Question 1

Benefits are considered "qualified" if the employee may exclude the cost from federal income tax.(Cafeteria Plans under Section 125)

Accepted Answer

A) True 
 B)False  True

Question 2

Satisfying nondiscrimination rules permits plan participants to take tax deductions for qualified benefits.(Cafeteria Plans under Section 125)

Accepted Answer

A) True 
 B)False  True

Question 3

A summary of material modifications might include changes in plan eligibility rules.(Legal Considerations in Benefits Communication)

Accepted Answer

A) True 
 B)False  True

Question 4

Utilization reviews are used to evaluate the quality of specific health-care services.(Utilization Reviews)

Accepted Answer

A) True 
 B)False

Question 5

Waiting periods specify the maximum length of time an employee must remain employed before becoming eligible for benefits coverage.(Waiting Periods)

Accepted Answer

A) True 
 B)False

Question 6

Employers must supply employees with updated summary plan descriptions after every 4 years.(Legal Considerations in Benefits Communication)

Accepted Answer

A) True 
 B)False

Question 7

Under this provider payment system,primary care physicians are paid a fixed dollar amount for each patient.(Provider Payment Systems)

Accepted Answer

A) Capped-fee schedule 
B) Semi-capitation 
C) Full capitation 
D) Partial capitation 
A) Capped-fee schedule 
B) Semi-capitation 
C) Full capitation 
D) Partial capitation

Question 8

Pretax contributions do not reduce the amount of annual income subject to income tax.(Employee Contributions)

Accepted Answer

A) True 
 B)False

Question 9

Under cafeteria plans,employers grant employees the opportunity to accept or reject benefits such as day care benefits.(Employer Choice to Customize Benefits)

Accepted Answer

A) True 
 B)False

Question 10

Modular plans extend a pre-established set of benefits such as health-care and retirement plans as a program core.(Core-Plus-Option Plans)

Accepted Answer

A) True 
 B)False

Question 11

Which of the following is not a feature of prospective reviews or precertification reviews? (Utilization Reviews)

Accepted Answer

A) Verifying a patient's coverage 
B) Determining whether the health plan covers the treatment 
C) Judging whether the proposed treatment is medically appropriate 
D) Proceeding without a second surgical opinion 
A) Verifying a patient's coverage 
B) Determining whether the health plan covers the treatment 
C) Judging whether the proposed treatment is medically appropriate 
D) Proceeding without a second surgical opinion

Question 12

These are the 4 most common types of cafeteria plans.(Types of Flexible Benefit Plan Arrangements)

Accepted Answer

A) Premium-only,mix-and-match,core-plus-option,salary reduction 
B) Salary reduction,modular,core-plus-option,mix-and-match 
C) Material modification,mix-and-match,core-plus-option,modular 
D) Mix-and-match,material modification,premium-only,salary reduction 
A) Premium-only,mix-and-match,core-plus-option,salary reduction 
B) Salary reduction,modular,core-plus-option,mix-and-match 
C) Material modification,mix-and-match,core-plus-option,modular 
D) Mix-and-match,material modification,premium-only,salary reduction

Question 13

Employers use case management companies to ensure that all of their employees' medical needs are being met adequately.(Case Management)

Accepted Answer

A) True 
 B)False

Question 14

ERISA requires that employees receive a summary plan description within how many days of becoming a plan participant? (Legal Considerations in Benefits Communication)

Accepted Answer

A) 120 days 
B) 60 days 
C) 90 days 
D) 30 days 
A) 120 days 
B) 60 days 
C) 90 days 
D) 30 days

Question 15

Longer waiting periods is one way companies try to reduce the cost of benefits.(Waiting Periods)

Accepted Answer

A) True 
 B)False

Question 16

These are the three types of utilization reviews.(Utilization Reviews)

Accepted Answer

A) Qualified,modified,nondiscriminatory 
B) Prospective,concurrent,retrospective 
C) Flexible,core-plus,mix-and-match 
D) Precertification,prospective,retrospective 
A) Qualified,modified,nondiscriminatory 
B) Prospective,concurrent,retrospective 
C) Flexible,core-plus,mix-and-match 
D) Precertification,prospective,retrospective

Question 17

Which of the following statements concerning provider payment systems is NOT true?

Accepted Answer

A) Fee-for-service plans generally contain this feature to control the costs of health care. 
B) Provider payment systems negotiate acceptable payment amounts to participating doctors,hospitals,and pharmacies for the duration of the contract. 
C) A percentage discount reduces the amount of a health-care providers' usual charge. 
D) A partial capitation system applies to primary care physicians. 
A) Fee-for-service plans generally contain this feature to control the costs of health care. 
B) Provider payment systems negotiate acceptable payment amounts to participating doctors,hospitals,and pharmacies for the duration of the contract. 
C) A percentage discount reduces the amount of a health-care providers' usual charge. 
D) A partial capitation system applies to primary care physicians.

