Test 1-33 Flashcards
Provider network contracts of an administrative services only (ASO) agreement for a self-funded health plan allow a limited time period for recovering claims that were identified as overpaid. This period is usually:
1-year
A pension plan investment carries an expense of 2%. If the expenses are decreased by 50 basis points, what will be the new level of expenses?
1.50%
At a minimum, if there have been no material changes in the plan, the Employee Retirement Income Security Act requires employers to prepare and distribute new Summary Plan Descriptions to participants at least every:
10-years
Which of the following statements best describes whether the attorney-client privilege is applicable in the area of employee benefits plans?
As a general rule, it applies; however, courts have increasingly recognized that an exception may exist in communications involving fiduciary activities.
A global trend taking place in defined contribution retirement plans is:
Greater reliance on plans with default investments
One of the basic disclosure documents required by the Employee Retirement Income Security Act is the Summary of Benefits and Coverage. It must be presented in a uniform format and cannot exceed how many double-sided pages?
4
Which of the following statements regarding the procedures required to establish an Employee Retirement Income Security Act (ERISA) employee welfare benefit plan is correct?
No particular formalities are required to create an ERISA plan.
A social security totalization agreement might be involved when an employee takes an international assignment. Which of the following statements best describes the purpose of this type of agreement?
The agreement provides relief from dual social security coverage and taxation under both systems and integrates or synchronizes the benefits earned under more than one system.
Which of the following is a Supreme Court case that made it difficult to argue that an Employee Retirement Income Security Act plan should not have a contractual limitations period if certain requirements are m
Heimeshoff v. Hartford Life & Accident Insurance Company
When an employee takes an international assignment, the employee might be given “tax protection.” This practice refers to which of the following?
Reimbursing the employee only in the event he or she pays higher taxes as a result of the international assignment
The cost of an administrative claims audit in a self-funded health plan typically will be:
Less than 1% of total annual claim spending
What is the best description of the coverage provided by “Medigap” insurance policies?
Medigap covers health care service charges, such as copayments, coinsurance and deductibles, not covered by Medicare Parts A and B.
Which of the following is a group that has been explicitly identified as being vulnerable to significant litigation risk when employer securities are part of a retirement plan’s investment portfolio
Plan Fiduciaries
A person’s Social Security primary insurance amount (PIA) is which of the following?
The worker’s monthly retirement benefit at full retirement age
Leaders in the data analytics industry developed a Healthcare Analytics Adoption Model that has a number of levels of analytics adoption that an organization passes through as it gains sophistication in using its data to drive improvement. In this model, what is the highest level of sophistication?
Personalized medicine and prescriptive analytics