Câu 51: AHM-520: Health Plan Finance and Risk Management

State A, which requires guaranteed issue of at least two mandated healthcare plans, has established a typical health coverage reinsurance program for small employer groups. One true statement about this reinsurance program is that it most likely:

1. A. is administered by a commercial reinsurance company that operates in State A
2. B. allows a small employer carrier operating in State A to reinsure either an entire small group or specific individuals within the group — đáp án hiện tại
3. C. has, for the coverage on a plan, a base premium, which is multiplied by a factor of 2 in the case of reinsurance on entire groups or a factor of 3 for reinsurance on individuals
4. D. prohibits a small employer carrier operating in State A from placing individuals enrolled in small groups in a reinsurance pool