The correct option is E) that requires high monthly premiums is
Medical insurance coverage that requires high monthly premiums is beyond the financial means of many people.
Adverbial comparison clauses of style Adverb clauses of degree comparison are prefaced with either the relative adverb as or the subordinating conjunction than. The verb of the adverb clause of degree comparison is typically not expressed.
The sentence doesn't have the main verb because "that" was used instead. This is incorrect. Option E eliminates "that" without introducing further errors. The right response is E.
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