Câu 31: AHM-520: Health Plan Finance and Risk Management

Under the alternative funding method used by the Trilogy Company, the insurer charges Trilogy an initial premium that is based on the assumption that claims will be 93% of the expected claims for the year. If claims exceed 93% of expected claims, then Trilogy must reimburse the insurer for any additional claims paid, up to 112% of expected claims. The insurer bears the responsibility for paying claims in excess of 112% of expected claims. From the following answer choices, choose the name of the alternative funding method described.

1. A. Retrospective-rating arrangement — đáp án hiện tại
2. B. Premium-delay arrangement
3. C. Reserve-reduction arrangement
4. D. Minimum-premium plan