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AHM-520 Exam Dumps - AHIP Certification Questions and Answers

Question # 34

With regard to the major risk factors associated with group underwriting, it can correctly be stated that, typically,

Options:

A.

The age and gender of group plan members are not predictors of utilization of health services by group members

B.

A health plan's product design or delivery system has an impact on member selection of the health plan, unless the members are in an environment in which employees have at least two benefit options or health plans from which to choose

C.

A health plan should track demographic factors of groups only if the plan specifically adjusts for demographic factors on a group basis

D.

A large group is more likely to exhibit a consistent claims pattern, level of healthcare cost, or utilization of services than is a small group

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Question # 35

The Lindberg Company has decided to terminate its group healthcare coverage with the Benson Health Plan. Lindberg has several former employees who previously experienced qualifying events that caused them to lose their group coverage. One federal law allows these former employees to continue their group healthcare coverage. From the answer choices below, select the response that correctly identifies the federal law that grants these individuals with the right to continue group healthcare coverage, as well as the entity which is responsible for continuing this coverage:

Options:

A.

Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA)

Entity: Lindberg

B.

Federal law: Consolidated Omnibus Budget Reconciliation Act (COBRA)

Entity: Benson

C.

Federal law: Employee Retirement Income Security Act (ERISA)

Entity: Lindberg

D.

Federal law: Employee Retirement Income Security Act (ERISA)

Entity: Benson

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Exam Code: AHM-520
Exam Name: Health Plan Finance and Risk Management
Last Update: Feb 23, 2025
Questions: 215
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