Companies can choose from which four classes of health insurance programs?
Fee-for-service, managed care, point-of-service, consumer-driven health care
Indemnity, health savings accounts, managed care, fee-for-service
Point-of-service, fee-for-service, indemnity, managed care
Self-funded, managed care, fee-for-service, point-of-service 0.2 points
Companies must offer HMOs if they are subject to the minimum wage provisions of FSLA. True
What are the three common forms of managed care plans?
Individual practice organizations, point-of-service plans, health maintenance organizations
Health maintenance organizations, preferred provider organizations, point-of-service plans
Preferred provider organizations, point-of-service plans, individual practice organizations
Preferred provider organizations, health maintenance organizations, individual practice organizations 0.2 points
Single employees pay a larger percentage of their health care premium than employees with family coverage pay. True
False p 137
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.
Flexible spending accounts
Health reimbursement arrangements
Health savings accounts
Flexible savings accounts
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 True
False p. 144 tricky because even higher are customer driven 0.2 points
Fee-for-service plans pay expenses according to a schedule of usual, customary and reasonable charges. True
False It’s POSp. 145
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.
Managed care plans
Health savings accounts
What is coinsurance?
When both parents have employer-sponsored insurance coverage for their children
Two insurance companies combine to offer a group policy to an employer
The amount an employee has to pay out-of-pocket before the insurance kicks in
The percentage of covered expenses paid by the insured
The assets of health savings accounts must be held in trust and cannot be subject to forfeiture. True p. 159
These are the three main types of dental plans.
Dental fee-for-service, dental savings accounts, dental maintenance organizations
Dental savings accounts, dental maintenance organizations, dental service plans
Dental preferred provider organizations, dental maintenance organizations, dental service corporations
Dental fee-for-service, dental service corporations, dental maintenance organizations 0.2 points
Long-term disability insurance plans become effective following the end of short-term coverage and a 30 day elimination period. True
Pregnancy and child birth are considered disabilities and eligible for coverage under short-term disability insurance plans. True p. 175
Most short-term disability insurance plans pay employees around how much of their regular pre-tax salary? (Short-Term Disability Insurance Programs)
85 - 100%
35 - 50%
50 - 67%
40 - 59%
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