Question 18

Changes in benefits plans must be described and distributed to employees using one of these.(Legal Considerations in Benefits Communication)

Accepted Answer

A) Summary plan modifications 
B) Summary plan changes 
C) Summary of benefit changes 
D) Summary of material modifications 
A) Summary plan modifications 
B) Summary plan changes 
C) Summary of benefit changes 
D) Summary of material modifications

Question 19

A cafeteria plan is one example of a one-size-fits-all approach (A Comparison of Traditional Benefits Plans and Flexible Benefits Plans)

Accepted Answer

A) True 
 B)False

Question 20

Premium-only payment systems refer to payment arrangements between managed care insurers and health care providers.(Types of Flexible Benefit Plan Arrangements)

Accepted Answer

A) True 
 B)False

Benefits are considered "qualified" if the employee may exclude the cost from federal income tax.(Cafeteria Plans under Section 125)

Satisfying nondiscrimination rules permits plan participants to take tax deductions for qualified benefits.(Cafeteria Plans under Section 125)

A summary of material modifications might include changes in plan eligibility rules.(Legal Considerations in Benefits Communication)

Utilization reviews are used to evaluate the quality of specific health-care services.(Utilization Reviews)

Waiting periods specify the maximum length of time an employee must remain employed before becoming eligible for benefits coverage.(Waiting Periods)

Employers must supply employees with updated summary plan descriptions after every 4 years.(Legal Considerations in Benefits Communication)

Under this provider payment system,primary care physicians are paid a fixed dollar amount for each patient.(Provider Payment Systems)

Pretax contributions do not reduce the amount of annual income subject to income tax.(Employee Contributions)

Under cafeteria plans,employers grant employees the opportunity to accept or reject benefits such as day care benefits.(Employer Choice to Customize Benefits)

Modular plans extend a pre-established set of benefits such as health-care and retirement plans as a program core.(Core-Plus-Option Plans)

Which of the following is not a feature of prospective reviews or precertification reviews? (Utilization Reviews)

These are the 4 most common types of cafeteria plans.(Types of Flexible Benefit Plan Arrangements)

Employers use case management companies to ensure that all of their employees' medical needs are being met adequately.(Case Management)

ERISA requires that employees receive a summary plan description within how many days of becoming a plan participant? (Legal Considerations in Benefits Communication)

Longer waiting periods is one way companies try to reduce the cost of benefits.(Waiting Periods)

These are the three types of utilization reviews.(Utilization Reviews)

Which of the following statements concerning provider payment systems is NOT true?

Changes in benefits plans must be described and distributed to employees using one of these.(Legal Considerations in Benefits Communication)

A cafeteria plan is one example of a one-size-fits-all approach (A Comparison of Traditional Benefits Plans and Flexible Benefits Plans)

Premium-only payment systems refer to payment arrangements between managed care insurers and health care providers.(Types of Flexible Benefit Plan Arrangements)

Introducing Employee Benefits

The Psychology and Economics of Employee Benefits

Regulating Employee Benefits

Employer-Sponsored Retirement Plans

Employer-Sponsored Health-Care Plans

Employer-Sponsored Disability Insurance, life Insurance, and Workers Compensation

Government-Mandated Social Security Programs

Paid Time-Off and Flexible Work Schedule Benefits

Accommodation and Enhancement Benefits

Nonqualified Deferred Compensation Plans for Executives

Global Employee Benefits at a Glance

Filters

Exam 10: Managing the Employee-Benefits System

Benefits are considered "qualified" if the employee may exclude the cost from federal income tax.(Cafeteria Plans under Section 125)

Satisfying nondiscrimination rules permits plan participants to take tax deductions for qualified benefits.(Cafeteria Plans under Section 125)

A summary of material modifications might include changes in plan eligibility rules.(Legal Considerations in Benefits Communication)

Utilization reviews are used to evaluate the quality of specific health-care services.(Utilization Reviews)

Waiting periods specify the maximum length of time an employee must remain employed before becoming eligible for benefits coverage.(Waiting Periods)

Employers must supply employees with updated summary plan descriptions after every 4 years.(Legal Considerations in Benefits Communication)

Under this provider payment system,primary care physicians are paid a fixed dollar amount for each patient.(Provider Payment Systems)

Pretax contributions do not reduce the amount of annual income subject to income tax.(Employee Contributions)

Under cafeteria plans,employers grant employees the opportunity to accept or reject benefits such as day care benefits.(Employer Choice to Customize Benefits)

Modular plans extend a pre-established set of benefits such as health-care and retirement plans as a program core.(Core-Plus-Option Plans)

Which of the following is not a feature of prospective reviews or precertification reviews? (Utilization Reviews)

These are the 4 most common types of cafeteria plans.(Types of Flexible Benefit Plan Arrangements)

Employers use case management companies to ensure that all of their employees' medical needs are being met adequately.(Case Management)

ERISA requires that employees receive a summary plan description within how many days of becoming a plan participant? (Legal Considerations in Benefits Communication)

Longer waiting periods is one way companies try to reduce the cost of benefits.(Waiting Periods)

These are the three types of utilization reviews.(Utilization Reviews)

Which of the following statements concerning provider payment systems is NOT true?

Changes in benefits plans must be described and distributed to employees using one of these.(Legal Considerations in Benefits Communication)

A cafeteria plan is one example of a one-size-fits-all approach (A Comparison of Traditional Benefits Plans and Flexible Benefits Plans)

Premium-only payment systems refer to payment arrangements between managed care insurers and health care providers.(Types of Flexible Benefit Plan Arrangements)

Introducing Employee Benefits

The Psychology and Economics of Employee Benefits

Regulating Employee Benefits

Employer-Sponsored Retirement Plans

Employer-Sponsored Health-Care Plans

Employer-Sponsored Disability Insurance, life Insurance, and Workers Compensation

Government-Mandated Social Security Programs

Paid Time-Off and Flexible Work Schedule Benefits

Accommodation and Enhancement Benefits

Nonqualified Deferred Compensation Plans for Executives

Global Employee Benefits at a Glance

Filters