AHIP Governance and Regulation AHM-510 Question # 41 Topic 2 Discussion

AHIP Governance and Regulation AHM-510 Question # 41 Topic 2 Discussion

AHM-510 Exam Topic 2 Question 41 Discussion:
Question #: 41
Topic #: 2

The National Association of Insurance Commissioners (NAIC) adopted the Health Maintenance Organization Model Act (HMO Model Act) to regulate the development and operations of HMOs. One true statement regarding the HMO Model Act is that the act


A.

includes mental health services in its definition of basic healthcare services


B.

authorizes only one state agency-the department of insurance-to regulate HMOs


C.

requires HMOs to place a deposit in trust with the state insurance commissioner for the purpose of protecting the interests of enrollees should an HMO become financially impaired


D.

requires HMOs that wish to offer a point-of-service (POS) product to contract with a licensed insurance company to provide POS options to plan members


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