AHIP Healthcare Management: An Introduction AHM-250 Question # 217 Topic 11 Discussion

AHIP Healthcare Management: An Introduction AHM-250 Question # 217 Topic 11 Discussion

AHM-250 Exam Topic 11 Question 217 Discussion:
Question #: 217
Topic #: 11

The following statements are about concepts related to the underwriting function within a health plan. Select the answer choice containing the correct statement.


A.

Anti selection refers to the fact that individuals who believe that they have a less-than-average likelihood of loss tend to seek healthcare coverage to a greater extent than do individuals who believe that they have an average or greater-than-average like


B.

Federally qualified HMOs are required to medically underwrite all groups applying for coverage.


C.

Typically, a health plan guarantees the premium rate for a group health contract for a period of five years.


D.

When evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.


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