HRPYC81 EXAM SCRIPT VERIFIED
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● The health insurance program for federal government employees is:
Answer: FEHB
●● Identify what may be used to modify the terms of an insurance
contract.
Answer: Rider
●● Identify the type of contract under which an insurance carrier works
as a third-party claim administrator for a self-funded health plan.
Answer: Administrate services only contract
●● Which of the following is a common reason why people elect to
enroll in individual health plans?
Answer: Because they are able to continue their health insurance
coverage between jobs
●● Which of the following are not a common purchaser of IHPs?
Answer: Employers
,●● How often do open enrollment periods usually occur?
Answer: Once per year
●● Which of the following is a way that an employer can reduce prices
for their GHPs?
Answer: Carve out benefits during negotiations to change the coverage
●● Which of the following type of plan do employers or employee
organizations offer to their employees?
Answer: Group health plan
●● Who may be covered under a GHP?
Answer: Employees, families, and former employees
●● How can employees customize their GHP policies?
Answer: By choosing levels of premiums and deductibles
●● Identify the document self-funded plan members receive that states
their benefits and legal rights.
Answer: SPD
●● How can TPAs help self-funded health plans?
, Answer: By handling collection of premiums, processing claims, and
keeping list of members
●● Third-party claims administrators are classified as:
Answer: A separate company, often a managed care organization or
insurance carrier
●● What type of contract binds a third-party administrator to provide
administrative services to an employer for a fixed fee per employee?
Answer: ASO
●● Determine what law a practice would follow if a state law is more
restrictive than the related federal law.
Answer: The state law is followed
●● Generalize the advantages provided by employers by offering GHPs:
Answer: They offer an important benefit to employees; thereby making
the employer more attractive
●● What organization runs ERISA?
Answer: EBSA
●● Self-funded health plans pay premiums to:
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● The health insurance program for federal government employees is:
Answer: FEHB
●● Identify what may be used to modify the terms of an insurance
contract.
Answer: Rider
●● Identify the type of contract under which an insurance carrier works
as a third-party claim administrator for a self-funded health plan.
Answer: Administrate services only contract
●● Which of the following is a common reason why people elect to
enroll in individual health plans?
Answer: Because they are able to continue their health insurance
coverage between jobs
●● Which of the following are not a common purchaser of IHPs?
Answer: Employers
,●● How often do open enrollment periods usually occur?
Answer: Once per year
●● Which of the following is a way that an employer can reduce prices
for their GHPs?
Answer: Carve out benefits during negotiations to change the coverage
●● Which of the following type of plan do employers or employee
organizations offer to their employees?
Answer: Group health plan
●● Who may be covered under a GHP?
Answer: Employees, families, and former employees
●● How can employees customize their GHP policies?
Answer: By choosing levels of premiums and deductibles
●● Identify the document self-funded plan members receive that states
their benefits and legal rights.
Answer: SPD
●● How can TPAs help self-funded health plans?
, Answer: By handling collection of premiums, processing claims, and
keeping list of members
●● Third-party claims administrators are classified as:
Answer: A separate company, often a managed care organization or
insurance carrier
●● What type of contract binds a third-party administrator to provide
administrative services to an employer for a fixed fee per employee?
Answer: ASO
●● Determine what law a practice would follow if a state law is more
restrictive than the related federal law.
Answer: The state law is followed
●● Generalize the advantages provided by employers by offering GHPs:
Answer: They offer an important benefit to employees; thereby making
the employer more attractive
●● What organization runs ERISA?
Answer: EBSA
●● Self-funded health plans pay premiums to:
