AHIP Health Plan Finance and Risk Management AHM-520 Question # 72 Topic 1 Discussion
AHM-520 Exam Topic 1 Question 72 Discussion:
Question #: 72
Topic #: 1
The Poplar Company and a Blue Cross/Blue Shield organization have contracted to provide a typical fully funded health plan for Poplar's employees. One true statement about this health plan for Poplar's employees is that
A.
Poplar bears the entire financial risk if, during a given period, the dollar amount of services rendered to Poplar plan members exceeds the dollar amount of premiums collected for this health plan
B.
Poplar and the Blue Cross/Blue Shield organization share the financial risk of paying for claims under Poplar's health plan
C.
The Blue Cross/Blue Shield organization, upon acceptance of a premium, becomes the group plan sponsor for Poplar's health plan
D.
The Blue Cross/Blue Shield organization, upon acceptance of a premium, bears the entire financial risk of paying for the administrative expenses associated with health plan operations
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