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State RegulationsOH specificDifficulty 1/5

Under ORC 3924.01, eligibility of employees for a small-employer health benefit plan is determined by:

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Answer & full 3-part explanation (select an option above, or peek)

Why B is correct

Under ORC 3924.01, an eligible employee is one who meets the employer's employment-based eligibility conditions — typically hours-worked or similar objective job criteria — applied uniformly to employees in the same classification. Eligibility turns on the employment relationship, not on anyone's health, and the insurer does not get to hand-pick which qualifying employees are covered.

Why the other options are wrong

  • A) Health status and claims history cannot be used to decide who is an eligible employee under the small-employer framework of ORC 3924.01.
  • C) The insurer does not choose individual employees for coverage; eligibility flows from the employer's uniformly applied conditions.
  • D) Length of Ohio residence is not an eligibility criterion under ORC 3924.01.

Memory hook

Eligibility is about the job — hours and class, never health.

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