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LLQP Accident & Sickness · Component 1.1 · 35% of the exam

A client changed employers three weeks ago and is within a probationary period. For group and individual A&S coverage this means:

  • AHe should ask the new employer to waive probation, since insurers require immediate group eligibility
  • BThe insurer will apply a temporary rating reflecting the instability of a new employment relationship
  • CHe is uninsurable by any insurer until the probationary period has been completed in full
  • Group coverage may not start until probation ends, so an individual policy could bridge the gap

Correct answer: D) Group coverage may not start until probation ends, so an individual policy could bridge the gap

Eligibility waiting periods are a common feature of group plans, and the client is without employer coverage during them even though individual insurance is freely available.

Why the other options are wrong

  • AEmployers set eligibility periods, and insurers have no interest in waiving them.
  • BProbation is not a rating factor on an individual policy.
  • CIndividual insurers underwrite the person, not the employer's probationary rules.

Exam tip

Group eligibility periods create a real, datable gap.

Common mistake

Assuming a new employee is covered from the first day.

What this tests

CISRO competency component 1.1 — Assess the client's needs and situation — which is weighted at 35% of the Accident & Sickness module. Written against the published curriculum.

More from component 1

Practice the whole Accident & Sickness module

Timed sets weighted like the exam, and review of every question you miss. Free to start.