Question 1

What are the three common forms of managed care plans? (Managed Care Plans)

Accepted Answer

A) Individual practice organizations, point-of-service plans, health maintenance organizations 
B) Health maintenance organizations, preferred provider organizations, point-of-service plans 
C) Preferred provider organizations, point-of-service plans, individual practice organizations 
D) Preferred provider organizations, health maintenance organizations, individual practice organizations 
A) Individual practice organizations, point-of-service plans, health maintenance organizations 
B) Health maintenance organizations, preferred provider organizations, point-of-service plans 
C) Preferred provider organizations, point-of-service plans, individual practice organizations 
D) Preferred provider organizations, health maintenance organizations, individual practice organizations

Question 2

Medical care has risen about how much since 1984? (Health Insurance Coverage and Costs)

Accepted Answer

A) 1224% 
B) 433% 
C) 220% 
D) 860% 
A) 1224% 
B) 433% 
C) 220% 
D) 860%

Question 3

Companies can choose from which four classes of health insurance programs? (Defining and Exploring Health Insurance Programs)

Accepted Answer

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

Question 4

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

Accepted Answer

A) True 
 B)False

Question 5

The assets of health savings accounts must be held in trust and cannot be subject to forfeiture. (Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 6

State health instructor laws address all BUT which of the following (State Regulations)

Accepted Answer

A) Extending coverage to particular services, treatments or health conditions 
B) Reimbursing recognized health care providers for health care services 
C) Employer's self-funded plans 
D) Length of time coverage 
A) Extending coverage to particular services, treatments or health conditions 
B) Reimbursing recognized health care providers for health care services 
C) Employer's self-funded plans 
D) Length of time coverage

Question 7

Canada,as opposed to the US,has a single-payer health care system. (Defining and Exploring Health Insurance Programs)

Accepted Answer

A) True 
 B)False

Question 8

In consumer-driven health care plans,the first tier is a pretax account that allows employees to pay for services using pretax dollars (Consumer-Driven Health Care)

Accepted Answer

A) True 
 B)False

Question 9

Morbidity tables express annual probabilities of the occurrence of health problems. (Individual versus Group Insurance Coverage)

Accepted Answer

A) True 
 B)False

Question 10

Companies must offer HMOs if they are subject to the minimum wage provisions of FSLA. (The Health Maintenance Organization Act of 1973)

Accepted Answer

A) True 
 B)False

Question 11

Employee costs for health care services tend to be least with managed care plans,higher costs are associated with the consumer driven health plans and even higher costs are associated with fee-for-service plans (State Regulations)

Accepted Answer

A) True 
 B)False

Question 12

IRC does not allow deductions for providing national health coverage. (Tax Regulations)

Accepted Answer

A) True 
 B)False

Question 13

Coinsurance rates are generally higher in HMOs than in fee-for-service plans. (Features of Health Maintenance Organizations)

Accepted Answer

A) True 
 B)False

Question 14

This type of medical plan acts as a backup to basic insurance by covering expenses that exceed maximum benefit limits. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Accepted Answer

A) Supplemental major medical plan 
B) Comprehensive major medical plan 
C) Network major medical plan 
D) Uniform major medical plan 
A) Supplemental major medical plan 
B) Comprehensive major medical plan 
C) Network major medical plan 
D) Uniform major medical plan

Question 15

Fee-for-service plans pay expenses according to a schedule of usual,customary and reasonable charges. (Surgical Benefits)

Accepted Answer

A) True 
 B)False

Question 16

The National Association of Insurance Commissioners deals with state level issues relating to supervision of insurance. (State Regulations)

Accepted Answer

A) True 
 B)False

Question 17

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 18

Single employees pay a larger percentage of their health care premium than employees with family coverage pay. (Health Insurance Coverage and Costs)

Accepted Answer

A) True 
 B)False

Question 19

Most dental insurance covers cosmetic improvements. (Dental Insurance)

Accepted Answer

A) True 
 B)False

Question 20

What is coinsurance? (Features of Fee-For-Service Plans)

