AHIP Health Plan Finance and Risk Management AHM-520 Question # 85 Topic 3 Discussion

AHIP Health Plan Finance and Risk Management AHM-520 Question # 85 Topic 3 Discussion

AHM-520 Exam Topic 3 Question 85 Discussion:
Question #: 85
Topic #: 3

The following statements are about a health plan's underwriting of small groups. Select the answer choice containing the correct statement.


A.

Almost all states prohibit health plan s from rejecting a small group because of the nature of the business in which the small business is engaged.


B.

Most states prohibit health plans from setting participation levels as a requirement for coverage, even when coverage is otherwise guaranteed issue.


C.

In underwriting small groups, a health plan's underwriters typically consider both the characteristics of the group members and of the employer.


D.

Generally, a health plan's underwriters require small employers to contribute at least 80% of the cost of the healthcare coverage.


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