Question 1

Most dental insurance covers cosmetic improvements.(Dental Insurance)

Accepted Answer

A) True 
 B)False  False

Question 2

The prices for medical care services overall have increased more than 450% since 1984 (compared to a 237% increase for all goods and services purchased by consumers during the same period).Describe the factors which account for this much higher rate of increases in medical service costs.(Health-Care Coverage and Costs)

Accepted Answer

Main Points: 
-The substantially higher rate increases for medical services may be explained by several factors,all of which translate into higher utilization of health benefits: 
-Longer life expectancies.
-Aging baby-boom-era individuals,who place higher demands on health care.
-Advances in medical research that include additional diagnostic tests and treatments,such as substantially more effective (and expensive)treatments to save low-birth-weight babies.
-A general tendency for the health profession and family members to treat death as unnatural rather than as a natural ending to life,leading to higher expenditures to prolong the lives of the terminally ill.
-There is no reason to expect that health-care costs will decrease in the foreseeable future.

Question 3

Oftentimes,consumer-driven health care plans are referred to as two-tier payment systems.(Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False  False

Question 4

Companies can choose from which of the following ways to provide health-care coverage? (Defining and Exploring Health-Care Plans)

Accepted Answer

A) Fee-for-service plans,alternative managed care plans,consumer-driven health care plans 
B) Indemnity plans,health savings accounts,fee-for-service plans 
C) Point-of-service plans,fee-for-service plans,managed care plans 
D) Self-funded plans,managed care plans,point-of-service plans 
A) Fee-for-service plans,alternative managed care plans,consumer-driven health care plans 
B) Indemnity plans,health savings accounts,fee-for-service plans 
C) Point-of-service plans,fee-for-service plans,managed care plans 
D) Self-funded plans,managed care plans,point-of-service plans

Question 5

Physicians that work in individual practice associations work out of their own facilities and work on HMO patients as well as the ones in their private practice.(Individual Practice Associations)

Accepted Answer

A) True 
 B)False

Question 6

FAS 106 does not affect the amount of net profit companies list on balance sheets.(Retiree Health-Care Benefits)

Accepted Answer

A) True 
 B)False

Question 7

These indicate yearly probabilities of death based on such factors as age and sex.(Defining and Exploring Health-Care Plans)

Accepted Answer

A) Experience ratings 
B) Formulary ratings 
C) Mortality tables 
D) Morbidity tables 
A) Experience ratings 
B) Formulary ratings 
C) Mortality tables 
D) Morbidity tables

Question 8

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Accepted Answer

A) Reimburses employees totally or partially 
B) Usually associated with self-funded or independent indemnity plans 
C) Deductibles must be met 
D) Coinsurance usually 70% 
A) Reimburses employees totally or partially 
B) Usually associated with self-funded or independent indemnity plans 
C) Deductibles must be met 
D) Coinsurance usually 70%

Question 9

Health-care plans generally offer hospital expense,surgical expense and physician expense benefits.(Types of Medical Expense Benefits)

Accepted Answer

A) True 
 B)False

Question 10

There is a variety of health-care plan design alternatives.The U.S.Bureau of Labor Statistics provides four questions to help distinguish among them.The first question to ask is: Does the plan have a designated network? (Health Plan Design Alternatives)

Accepted Answer

A) True 
 B)False

Question 11

Exclusive provider organizations are similar to PPOs in that they offer reimbursement for services provided outside the established network.(Preferred Provider Organizations)

Accepted Answer

A) True 
 B)False

Question 12

Discuss the various FASB rulings associated with retiree health insurance.(Retiree Health Care Benefits)

Accepted Answer

Main Points 
● The Financial Accounting

Question 13

Individual health insurance coverage can also cover the employee's dependents.(Defining and Exploring Health-Care Plans)

Accepted Answer

A) True 
 B)False

Question 14

The Cadillac tax is due to take effect in 2020 but only applies to health-care plans within certain states.(Patient Protection and Affordable Care Act of 2010)

Accepted Answer

A) True 
 B)False

Question 15

Preexisting condition clauses require physicians receive approval from a registered nurse or medical doctor employed by an insurance company before admitting patients to the hospital on a nonemergency basis.(Preexisting Condition Clauses)

Accepted Answer

A) True 
 B)False

Question 16

This law sets minimum standards for the length of hospital stays for mothers and newborns.(Maternity Care)

Accepted Answer

A) Family and Medical Leave Act 
B) Newborns' and Mothers' Health Protection Act 
C) Pregnancy Discrimination Act 
D) Newborns' and Mothers' Discrimination Act 
A) Family and Medical Leave Act 
B) Newborns' and Mothers' Health Protection Act 
C) Pregnancy Discrimination Act 
D) Newborns' and Mothers' Discrimination Act

Question 17

These are the three main types of dental plans.(Types of Dental Plans)

Accepted Answer

A) Dental fee-for-service,dental savings accounts,dental maintenance organizations 
B) Dental savings accounts,dental maintenance organizations,dental service plans 
C) Dental preferred provider organizations,dental maintenance organizations,dental service corporations 
D) Dental fee-for-service,dental service corporations,dental maintenance organizations 
A) Dental fee-for-service,dental savings accounts,dental maintenance organizations 
B) Dental savings accounts,dental maintenance organizations,dental service plans 
C) Dental preferred provider organizations,dental maintenance organizations,dental service corporations 
D) Dental fee-for-service,dental service corporations,dental maintenance organizations