Accepted Answer

A) When both parents have employer-sponsored insurance coverage for their children 
B) Two insurance companies combine to offer a group policy to an employer 
C) The amount an employee has to pay out-of-pocket before the insurance kicks in 
D) The percentage of covered expenses paid by the insured 
A) When both parents have employer-sponsored insurance coverage for their children 
B) Two insurance companies combine to offer a group policy to an employer 
C) The amount an employee has to pay out-of-pocket before the insurance kicks in 
D) The percentage of covered expenses paid by the insured

What are the three common forms of managed care plans? (Managed Care Plans)

Medical care has risen about how much since 1984? (Health Insurance Coverage and Costs)

Companies can choose from which four classes of health insurance programs? (Defining and Exploring Health Insurance Programs)

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

The assets of health savings accounts must be held in trust and cannot be subject to forfeiture. (Consumer-Driven Health Care)

State health instructor laws address all BUT which of the following (State Regulations)

Canada,as opposed to the US,has a single-payer health care system. (Defining and Exploring Health Insurance Programs)

In consumer-driven health care plans,the first tier is a pretax account that allows employees to pay for services using pretax dollars (Consumer-Driven Health Care)

Morbidity tables express annual probabilities of the occurrence of health problems. (Individual versus Group Insurance Coverage)

Companies must offer HMOs if they are subject to the minimum wage provisions of FSLA. (The Health Maintenance Organization Act of 1973)

Employee costs for health care services tend to be least with managed care plans,higher costs are associated with the consumer driven health plans and even higher costs are associated with fee-for-service plans (State Regulations)

IRC does not allow deductions for providing national health coverage. (Tax Regulations)

Coinsurance rates are generally higher in HMOs than in fee-for-service plans. (Features of Health Maintenance Organizations)

This type of medical plan acts as a backup to basic insurance by covering expenses that exceed maximum benefit limits. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Fee-for-service plans pay expenses according to a schedule of usual,customary and reasonable charges. (Surgical Benefits)

The National Association of Insurance Commissioners deals with state level issues relating to supervision of insurance. (State Regulations)

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)

Single employees pay a larger percentage of their health care premium than employees with family coverage pay. (Health Insurance Coverage and Costs)

Most dental insurance covers cosmetic improvements. (Dental Insurance)

What is coinsurance? (Features of 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

What are the three common forms of managed care plans? (Managed Care Plans)

Medical care has risen about how much since 1984? (Health Insurance Coverage and Costs)

Companies can choose from which four classes of health insurance programs? (Defining and Exploring Health Insurance Programs)

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

The assets of health savings accounts must be held in trust and cannot be subject to forfeiture. (Consumer-Driven Health Care)

State health instructor laws address all BUT which of the following (State Regulations)

Canada,as opposed to the US,has a single-payer health care system. (Defining and Exploring Health Insurance Programs)

In consumer-driven health care plans,the first tier is a pretax account that allows employees to pay for services using pretax dollars (Consumer-Driven Health Care)

Morbidity tables express annual probabilities of the occurrence of health problems. (Individual versus Group Insurance Coverage)

Companies must offer HMOs if they are subject to the minimum wage provisions of FSLA. (The Health Maintenance Organization Act of 1973)

Employee costs for health care services tend to be least with managed care plans,higher costs are associated with the consumer driven health plans and even higher costs are associated with fee-for-service plans (State Regulations)

IRC does not allow deductions for providing national health coverage. (Tax Regulations)

Coinsurance rates are generally higher in HMOs than in fee-for-service plans. (Features of Health Maintenance Organizations)

This type of medical plan acts as a backup to basic insurance by covering expenses that exceed maximum benefit limits. (Major Medical Insurance Plans: Supplemental and Comprehensive)

Fee-for-service plans pay expenses according to a schedule of usual,customary and reasonable charges. (Surgical Benefits)

The National Association of Insurance Commissioners deals with state level issues relating to supervision of insurance. (State Regulations)

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)

Single employees pay a larger percentage of their health care premium than employees with family coverage pay. (Health Insurance Coverage and Costs)

Most dental insurance covers cosmetic improvements. (Dental Insurance)

What is coinsurance? (Features of 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