AHM-520 무료 덤프문제 온라인 액세스

The Harp Company self-funds the health plan for its employees. The plan is administered under a typical administrative-services-only (ASO) arrangement. One true statement about this ASO arrangement is that

• A.The amount that Harp pays the administrator to provide the ASO services is not subject to state premium taxes
• B.This arrangement prevents Harp from purchasing stop-loss coverage for its health plan
• C.The administrator is responsible for paying claims from its own assets if Harp's account is insufficient
• D.The charges for the ASO services must be stated as a percentage of the amount of claims paid for medical expenses incurred by Harp's covered employees and their
  dependents

An actuary for the Noble Health Plan observed that the plan's actual morbidity was lower than its assumed morbidity and that the plan's actual administrative expenses were higher than its assumed administrative expenses. In this situation, Noble's actual underwriting margin was

• A.larger than its assumed underwriting margin, but the plan's actual expense margin was lower than its assumed expense margin
• B.larger than its assumed underwriting margin, and the plan's actual expense margin was higher than its assumed expense margin
• C.smaller than its assumed underwriting margin, but the plan's actual expense margin was higher than its assumed expense margin
• D.smaller than its assumed underwriting margin, and the plan's actual expense margin was lower than its assumed expense margin

The following statements are about the capital budgeting technique known as the payback method. Select the answer choice containing the correct statement:

• A.The main benefit of the payback method is that it is simple to use.
• B.The payback method measures the profitability of a given capital project.
• C.The payback method considers the time value of money.
• D.The payback method states a proposed project's cash flow in terms of present value for the life of the entire project.

The Puma health plan uses return on investment (ROI) and residual income (RI) to measure the performance of its investment centers. Two of these investment centers are identified as X and Y.
Investment Center X earns $10,000,000 in operating income on controllable investments of $50,000,000, and it has total revenues of $60,000,000. Investment Center Y earns $2,000,000 in operating income on controllable investments of $8,000,000, and it has total revenues of $10,000,000. Both centers have a minimum required rate of return of 15%.
One likely way in which Investment Center X or Y could effectively increase its ROI is by

• A.Increasing its controllable investments
• B.Increasing total revenues, accompanied by a proportionate increase in operating income
• C.Increasing expenses in order to increase operating income
• D.Focusing only on increasing its total revenues

Experience rating and manual rating are two rating methods that the Cheshire health plan uses to determine its premium rates. One difference between these two methods is that, under experience rating, Cheshire

• A.can use group demographics to help determine the rate for a block of business, whereas, under manual rating, Cheshire cannot use group demographics when determining the rate for a block of business
• B.can establish rates for groups that have no previous plan experience, whereas, under manual rating, Cheshire cannot establish rates for groups with no previous plan experience
• C.charges each group in the same class the same premium whereas, under manual rating, Cheshire charges lower premiums to groups that have experienced lower utilization rates
• D.Uses a purchaser's actual experience to estimate the group's expected experience, whereas, under manual rating, Cheshire uses its own average experience-and sometimes the experience of other plans-to estimate the group's expected experience