California Life and Health Insurance Practice Exam

Who receives a certificate of insurance in a group insurance policy?

1. Beneficiary

2. Employee

3. Participant

4. Policyholder

The correct answer is: Participant

In a group insurance policy, a certificate of insurance is typically provided to participants in the plan. This certificate serves as proof of coverage for the individual members of the group, detailing the benefits they are entitled to under the policy. It outlines important information such as the insurance coverage amount, the benefits provided, and any relevant exclusions or limitations. Participants, often employees in an employer-sponsored group plan, receive this certificate to confirm that they hold coverage under the group insurance policy. This is essential for individuals to understand their rights, benefits, and responsibilities related to their insurance coverage. The policyholder, who is often the organization or employer that has purchased the group insurance, does not receive a certificate for each individual as the coverage is based on the collective group rather than individual transactions. While beneficiaries may be designated in the context of a life insurance policy, they do not receive certificates themselves; rather, they may receive benefits in the event of the insured's death. Therefore, the definitive issuance of a certificate of insurance is aligned with the needs and rights of participants.