CEBS GBA 1 Practice Exam Questions ()UPDATE VERIFIED BY EXPERTS!!
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Course
CEBS GBA 1
Institution
CEBS GBA 1
A prescription drug rebate occurs when: - ANSWERThere is an agreement between a pharmacy benefit manager and a drug manufacturer.
The concept designed to make victims of losses whole again reflect the principle of: - ANSWERIndemnification
A healthcare plan that has no restrictions on a member...
CEBS GBA 1 Practice Exam Questions
(2022-2024)UPDATE VERIFIED BY
EXPERTS!!
A prescription drug rebate occurs when: - ANSWERThere is an agreement between a pharmacy
benefit manager and a drug manufacturer.
The concept designed to make victims of losses whole again reflect the principle of: -
ANSWERIndemnification
A healthcare plan that has no restrictions on a member's choice of provider, no "steerage," and no
basic utilization management is known as: - ANSWERIndemnity plan
The legislation that plays a fundamentally important role in protecting sensitive patient information
gathered during behavioral treatment is: - ANSWERHealth Insurance Portability and Accountability
Act (HIPAA)
A dental plan in which certain procedures are reimbursed on a scheduled basis and others are
reimbursed on a nonscheduled basis is called a(n): - ANSWERCombination plan
Regarding return on investment (ROI) evaluations and calculations, ROI evaluations usually: -
ANSWEROnly consider the payback for the investor in terms of the money they get back for the
money they put in.
The design of any employee benefit plan should start with deciding: - ANSWERWhat are the overall
objectives of the plan.
A peril as the term applies to the insurance mechanism is defined as: - ANSWERThe cause of loss
A behavioral health care carve-out program usually operates under a separate contract and from a
separate company known as: - ANSWERa Managed Behavioral Health Care Organization (MBHO)
,There can be great variability in employer spending to sponsor a workplace wellness program. The
cost of these programs per employee per year typically ranges from: - ANSWER$0-$450
Regarding employee benefit planning, the functional approach is: - ANSWERCompatible with both
the compensation/service oriented benefit philosophy and the needs-oriented benefit philosophy
The landmark "Inland Steel Case" had extreme importance because it: - ANSWERStated the employer
had the duty to bargain in good faith over wages which also included insurance and fringe benefits
Money forfeited by employees under the use-it-or-lose-it rule in cafeteria plans is called an
experience gain. These experience gains may not be: - ANSWERReturned to the employees who
incurred the forfeitures.
They may be:
- retained by the employer
- used to reduce admin expenses
- used to reduce employer's required salary reduction amounts
- donated to charity
Numerous studies have examined the effectiveness of workplace wellness programs in promoting
health or preventing disease. How effective are they proven to be based on the studies? -
ANSWERThese programs have had limited evidence of their effectiveness.
Generally in a premium conversion cafeteria plan: - ANSWERThere are no employer contributions.
The "managed care backlash" of the late 1990s created significant growth in which of the following
types of health care organizations? - ANSWERPreferred Provider Organizations (PPOs)
For a cafeteria plan to be afforded favorable tax treatment, the plan must allow participants to
choose between how many benefits consisting of cash (or a taxable benefit that is treated as cash)
and qualified benefits? - ANSWERTwo or more
The maximum annual contribution that can be made to a health savings account (HSA) is: -
ANSWERA flat dollar amount for individuals and a flat dollar amount for families
,When a participant of a cafeteria plan makes a one-time election on coverage that stays in force from
plan year to plan year unless the participant elects to make a change during the applicable election
period, it is referred to as a(n): - ANSWEREvergreen election
Which risk-handling techniques are being used by a firm that decides to not produce a dangerous
chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler
system throughout the plant? - ANSWERAvoidance, retention, insurance and control
Which of the following statements regarding dental care and the ACA is correct?
- Dental care is not an essential benefit for adults in the ACA
- The ACA requires dental coverage for all children
- Dental coverage is required by the ADA only if health coverage is provided under a self-insured/self-
administered plan
- The ACA requires comprehensive dental care for adults and children
- The ACA excludes all dental care benefits - ANSWERDental care is not an essential benefit for adults
in the ACA
A mechanism by which one attempts to prevent or reduce the probability of a loss taking place or to
reduce the severity of the loss if it does take place is referred to as: - ANSWERControl
Benefits for so-called lifestyle drugs are: - ANSWERTypically excluded from employer plans.
Which of the following statements regarding workplace wellness programs is correct?
- A workplace wellness program should be designed to target the most fitness-conscious employees.
- Workplace wellness programs are used almost exclusively by large employers.
- The most significant drivers of cost of workplace wellness programs are incentives, equipment and
outside service providers.
- Health screenings known as health risk assessments (HRAs) are prohibited if used in conjunction
with workplace wellness programs
- Biometric testing for workplace wellness programs must be conducted by qualified physicians. -
ANSWERThe most significant drivers of cost of workplace wellness programs are incentives,
equipment and outside service providers.
Which of the following statements regarding managed behavioral health organizations (MBHOs) and
administrative services only (ASO) arrangements is correct?
, - ASOs are especially effective for small employers
- ASOs are sometimes referred to as "fully insured" plans
- An ASO transfers the financial risk of health care costs to an insurance company
- A key advantage of ASOs is that employers can offer the same benefit to employees working in
different states because ERISA exempts ASO plans from compliance with state laws and regulations.
- Employers who purchase an ASO contract agree to assume the financial risk for claims payments up
to a certain (rather large) amount but claims in excess of the stipulated amount are paid by the
MBHO - ANSWERA key advantage of ASOs is that employers can offer the same benefit to employees
working in different states because ERISA exempts ASO plans from compliance with state laws and
regulations.
Dental treatments are placed into ten professional treatment categories. The repair of a natural
tooth is included in which of the following categories? - ANSWERRestorative
Which of the following statements regarding the functional approach to employee benefit planning is
correct?
- The functional approach assumes a business firm is interested in providing an industry-wide
average level of employee benefits
- The functional approach is appropriate only for organizations that are well-established
- The functional approach is essentially a planning approach that aligns a total compensation
philosophy with a strategic business objectives
- The functional approach is based primarily on the needs of employees and their dependents, rather
than on the compensation and service of employees
- The primary goal of the functional approach is to balance short-term benefits with long-term
employee benefits - ANSWERThe functional approach is essentially a planning approach that aligns a
total compensation philosophy with a strategic business objectives
The ACA, in general, defined a full-time employee as one employed on average of at least how many
hours per week? - ANSWER30
The amount of covered medical expenses that a participant must incur before any medical benefits
for non-preventative care services or treatment become payable under a plan is known as the: -
ANSWERDeductible
The Small Business Health Care Relief Act created the qualified small employer HRA (QSEHRA). This
act applies to businesses with fewer than how many employees? - ANSWER50
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