Câu 65: AHM-250: Healthcare Management: An Introduction

The following statements are about the underwriting function within a health plan. Select the answer choice containing the correct statement.

1. A. The underwriting function in a health plan is primarily concerned with ensuring that the group being underwritten does not include any individuals who are likely to have higher than average utilization of medical services.
2. B. Compared to a health plan with relaxed underwriting requirements, a similar health plan with very strict underwriting requirements can expect to experience increased healthcare costs and to have significantly higher plan enrollment.
3. C. Typically, a health plan guarantees the premium rate for a group health contract for a period of no more than six months.
4. D. In order to determine the actual premium to charge a group, a group underwriter typically considers such factors as level of participation, benefits, and the age and gender distribution of group members. — đáp án hiện tại