Exam 10: Managing the Employee-Benefits System

ERISA requires employers to distribute new summary plan descriptions to the Department of Labor within how many days. (Summary of Plan Description)

After-tax contributions reduce the amount of annual income subject to income tax. (Managing the Costs of Employee Benefits)

Case management is conducted by primary care physicians. (Case Management)

If all employees are offered health insurance and retirement benefits,but then get to select the rest of their benefits package,then they're being offered what type of cafeteria plan? (Core-Plus-Option Plans)

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

Flexible premium accounts usually apply to expenses that exceed regular benefits limits. (Pretax Salary Reduction Plans)

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

To more effectively communicate a benefits package to employees,more companies are having new employees meet one-on-one with benefits counselors. (The "Good Business Sense" of Benefits Communication)

Insurers conduct concurrent utilization reviews shortly after hospital admission,following emergency treatment. (Utilization Reviews)

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

Briefly discuss the information that summary plan descriptions must provide. (Summary Plan Description)

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

Flexible spending accounts and premium-only plans are versions of which cafeteria plan? (Pretax Salary Reduction Plans)

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

Outsourcing may be driven by complexity of benefit plan administration. (Outsourcing the Benefits Function)

ERISA requires that employees receive a summary plan description within how many days of becoming a plan participant? (Summary Plan Description)

This type of utilization review judges whether additional inpatient hospitalization is medically necessary. (Utilization Reviews)

Which of the following compares the nontaxable benefits provided to key employees to the nontaxable benefits provided to all employees? (Nondiscrimination Rules)

Mix-and-match allow employees to purchase any benefit but at only certain levels. (Mix-and-Match Plans)

Premium-only payment systems refer to payment arrangements between managed care insurers and health care providers. (Pretax Salary Reduction Plans)