100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.6 TrustPilot
logo-home
Exam (elaborations)

GBA 1 - Practice Exam: Directing Benefits Programs Questions And Answers

Rating
-
Sold
-
Pages
6
Grade
A+
Uploaded on
05-10-2024
Written in
2024/2025

GBA 1 - Practice Exam: Directing Benefits Programs Questions And Answers Which risk-handling techniques are being used by a firm that decides to not produce a dangerous chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler system throughout the plant? - correct ans-Avoidance, retention, insurance and control Which of the following statements regarding prescription drug rebates is correct? - correct ans-A rebate occurs when there is an agreement between a pharmacy benefit manager and a drug manufacturer. There are several methods for evaluating health system performance. Accreditation by the NCQA is an example of which of the following methods? - correct ans-Audit performance evaluation When a participant of a cafeteria plan makes a one-time election on coverage that stays in force from plan year to plan year unless the participant elects to make a change during the applicable election period, it is referred to as a(n): - correct ans-Evergreen election The benefit-oriented philosophy of designing employee benefits tends to focus on: - correct ans-Needs of employees The amount of covered medical expenses that a participant must incur before any medical benefits for non-preventive care services or treatment become payable under a plan is known as the: - correct ans-Deductible The Supreme Court decision in National Federation of Independent Business v. Sebelius had a profound effect on the implementation of the Affordable Care Act (ACA). Which of the following statements summarizes the impact of this case? - correct ans-The decision made Medicare expansion by the states voluntary. The Affordable Care Act (ACA) aimed to make health insurance more affordable by providing tax credits to individuals ineligible for other affordable coverage and with income between which of the following limits: - correct ans-100% and 400% of the federal poverty line. The concept designed to make victims of losses whole again reflects the principle of: - correct ans-Indemnification A mechanism by which one attempts either to prevent or reduce the probability of a loss taking place or to reduce the severity of the loss if it does take place is referred to as: - correct ans-Control The Affordable Care Act (ACA), in general, defined a full-time employee as one employed on average at least how many hours per week? - correct ans-30 Dental treatments are placed into ten professional treatment categories. A restorative treatment is: - correct ans- If a cafeteria plan fails to pass the required nondiscrimination testing, then: - correct ans-The highly compensated and key employees are taxed

Show more Read less
Institution
GBA 1
Course
GBA 1









Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Institution
GBA 1
Course
GBA 1

Document information

Uploaded on
October 5, 2024
Number of pages
6
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

GBA 1 - io io




Practice Exam: Directing Benefits Progra
io io io io io




ms Questions And Answers
io io io




Whichiorisk-
handlingiotechniquesioareiobeingiousediobyioaiofirmiothatiodecidesiotoionotioproduceioaiodangerousi
ochemical,iotoiopurchaseioinsuranceiowithioaio$10,000iodeductibleioonioitsioassetsioandiotoioinstallio

aiofireiosprinkleriosystemiothroughoutiotheioplant?io-iocorrectioans-
Avoidance,ioretention,ioinsuranceioandiocontrol
Whichioofiotheiofollowingiostatementsioregardingioprescriptioniodrugiorebatesioisiocorrect?io-
iocorrectioans-

Aiorebateiooccursiowheniothereioisioanioagreementiobetweenioaiopharmacyiobenefitiomanagerioan
dioaiodrugiomanufacturer.
Thereioareioseveraliomethodsioforioevaluatingiohealthiosystemioperformance.ioAccreditationiobyi
otheioNCQAioisioanioexampleioofiowhichioofiotheiofollowingiomethods?io-iocorrectioans-

Auditioperformanceioevaluation
Whenioaioparticipantioofioaiocafeteriaioplaniomakesioaioone-
timeioelectioniooniocoverageiothatiostaysioinioforceiofromioplanioyeariotoioplanioyeariounlessiotheiopar
ticipantioelectsiotoiomakeioaiochangeioduringiotheioapplicableioelectionioperiod,ioitioisioreferrediotoio
asioa(n):io-iocorrectioans-Evergreenioelection
Theiobenefit-orientediophilosophyioofiodesigningioemployeeiobenefitsiotendsiotoiofocusioon:io-
iocorrectioans-Needsioofioemployees

Theioamountioofiocoverediomedicalioexpensesiothatioaioparticipantiomustioincuriobeforeioanyiomed
icaliobenefitsioforionon-
preventiveiocareioservicesiooriotreatmentiobecomeiopayableiounderioaioplanioisioknownioasiothe:io-
iocorrectioans-Deductible

TheioSupremeioCourtiodecisionioinioNationalioFederationioofioIndependentioBusinessiov.ioSebeli
usiohadioaioprofoundioeffectiooniotheioimplementationioofiotheioAffordableioCareioActio(ACA).ioWhi
chioofiotheiofollowingiostatementsiosummarizesiotheioimpactioofiothisiocase?io-iocorrectioans-
TheiodecisioniomadeioMedicareioexpansioniobyiotheiostatesiovoluntary.
TheioAffordableioCareioActio(ACA)ioaimediotoiomakeiohealthioinsuranceiomoreioaffordableiobyiopr
ovidingiotaxiocreditsiotoioindividualsioineligibleioforiootherioaffordableiocoverageioandiowithioincom
eiobetweeniowhichioofiotheiofollowingiolimits:io-iocorrectioans-
100%ioandio400%ioofiotheiofederaliopovertyioline.
Theioconceptiodesignediotoiomakeiovictimsioofiolossesiowholeioagainioreflectsiotheioprincipleioof:io-
iocorrectioans-Indemnification

