Home AHIP Governance and Regulation AHIP.AHM-510.v2019-03-23.q45 Question 13
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Congress enacted three clauses relating to the preemptive effect of the Employee Retirement Income Security Act of 1974 (ERISA). One of these clauses preserves from ERISA preemption any state law that regulates insurance, banking, or securities, with the exception of the exemption for self-funded employee benefit plans. This clause is called the
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Question 1: TRICARE, a military healthcare program, offers eligible bene...Question 2: In the course of doing business, health plans conduct basic ...Question 3: The following statements appear in the Twilight Health Plan'...Question 4: The Tidewater Life and Health Insurance Company is owned by ...Question 5: Greenpath Health Services, Inc., an HMO, recently terminated...Question 6: One provision of the Mental Health Parity Act of 1996 (MHPA)...Question 7: The Good & Well Pharmacy, a Medicaid provider of outpati...Question 8: Health plans should monitor changes in the environment and e...Question 9: Antitrust laws can affect the formation, merger activities, ...Question 10: The Tidewater Life and Health Insurance Company is owned by ...Question 11: Greenpath Health Services, Inc., an HMO, recently terminated...Question 12: Arthur Dace, a plan member of the Bloom Health Plan, tried r...Question 13: Congress enacted three clauses relating to the preemptive ef...Question 14: Antitrust laws can affect the formation, merger activities, ...Question 15: One example of health plan's influence on the practice of me...Question 16: Solvency standards for Medicare provider-sponsored organizat...Question 17: The Surrey Medical Supply Company was formed as a limited pa...Question 18: The Hanford Health Plan has delegated the credentialing of i...Question 19: There are several approaches to the interagency division of ...Question 20: Determine whether the following statement is true or false: ...Question 21: Nightingale Health Systems, a health plan, operates in a sta...Question 22: The Nonprofit Institutions Act allows the Neighbor Hospital,...Question 23: States may impose nominal deductibles, coinsurance, or copay...Question 24: Greenpath Health Services, Inc., an HMO, recently terminated...Question 25: From the following answer choices, choose the term that best...Question 26: One typical difference between a for-profit health plan's bo...Question 27: The Wentworth Corporation uses a self-funded plan to provide...Question 28: There are several exceptions to the Ethics in Patient Referr...Question 29: The Opal Health Plan complies with all of the provisions of ...Question 30: SoundCare Health Services, an MCO, recently conducted a situ...Question 31: Arthur Dace, a plan member of the Bloom health plan, tried r...Question 32: The Sawgrass Health Center is an institution that trains hea...Question 33: The following statements are about market conduct examinatio...Question 34: The Tidewater Life and Health Insurance Company is owned by ...Question 35: The following statements are about various provisions of the...Question 36: In the paragraph below, a statement contains two pairs of te...Question 37: The following answer choices describe various approaches tha...Question 38: The Tidewater Life and Health Insurance Company is owned by ...Question 39: Certificate of need (CON) laws apply to health plans in a va...Question 40: Regulatory and legislative bodies are among the important en...Question 41: Health maintenance organizations (HMOs) seeking federal qual...Question 42: Some health plans qualify as tax-exempt organizations under ...Question 43: Indigo Health Plan advertised a specific individual health i...Question 44: The Tidewater Life and Health Insurance Company is owned by ...Question 45: The government uses various tools within the realm of two br...
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