What is an aggregating specific deductible?

What is an aggregating specific deductible?

• A. An extra deductible that must be met before ISL pays; met by one or more members combined.
• B. A cap on total payments
• C. A discount on premiums
• D. A deductible that applies only to one member

Answer: (A)

An aggregating specific deductible is an extra amount that must be paid before the insurer starts paying benefits, and unlike a deductible tied to a single person, this amount can be reached by combining expenses from multiple members. Once the group’s combined deductible is satisfied, the plan begins to pay for covered services for the members. This is not a cap on payments, not a premium discount, and not a deductible that applies to only one person.

An aggregating specific deductible is an extra amount that must be paid before the insurer starts paying benefits, and unlike a deductible tied to a single person, this amount can be reached by combining expenses from multiple members. Once the group’s combined deductible is satisfied, the plan begins to pay for covered services for the members. This is not a cap on payments, not a premium discount, and not a deductible that applies to only one person.