Aiomechanismiobyiowhichiooneioattemptsioeitheriotoiopreventioorioreduceiotheioprobabilityioofioaiolos
siotakingioplaceiooriotoioreduceiotheioseverityioofiotheiolossioifioitiodoesiotakeioplaceioisioreferrediotoioas
:io-iocorrectioans-Control
TheioAffordableioCareioActio(ACA),ioiniogeneral,iodefinedioaiofull-
timeioemployeeioasiooneioemployedioonioaverageioatioleastiohowiomanyiohoursioperioweek?io-
iocorrectioans-30

, Dentaliotreatmentsioareioplacediointoiotenioprofessionaliotreatmentiocategories.ioAiorestorativeiot
reatmentiois:io-iocorrectioans-
Ifioaiocafeteriaioplaniofailsiotoiopassiotheiorequiredionondiscriminationiotesting,iothen:io-
iocorrectioans-

Theiohighlyiocompensatedioandiokeyioemployeesioareiotaxediobasediooniotheiovalueioofiotheirioben
efits.
Anioinsuredioindividualiohasio$12,000ioofiocoverediomedicalioexpensesioforioin-
networkiononpreventiveiotreatment.ioHisioplanioisioaiohigh-
deductibleiohealthiopolicyiowithioaio$1,500iodeductibleioandioaio20%iocoinsuranceioarrangement.
ioAlso,iotheioplanioreimbursesio100%ioafterioanioindividualioreachesiotheioplan'sio$6,000ioout-of-

pocketiomaximum.ioWhatiowilliotheioinsurediopayiooutioofiotheiototaliomedicalioexpensesioifiothisioisio
theiofirstioclaimioofiotheioplanioyear?io-iocorrectioans-$io3,600
Aiobehavioraliohealthiocareiocarve-
outioprogramiousuallyiooperatesiounderioaioseparateiocontractioandiofromioaioseparateiocompanyi
oknownioasioa(n):io-iocorrectioans-Managediobehavioraliohealthiocareioorganizationio(MBHO)

Aioperilioasiotheiotermioappliesiotoiotheioinsuranceiomechanismioisiodefinedioas:io-iocorrectioans-
Theiocauseioofioaioloss
Theio"managediocareiobacklash"ioofiotheiolateio1990siogaveiodirectioriseiotoiowhichioofiotheiofollowi
ngiotypesioofiohealthiocareioorganizations?io-iocorrectioans-
Preferredioproviderioorganizationsio(PPOs)
WhichioofiotheiofollowingioisioaiorequirementioofiotheioHealthioInsuranceioPortabilityioandioAccount
abilityioActio(HIPAA)ioasioitioappliesiotoiowellnessioprograms?io-iocorrectioans-
Aioprogramiothatioisioofferediodirectlyiobyioanioemployeriooutsideioofioaiogroupioplanioisionotiosubjecti
otoioHIPAAioprivacyiorules.

Theiomaximumioannualiocontributioniothatiocaniobeiomadeiotoioaiohealthiosavingsioaccountio(HSA
)iois:io-iocorrectioans-Aiofixed,ioindexedioamount
Benefitsioforioso-callediolifestyleiodrugs:io-iocorrectioans-
Haveiobeenioroutinelyioexcludediofromioallioemployerioplans.
Aiodentalioplanioiniowhichiocertainioproceduresioareioreimbursedioonioaioschedulediobasisioandioot
hersioareioreimbursedioonioaiononschedulediobasisioisiocalledioa(n):io-iocorrectioans-
Combinationioplan
Aioparticipantioinioaiohealthiocareioflexibleiospendingioaccountio(FSA)ioelectsiotoiocontributeio$1,2
00iotoiotheioaccountioforioanioentireioplanioyear.ioOneiomonthiointoiotheioyear,io$200iohasiobeeniocon
tributediotoiotheioaccountioandiotheioparticipantioincursio$1,200ioworthioofioeligibleioreimbursableio
expenses.ioWhichioofiotheiofollowingiostatementsioproperlyiodescribesiotheiomaximumioallowabl
eioclaimsioandiopaymentsiothatiocaniobeiomadeiooniotheioaccount?io-iocorrectioans-
Aioclaimioofio$1,200iocaniobeiomadeiooniotheioaccount,ioandio$1,200iowilliobeiopaid.
Generallyioinioaiopremiumioconversioniocafeteriaioplan:io-iocorrectioans-
Thereioareionoioemployeriocontributions.
Forioaiocafeteriaioplaniotoiobeioaffordediofavorableiotaxiotreatment,iotheioplaniomustioallowioparticip
antsiotoiochooseiobetweeniohowiomanyiobenefitsioconsistingioofiocashio(orioaiotaxableiobenefitiotha
tioisiotreatedioasiocash)ioandioqualifiediobenefits?io-iocorrectioans-Twoiooriomore
Aiohealthiocareioplaniohasionoiorestrictionsioonioaiomember'siochoiceioofioprovider,iothereioisionoio"st
eerage,"ioandiothereioisionoiobasicioutilizationiomanagement.ioThisiotypeioofiohealthiocareiocovera
geioisioknownioas:io-iocorrectioans-Indemnityioplan

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
NurseCelestine Chamberlain College Of Nursing
View profile
Follow You need to be logged in order to follow users or courses
Sold
109
Member since
1 year
Number of followers
28
Documents
5221
Last sold
1 day ago
Nurse Celestine Study Hub

Welcome! I’m Nurse Celestine, your go-to source for nursing test banks, solution manuals, and exam prep materials. My uploads cover trusted textbooks from top nursing programs — perfect for NCLEX prep, pharmacology, anatomy, and clinical courses. Study smarter, not harder!

4.4

312 reviews

5
203
4
40
3
57
2
5
1
7

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions