GBA/RPA 3 Exam Questions and Answers (Solved Papers) The 4 basic elements of an employee welfare benefit plan
are: - Correct Answers ✅1. there must be a plan, fund or
program
- the plan, fund or program is established or maintained by
- the plan, fund or program is for the purpose of providing
- benefits are provided to participants and beneficiaries
an ER
specifically listed benefits, through the purchase of insurance or otherwise
The courts have held that a plan, fund or program under ERISA is established if - Correct Answers ✅from the surrounding circumstances, a reasonable person can ascertain the intended benefits, the class of beneficiaries, the source of financing and the procedure to receive benefits Types of benefit plans that are not subject to ERISA
requirements: - Correct Answers ✅- governmental plans
- church plans 1 / 4
GBA/RPA 3 Exam Questions and Answers (Solved Papers)
- a plan maintained to comply with state laws on workers'
- a plan mandated outside the U.S. primarily for nonresident
- plans that cover only self-employed individuals and that
- plans that cover only married shareholders of a corporation
compensation, unemployment or mandated disability insurance
aliens
cover no "common-law employees"
An ERISA health and welfare plan provides: - Correct
Answers ✅- medical, surgical or hospital care or benefits
- benefits in the event of sickness, accident, disability, death
- vacation benefits
- apprenticeship or other training benefits
- day-care centers 2 / 4
or unemployment
GBA/RPA 3 Exam Questions and Answers (Solved Papers)
- scholarship funds
- prepaid legal services
The requirements for a voluntary benefit arrangement to be
exempt from ERISA are: - Correct Answers ✅- no employer
or employee organization contributions
- participation is completely voluntary
- no employer consideration except for reasonable
- no employer endorsement
compensation and administration
The main disclosure requirements under ERISA are: - Correct
Answers ✅- a plan document must exist for each plan
- a summary plan description (SPD) must be furnished
- a summary of material modifications (SMM) must be
automatically to participants
furnished automatically when a plan is amended 3 / 4
GBA/RPA 3 Exam Questions and Answers (Solved Papers)
- a four-page summary of benefits and coverage (SBC) must
- copies of certain plan docs must be furnished to participants
- claim procedures must be established and followed when
be provided to applicants and enrollees before enrollment or reenrollment
and beneficiaries upon written request
processing benefits claims and when reviewing appeals of denied claims
The main disclosure requirements for ERISA plan assets are: -
Correct Answers ✅- plan assets, including participant contributions, may be used only to pay plan benefits and reasonable admin costs
- for some plans, plan assets may be held in trust
- a fidelity bond must be purchased to cover every person
who handles plan funds DOL defines a material reduction in a health plan as any
modification or change that: - Correct Answers ✅-
eliminates benefits payable under the plan
- / 4