Question 18

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount.(Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 19

Plan providers use mortality tables and morbidity tables to determine the terms and premium amount,a decision-making process known as experience ratings.(Defining and Exploring Health-Care Plans)

Accepted Answer

A) True 
 B)False

Question 20

Flexible spending accounts permit employees to pay for health costs covered by an employer's insurance plan.(Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Most dental insurance covers cosmetic improvements.(Dental Insurance)

Oftentimes,consumer-driven health care plans are referred to as two-tier payment systems.(Consumer-Driven Health Care)

Companies can choose from which of the following ways to provide health-care coverage? (Defining and Exploring Health-Care Plans)

Physicians that work in individual practice associations work out of their own facilities and work on HMO patients as well as the ones in their private practice.(Individual Practice Associations)

FAS 106 does not affect the amount of net profit companies list on balance sheets.(Retiree Health-Care Benefits)

These indicate yearly probabilities of death based on such factors as age and sex.(Defining and Exploring Health-Care Plans)

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Health-care plans generally offer hospital expense,surgical expense and physician expense benefits.(Types of Medical Expense Benefits)

There is a variety of health-care plan design alternatives.The U.S.Bureau of Labor Statistics provides four questions to help distinguish among them.The first question to ask is: Does the plan have a designated network? (Health Plan Design Alternatives)

Exclusive provider organizations are similar to PPOs in that they offer reimbursement for services provided outside the established network.(Preferred Provider Organizations)

Discuss the various FASB rulings associated with retiree health insurance.(Retiree Health Care Benefits)

Individual health insurance coverage can also cover the employee's dependents.(Defining and Exploring Health-Care Plans)

The Cadillac tax is due to take effect in 2020 but only applies to health-care plans within certain states.(Patient Protection and Affordable Care Act of 2010)

Preexisting condition clauses require physicians receive approval from a registered nurse or medical doctor employed by an insurance company before admitting patients to the hospital on a nonemergency basis.(Preexisting Condition Clauses)

This law sets minimum standards for the length of hospital stays for mothers and newborns.(Maternity Care)

These are the three main types of dental plans.(Types of Dental Plans)

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount.(Consumer-Driven Health Care)

Plan providers use mortality tables and morbidity tables to determine the terms and premium amount,a decision-making process known as experience ratings.(Defining and Exploring Health-Care Plans)

Flexible spending accounts permit employees to pay for health costs covered by an employer's insurance plan.(Consumer-Driven Health Care)

Introducing Employee Benefits

The Psychology and Economics of Employee Benefits

Regulating Employee Benefits

Employer-Sponsored Retirement 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

Managing the Employee-Benefits System

Nonqualified Deferred Compensation Plans for Executives

Global Employee Benefits at a Glance

Filters

Exam 5: Employer-Sponsored Health-Care Plans

Most dental insurance covers cosmetic improvements.(Dental Insurance)

Oftentimes,consumer-driven health care plans are referred to as two-tier payment systems.(Consumer-Driven Health Care)

Companies can choose from which of the following ways to provide health-care coverage? (Defining and Exploring Health-Care Plans)

Physicians that work in individual practice associations work out of their own facilities and work on HMO patients as well as the ones in their private practice.(Individual Practice Associations)

FAS 106 does not affect the amount of net profit companies list on balance sheets.(Retiree Health-Care Benefits)

These indicate yearly probabilities of death based on such factors as age and sex.(Defining and Exploring Health-Care Plans)

Which of the following is not true for medical reimbursement plans? (Prescription Drug Benefits)

Health-care plans generally offer hospital expense,surgical expense and physician expense benefits.(Types of Medical Expense Benefits)

There is a variety of health-care plan design alternatives.The U.S.Bureau of Labor Statistics provides four questions to help distinguish among them.The first question to ask is: Does the plan have a designated network? (Health Plan Design Alternatives)

Exclusive provider organizations are similar to PPOs in that they offer reimbursement for services provided outside the established network.(Preferred Provider Organizations)

Discuss the various FASB rulings associated with retiree health insurance.(Retiree Health Care Benefits)

Individual health insurance coverage can also cover the employee's dependents.(Defining and Exploring Health-Care Plans)

The Cadillac tax is due to take effect in 2020 but only applies to health-care plans within certain states.(Patient Protection and Affordable Care Act of 2010)

Preexisting condition clauses require physicians receive approval from a registered nurse or medical doctor employed by an insurance company before admitting patients to the hospital on a nonemergency basis.(Preexisting Condition Clauses)

This law sets minimum standards for the length of hospital stays for mothers and newborns.(Maternity Care)

These are the three main types of dental plans.(Types of Dental Plans)

In consumer-driven health care plans,the third tier is the difference between the amount of money in the individual's pretax account and the insurance plan's deductible amount.(Consumer-Driven Health Care)

Plan providers use mortality tables and morbidity tables to determine the terms and premium amount,a decision-making process known as experience ratings.(Defining and Exploring Health-Care Plans)

Flexible spending accounts permit employees to pay for health costs covered by an employer's insurance plan.(Consumer-Driven Health Care)

Introducing Employee Benefits

The Psychology and Economics of Employee Benefits

Regulating Employee Benefits

Employer-Sponsored Retirement 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

Managing the Employee-Benefits System

Nonqualified Deferred Compensation Plans for Executives

Global Employee Benefits at a Glance

Filters