Exam 10: Legally Required Benefits

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Describe five ways that an employer-sponsored health plan could lose its grandfathered status.

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Grandfathered plans could lose this status if at least one of the following modifications were made:
∙Eliminating all or substantially all benefits to diagnose or treat a particular condition.
∙Increase in a percentage cost-sharing requirement (e.g.,raising an individual's coinsurance requirement from 20% to 25%).
∙Increasing a deductible or out-of-pocket maximum by an amount that exceeds medical inflation plus 15 percentage points.
∙Increasing a copayment by an amount that exceeds medical inflation plus 15 percentage points (or,if greater,$5 plus medical inflation).
∙Decreasing an employer's contribution rate towards the cost of coverage by more than 5 percentage points.
∙Imposing annual limits on the dollar value of all benefits below specified amounts.

________ requires employers to offer affordable health insurance to employees.

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Patient Protection and Affordable Care Act of 2010

________ physicians determine when patients need the care of specialists and help to control costs by reducing the number of unnecessary visits to specialists.

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Primary care

Compare Social Security disability benefits with the workers' compensation disability benefits.

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________ accounts allow employees to pay for specified health care costs not covered by an employer's insurance plan.

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What is the maximum amount that companies are permitted to charge COBRA beneficiaries?

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Ensuring the financial solvency of individuals during periods of temporary unemployment and following work-related injuries helps to do which of the following?

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The ________ is the minimum period of time an individual must be employed before becoming eligible to receive unemployment insurance under the Social Security Act of 1935.

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Under which law must former employees be given the choice to continue their coverage,as well as coverage for their spouses and dependents,for up to 18 months?

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Which of the following is covered by Medicare Part A?

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Which of the following refers to payments an individual makes as a condition of receiving medical services?

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PPACA has mandated that the "donut hole," which is the gap in Medicare Part D prescription drug coverage,must decrease each year until it reaches no more than which of the following?

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Why do health reimbursement accounts (HRAs)appeal to employees with low salaries or hourly wages?

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Briefly discuss the components of legally required benefits.How can HR managers minimize the costs that are associated with legally required benefits?

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Which strategy could help contain workers' compensation costs?

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A health insurance plan would lose its grandfathered status if it were to change ________.

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Under the Family and Medical Leave Act,how many hours would Pierre have had to work in the previous 12 months in order for him to take time off to care for his wife and new child?

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To be eligible for unemployment insurance benefits,an individual must meet which of the following requirements?

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To receive OASDI disability benefits,Sung Lee's disability would have to be expected to last at least how long?

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Jose invested $2,000 in pre-tax income into this healthcare plan but lost the $780 unspent balance remaining at the end of the year.What type of plan was it?

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