Question 1

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

Accepted Answer

A) Flexible savings plans 
B) Flexible services accounts 
C) Carve-out plans 
D) Health services accounts 
A) Flexible savings plans 
B) Flexible services accounts 
C) Carve-out plans 
D) Health services accounts C

Question 2

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

Accepted Answer

Main Points
● The Financial Accounting Standards Board (FASB)is a non profit company responsibility for improving standards of financial accounting and reporting in companies and implemented FASB 106 in 1990,implemented FASB 158 in 2005
● FASB 106
-Changed the method for how companies recognize the costs of non pension retirement benefits,including health insurance,on financial balance sheets
-Reduces the amount of net profit companies list on balance sheets by listing the costs of these benefits as an expense
-Benefits such as health care coverage establish an exchange between the employer and employee
-Post-retirement benefits are part of employee's compensation package
● In 2003,FASB 132 was instituted
-Requires companies to disclose substantial information about the economic value and costs of retiree health care programs
-Companies without sufficient current assets are unlikely to offer retiree benefits

Question 3

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

Accepted Answer

A) Universal model HMOs, group model HMOs, staff model HMOs 
B) Group model HMOs, network model HMOs, universal model HMOs 
C) Staff model HMOs, group model HMOs, network model HMOs 
D) Network model HMOs universal model HMOs, staff model HMOs 
A) Universal model HMOs, group model HMOs, staff model HMOs 
B) Group model HMOs, network model HMOs, universal model HMOs 
C) Staff model HMOs, group model HMOs, network model HMOs 
D) Network model HMOs universal model HMOs, staff model HMOs C

Question 4

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 5

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 6

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 7

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Accepted Answer

A) Drug prescription plan 
B) Mail order prescription drug program 
C) Medical reimbursement plan 
D) Prescription card program 
A) Drug prescription plan 
B) Mail order prescription drug program 
C) Medical reimbursement plan 
D) Prescription card program

Question 8

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Accepted Answer

A) Making initial diagnosis and evaluation of patient's condition 
B) Identifying applicable treatment protocols and practice guidelines 
C) Providing specialist diagnosis 
D) Deciding what treatment is warranted 
A) Making initial diagnosis and evaluation of patient's condition 
B) Identifying applicable treatment protocols and practice guidelines 
C) Providing specialist diagnosis 
D) Deciding what treatment is warranted

Question 9

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Accepted Answer

A) True 
 B)False

Question 10

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Accepted Answer

Main Points
● Refers to the objective of

Question 11

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Accepted Answer

A) True 
 B)False

Question 12

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

Accepted Answer

A) True 
 B)False

Question 13

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Accepted Answer

A) True 
 B)False

Question 14

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Accepted Answer

A) True 
 B)False

Question 15

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Accepted Answer

A) True 
 B)False

Question 16

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Accepted Answer

Main Points
● A multiple-payer system is

Question 17

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

Accepted Answer

A) True 
 B)False

Question 18

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 19

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 20

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

Accepted Answer

A) Point-of-service plans 
B) Managed care plans 
C) Fee-for-service plans 
D) Health savings accounts 
A) Point-of-service plans 
B) Managed care plans 
C) Fee-for-service plans 
D) Health savings accounts

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

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

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

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

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

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)

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

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

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

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 Programs

Government-Mandated Social Security Programs

Paid Time-Off and Flexible Work Schedules

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 Insurance Programs

These types of insurance plans are set up to cover things like dental care,vision care and prescription drugs (Specialized Insurance Benefits)

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

What are the three specific forms of prepaid group practices? (Prepaid Group Practice Model)

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

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

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)

This prescription drug plan is usually associated with indemnity plans,pays benefits after the employee has met the deductible and tends to charge the most for filling the prescriptions. (Prescription Drug Benefits)

Which of the following does not fall within the scope of the role of a primary care physician? (Exhibit 5.6,Role of Primary Care Physicians)

Comprehensive major medical plans usually apply a single deductible for all covered services. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Discuss consumer driven health care plans briefly. (Consumer-Driven Health Care)

Some of the major impacts of the PPACA provisions include changes to health plan provisions such as the elimination of lifetime dollar limits on insurance coverage and designating a set of essential benefits. (Patient Protection and Affordable Care Act of 2010)

Preadmission testing is offered under the in-patient hospitalization benefit of a fee-for-service. (Hospitalization Benefits)

The network model compensates physicians using a fee schedule. (Prepaid Group Practice Model)

Fee-for-service plans generally offer hospital expense,surgical expense and physician expense benefits. (Types of Medical Expense Benefits)

Individual health insurance coverage can also cover the employee's dependents. (Individual Versus Group Insurance Coverage)

Discuss and compare multiple-payer versus single-payer systems the US. (Defining and Exploring Health Insurance Programs)

Company-sponsored insurance benefits appeared in the late 1800s for mining and railroad workers when companies hired doctors to provide medical services to employees. (Origins of Health Insurance Benefits)

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

President Bush has advanced a plan to place the burden of health insurance costs with the government. (Consumer-Driven Health Care)

These types of insurance plans provide protection against health care expenses in the form of cash benefits paid to the insured or directly to the provider after the services are rendered. (Fee-For-Service Plans)

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 Programs

Government-Mandated Social Security Programs

Paid Time-Off and Flexible Work Schedules

Accommodation and Enhancement Benefits

Managing the Employee-Benefits System

Nonqualified Deferred Compensation Plans for Executives

Global Employee Benefits at a Glance

Filters