- (Topic 3)
The act which requires each group health plan to allow employees and certain dependents to continue their group coverage for a stated period of time following a qualifying event that causes the loss of group health coverage is:
Correct Answer:
B
- (Topic 3)
The following statements describe violations of antitrust legislation:
Situation A - Two health plans in a single service area divided purchasers into two groups and agreed to each market their products to only one purchaser group.
Situation B - A spec
Correct Answer:
A
- (Topic 1)
Amendments to the HMO act 1973 do not permit federally qualified HMO’s to use
Correct Answer:
A
- (Topic 1)
By offering a comprehensive set of healthcare benefits to its members, an HMO ensures that its members obtain quality, cost-effective, and appropriate medical care. Ways that an HMO provides comprehensive care include
Correct Answer:
D
- (Topic 1)
Health plans may use different capitation arrangements for different levels of service. One typical capitation arrangement provides a capitation payment that may include primary care only, or both primary and secondary care, but not ancillary services. The
Correct Answer:
D