An employer is designing a medical plan for 2026. Which of the following plan structures typically gives enrollees the MOST flexibility to see specialists without a referral?
Health Benefits
Question · Easy
RMDs start at 73
Short
Under ACA rules effective in 2026, which of the following is classified as an essential health benefit (EHB) that all non-grandfathered individual and small-group plans must cover?
A benefits professional is explaining Health Savings Account (HSA) rules to a new employee enrolled in a High Deductible Health Plan. Which statement about HSAs is CORRECT for 2026?
An employee terminates from a company with 55 employees. Under COBRA, what is the MAXIMUM duration of continuation coverage available due to termination of employment?
The Mental Health Parity and Addiction Equity Act (MHPAEA) requires that group health plans offering mental health benefits must do which of the following?
Question · Medium
Per my last email: an FMLA duet
Which type of consumer-directed health arrangement allows employees to use employer-funded dollars for eligible medical expenses but forfeits unused balances at separation from service?
Under the ACA employer mandate (Section 4980H), an applicable large employer (ALE) must offer minimum essential coverage to what percentage of full-time employees to avoid the 4980H(a) penalty?
An employee enrolled in a dental PPO plan needs a crown. The plan covers the procedure at 50% after deductible. Which dental plan coverage tier typically includes crowns?
A self-insured employer wants to limit its maximum exposure on health claims. Which risk management tool caps the employer's annual aggregate or individual claim liability?
HMO vs PPO
Which of the following is a distinguishing feature of a Health Care Flexible Spending Account (FSA) compared to a Health Savings Account (HSA)?
A company with 150 employees receives a COBRA qualifying event notice when an employee is terminated. Within how many days must the plan administrator notify the qualified beneficiary of their COBRA rights?
An employer wants to offer a vision benefit. Which vision service is MOST commonly covered as a routine benefit under a standalone vision plan?
Under the ACA, which form is used by applicable large employers to report information about health coverage offers to employees and the IRS?
Which of the following BEST describes the purpose of a dependent care FSA?
An employer's medical plan charges a $40 copay for in-network specialist visits and requires 30% coinsurance for out-of-network specialist visits. An employee sees an out-of-network specialist who charges $500 with an allowed amount of $400. After meeting the deductible, what is the employee's coinsurance responsibility?
Question · Hard
Under 2026 MHPAEA final rules, group health plans must conduct comparative analyses of nonquantitative treatment limitations (NQTLs). Which of the following is an example of an NQTL?
An employer wants to understand the difference between a fully-insured and self-insured health plan. Which statement is CORRECT?
Which ACA provision allows children to remain on a parent's health plan regardless of student status, marital status, or financial dependency?
A terminated employee has elected COBRA continuation coverage. What is the MAXIMUM premium the employer may charge the qualified beneficiary?
An employer is evaluating whether its medical plan meets ACA minimum value standards. What percentage of total allowed costs must the plan cover to satisfy minimum value?
Which COBRA qualifying event entitles a covered spouse and dependent children to up to 36 months of continuation coverage?
What is the primary role of a plan fiduciary under ERISA in the context of employee benefit plan management?
Retirement Benefits
In a traditional defined benefit pension plan, the retirement benefit is typically calculated based on which of the following formulas?
Under ERISA, what is the maximum cliff vesting schedule allowed for employer matching contributions in a qualified 401(k) plan?
Which of the following is a key feature that distinguishes a 403(b) plan from a 401(k) plan?
An employer sponsor of a 401(k) plan is considering adding an automatic enrollment feature. Under the SECURE 2.0 Act, new 401(k) plans established after December 29, 2022, must implement automatic enrollment at what minimum default deferral rate?
Which ERISA fiduciary requirement mandates that plan assets be used exclusively for the benefit of participants and their beneficiaries?
An employee is leaving an employer and has a vested balance in a 401(k) plan. The account balance is $3,500. What can the plan do with this balance without the participant's consent?
Under current IRS rules, what is the standard penalty for early withdrawal from a 401(k) plan before age 59-1/2, in addition to ordinary income tax?
What type of retirement plan provides a guaranteed monthly benefit at retirement, funded entirely by the employer, with the investment risk borne by the plan sponsor?
Under ERISA, which of the following actions would constitute a prohibited transaction by a plan fiduciary?
What is the 2026 annual elective deferral limit for employees under age 50 contributing to a 401(k) plan?
In a defined benefit plan, which entity insures pension benefits if the plan sponsor becomes insolvent and the plan is terminated?
Under ERISA's graded vesting schedule for employer matching contributions, what is the minimum vesting percentage an employee must have after four years of service?
A benefits professional is asked about the difference between Roth 401(k) and traditional 401(k) contributions. Which statement is CORRECT?
Which of the following documents must be provided to all participants in an ERISA-covered benefit plan and describes the plan's terms in understandable language?
Which retirement plan design feature automatically increases an employee's 401(k) deferral percentage by a set amount each year until a cap is reached?
A mid-size employer's defined benefit plan is underfunded. Under the Pension Protection Act (PPA), which action may be required when the plan's funded status falls below a certain threshold?
What is the primary purpose of nondiscrimination testing (such as ADP/ACP tests) in a 401(k) plan?
Which type of employer matching formula satisfies the safe harbor requirements and exempts the 401(k) plan from ADP/ACP nondiscrimination testing?
Under ERISA, how often must employers with 100 or more plan participants file Form 5500 for their benefit plans?
A defined benefit plan sponsor wants to offer a hybrid retirement plan that provides both a guaranteed minimum benefit and individual account features. Which plan type BEST meets this description?
An employee has worked for an employer for 2 years and is leaving the company. The employer uses a 3-year cliff vesting schedule for its 401(k) match. What percentage of the employer match is the employee entitled to take?
Which of the following retirement plan types is designed for governmental and certain tax-exempt employers and is NOT subject to ERISA?
Under the required minimum distribution (RMD) rules as updated by SECURE 2.0, at what age must participants in most employer-sponsored retirement plans begin taking distributions (for those born in 1960 or later)?
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