AHIP AHM-250 Exam - Topic 4 Question 59 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 59
Topic #: 4

When the Knoll Company purchased group health coverage from the Castle Health Maintenance Organization (HMO), the agreement between the two parties specified that the plan would be a typical fully funded plan. Because Knoll had been covered under a previo

ACastle is responsible for paying for all incurred covered benefits

BKnoll is solely responsible for guaranteeing claim payments

CKnoll makes no premium payments to Castle

DCastle has no responsibilities for administering the health plan

Show Suggested Answer

Suggested Answer: A

by Tresa at Oct 15, 2022, 11:36 AM

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Giuseppe

4 months ago

Nope, Knoll doesn't make any premium payments to Castle.

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Wynell

5 months ago

Knoll definitely has to pay premiums to Castle, right?

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Micah

5 months ago

Wait, are we sure about that? Sounds too good to be true.

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Rodney

5 months ago

Totally agree, that's how fully funded plans work!

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Stephaine

5 months ago

Castle is responsible for paying for all incurred covered benefits.

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Shakira

5 months ago

I’m a bit confused, but I think the agreement means Castle covers the benefits, so A sounds like the best option, right?

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Niesha

5 months ago

I practiced a similar question where the HMO had specific responsibilities, and I think Castle definitely has to administer the plan, which makes D seem wrong.

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Ernest

5 months ago

I'm not entirely sure, but I feel like Knoll must still make premium payments to Castle, so C seems unlikely.

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Sylvia

6 months ago

I remember discussing fully funded plans in class, and I think Castle would be responsible for paying claims, so maybe A is correct?

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Nidia

6 months ago

I'm pretty confident the answer is B. The buyer's main concerns would be things like schedule, performance, and requirements changes - not the seller's pricing strategy. Gotta keep that buyer perspective in mind.

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Darci

6 months ago

I've got a good feeling about this one. The Field Extractor automatically extracting fields at search time sounds like the right answer to me.

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Tess

6 months ago

Hmm, I'm a bit unsure about this one. I know multipathing is used to provide redundancy and failover for storage, but I'm not sure of the specific conditions for when it's enabled in Oracle VM.

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Cyndy

6 months ago

I'm a bit unsure about this one. The diagram shows the MSTP configuration, but I'm not sure how to determine the role of the switch in MSTI 1 based on the information provided.

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