following?
HMO
PPO
Free lunch program
Cafeteria Plan
Which of the following best describes a TPA?
An organization that processes claims for a self-funded group plan
An accidental death and dismemberment policy will cover all of the following EXCEPT:
Hospital expense
Final Rest Mutual is an insurance company that processes and pays claims for ABC Company’s self-funded health plan. This arrangement is know as:
Third Party Administration (TPA)
Cost plus benefits (CPB)
Exclusive Provider Organization (EPO)
Administrative Services Only (ASO)
Jack has an accidental death and dismemberment policy. He can expect benefits for all of the following EXCEPT:
An emergency appendectomy
Health insurance will provide benefits for all the following EXCEPT:
Living too long
Larry is in an accident and he loses one hand and one eye. He has an Accidental Death and Dismemberment policy for $200,000 principal sum. What should he expect for his benefit?
$50,00 for each loss
$100,000 total
$400,000 since this is a double dismemberment
$200,000 since this is the principal sum
Leon has decided to self-insure his medical plan through an insurance company. This will pay his claims and administer the other features of the plan for a set fee plus claims paid. This arrangement is known as which of the following?
Third Party Administration (TPA)
Administrative Services Only (ASO)
Health insurance may be sold on a participating or a non-participating basis. Which of the following
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