State RegulationsOH specificDifficulty 2/5
A Cincinnati restaurant's health plan covers salaried managers but excludes hourly servers, even though both groups meet the plan's hours-worked requirement. Under Ohio's small-employer rules, eligibility conditions must be:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
ORC 3924.01 lets an employer set eligibility conditions, but those conditions must rest on employment-related factors — such as hours worked or job classification — and must be applied consistently to employees in the same situation. Using eligibility rules as a device to exclude particular people, or to smuggle in health or claims considerations, defeats the uniform-application principle behind the small-employer framework.
Why the other options are wrong
- B) The conditions are the employer's employment-based conditions under ORC 3924.01, not whatever the insurer prefers account by account.
- C) ORC 3924.01 does not impose one identical eligibility design on every employer; it requires employment-based, consistently applied conditions.
- D) Employee-by-employee approval is not part of the eligibility mechanism in ORC 3924.01.
Memory hook
Same class, same rules — eligibility by the job, never by the person.