accordingly.

Explanation

When you receive a written request for a "plan document", you have 30 days to respond. This allows for a reasonable amount of time to locate and provide the requested document. It also ensures that the requestor has a timely response and can proceed with their plans or actions accordingly.

9. How often must the "Mental Health Parity and Addiction Equity Act Criteria for Medically Necessary Determination Notice" be furnished?

Initial Enrollment

Annually

Initial Enrollment and Annually

Upon Request

I don't know

Do you have this notice to provide to employees at open enrollment? If not, we can help.

Explanation

Do you have this notice to provide to employees at open enrollment? If not, we can help.

10. How much time do you have to provide the SBC and a copy of the Uniform Glossary when requested?

Immediately

5 Business Days

7 Days

14 Days

I don't know

You have a very short time to comply , make sure you have your SBC and glossary.

Explanation

You have a very short time to comply , make sure you have your SBC and glossary.