Exam 5: Employer-Sponsored Health Insurance Programs

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These indicate yearly probabilities of death based on such factors as age and sex. (Individual Versus Group Insurance Coverage)

(Multiple Choice)
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What are the two types of fee-for-service plans? (Fee-For-Service Plans)

(Multiple Choice)
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The Mental Health Parity Act,which plays a prominent role in establishing parity requirements for mental health plans,was enacted in 2003. (Regulation of Mental Health and Substance Abuse Plans)

(True/False)
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This consumer-driven health care option allows employees to contribute pre-tax wages annually to pay for qualified medical expenses,but they will lose the balance not used at year's end. (Consumer-Driven Health Care)

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

(True/False)
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Which of the following is not one of the ways PPACA is expected to extend coverage to more people? (Patient Protection and Affordable Care Act of 2010)

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

(True/False)
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FASB 106 does not affect the amount of net profit companies list on balance sheets. (Retiree Health Care Benefits)

(True/False)
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These are the most popular approaches used by employers to offer consumer-driven health care. (Consumer-Driven Health Care)

(Multiple Choice)
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This consumer-driven health care option contains contributions made by employers and the balance can be carried-over to the next year. (Consumer-Driven Health Care)

(Multiple Choice)
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In 2011,half of the private sector workers in opposite sex partnerships had access to health care benefits. (Health Insurance Coverage)

(True/False)
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FASB 106 does not do which of the following? (Retiree Health Care Benefits)

(Multiple Choice)
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A premium is the amount an employer pays to establish and maintain a health insurance policy. (Defining and Exploring Health Insurance Programs)

(True/False)
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Health insurance became part of the Social Security Act of 1935 during the Great depression of the 1930s. (Origins of Health Insurance Benefits)

(True/False)
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Preexisting condition clauses usually span between one and two years. (Preexisting Condition Clauses)

(True/False)
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Network model HMOs primarily use contracts with established practices of physicians that cover multiple specialties,but do not directly employ physicians. (Prepaid Group Practice Model)

(True/False)
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Union presence does not affect access to health insurance. (Origins of Health Insurance Benefits)

(True/False)
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Title XVIII of the Social Security Act established the Medicaid program. (Origins of Health Insurance Benefits)

(True/False)
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Formularies are lists of drugs proven to be clinically appropriate and cost effective. (Prescription Drug Benefits)

(True/False)
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This federal law requires group health plans to provide medical and surgical benefits for mastectomies. (The Employee Retirement Income Security Act of 1974 (ERISA))

(Multiple Choice)
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