HRM 485 Exam #2 Flashcards

1
Q

As of March 2021, discretionary benefits accounted for as much as what percentage of an employer’s total payroll cost?

A

30%

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2
Q

[1.] ____ were created to offer more health care coverage for those who could not afford insurance funded by [2.] ___ and [3.] ____ subsidies.

A
  1. Co-ops
  2. State
  3. Federal
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3
Q

This type of discretionary benefit would allow an employee to get help dealing with the effects of domestic violence.

A

EAP

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4
Q

You broke your neck at work. The company called to inform you that they had to switch your benefits from the short-term disability account to the long-term account. That means you’ve probably been off work around how long?

A

6 months

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5
Q

Long-term disability benefits usually pay employees which range of monthly pretax salary?

A

50-70%

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6
Q

Regulates qualified benefits and retirement plans and offers tax advantages to the employer.

A

ERISA

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7
Q

By what percentage have total healthcare expenditures risen since 1999?

A

140%

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8
Q

________ replaces income for employees who become unable to work because of sicknesses or accidents.

A

Disability insurance

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9
Q

This type of consumer driven health care fund allows employees to carry-over the unused funds still in their account.

A

Health Savings Account (HSA)

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10
Q

Your company asked you to come up with a contribution plan that invests the contributions in company securities and distributes the payouts in stock instead of cash. Which plan would you suggest they use?

A

Employee Stock Ownership Plan (ESOP)

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11
Q

Jose invested $6,000 in pretax income into his health care plan, but lost the $780 left in it at the end of the year, because he didn’t use it. What type of plan was it?

A

Flexible Spending Account (FSA)

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12
Q

This type of benefit has been utilized greatly during covid receiving a diagnosis or advice without leaving your home.

A

Telehealth

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13
Q

According to the provisions in her health insurance plan with Volunteer Insurance, Lauren’s coinsurance payment would be $50 if she goes to Dr. Kitt, but will only be $25, if she goes to Dr. Matthew. She probably belongs to what type of insurance plan?

A

PPO

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14
Q

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.

A

Managed Care Plan

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15
Q

___________is the acronym for the health care reform past in March 2009 and is still currently in place.

A

PPACA

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16
Q

Tax sheltered similar to an IRA but only for paying medical expenses.
High deductible health plan only- 1,350 employee or 2,700 family.

A

Health Savings Account

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17
Q

These types of physicians determine when patients need the care of specialists and help to control costs by reducing the number of unnecessary visits to specialists.

A

Primary care

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18
Q

Social Security was meant for retirement, why or why not?

A

No, it was meant to help people during the Great Depression as many people were suffering from financial problems.

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19
Q

How is Medicare Part A financed?

A

Payroll taxes from both employers and employees

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20
Q

A federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.

A

Mental Health Parity Act

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21
Q

Under FMLA, for Jacob to take time off to take care of his wife and new child how many hours would he have had to work in the previous 12 months.

A

1250 hours

22
Q

Income discontinuity caused by______________led to the Social Security Act as a means to protect families from financial devastation in the event of unemployment.

A

The Great Depression

23
Q

A covered service member as “a current member of the Armed Forces, including a member of the National Guard or Reserves, who is undergoing medical treatment, recuperation or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list, for a serious injury or illness; or a covered veteran who is undergoing medical treatment, recuperation, or therapy for a serious injury or illness. This falls under what act?

24
Q

____________ plans that employer assumes the direct risk for payment of the claims for benefits. The terms of eligibility and coverage are set forth in a plan document which includes provisions similar to those found in a typical group health insurance policy.

A

Self-funded

25
__________claims are workers’ compensation claims that result from disabilities caused By ailments associated with particular Industrial trades or processes.
Occupational
26
_________can be defined as any frightening event that puts one’s life or safety in danger or witnessing someone else being harmed or put in danger.
Trauma
27
40 million adults suffer each year with this type of disorder and most common type of mental health issue ________.
Anxiety
28
___________ is the theme of the Governors program for health and wellness.
Small starts
29
$4.7 billion lost in employee productivity due to financial ___________.
Stress
30
_________ is used to describe the efforts to eliminate social or environmental causes of mental illness, screen for mental health conditions regularly, and intervene early after the onset.
Prevention
31
Many companies have a team to address well-being issues. What are some of the job titles for a well-being staff?
Wellness coordinator, wellness manager, trainers, coaches, occupational nurses
32
Start with a _________ to show employees a starting place with their health
Health risk assessment
33
____________ and ___________ are key when starting a new wellness program for employee understanding and participation.
Education and communication
34
On average for every $3.00 spent on wellness, health care costs Decrease _____________.
$1.00
35
Name a way of measuring the ROI on a wellness program.
Workers’ compensation claims, productivity, employee engagement, job satisfaction
36
___________ is a team of wellness champions within a workplace who are charged with increasing understanding of the worksite wellness program and promoting healthier norms among their peer groups.
Wellness network
37
On average the US spends about _________ more per person than any other country.
$3000
38
Runaway health care cost is the most serious threat to the US economy. True or False.
True
39
In a coalition, the member pays premiums and the money goes into a _________ and the part of that can go to pay for services or tests and there is still out of pocket costs.
Pool
40
Guarantee retirement benefits specified in the plan document and usually expressed in terms of a monthly sum.
Defined Benefit Plan
41
Employers and employees make annual contributions to separate accounts established for each participating employee, based on a formula contained in the plan document.
Defined contribution plan
42
What resources as an HR professional, would you utilize to create or change your retirement plan for your company?
SHRM, ERISA, DOL, USI consultant
43
According to bls.gov there will be an increase in these type jobs related to health___________and ____________.
Educators and community health workers
44
A systems biology–based approach that focuses on identifying and addressing the root cause of disease
Functional medicine
45
How do we change the behavior of the employee population?
Education
46
What is in the “cost monster”?
Lifestyle, behavioral change, catastrophic care and costs illness, insulated costs (PPT – will be a short answer)
47
There is a _______ in cost between Primary care doctors and specialities.
Difference/Disparity
48
What are some differences in high deductible health plans and managed care or PPO?
PPO – is it in network? Deductible – 2,000 – 5,000, more expensive premium, lower deductible, bigger network High deductible – up to 10,000, higher out of pocket costs, lower premium
49
Who is larger than the healthcare community that could influence policy?
Corporate America
50
How do we use our environment, diet, exercise to reduce stress and to impact genetics and genomics.
Having friends/community at work, incentives, encouraging people to change