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AHIP AHM-250 Exam - Topic 4 Question 59 Discussion

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
A) Castle is responsible for paying for all incurred covered benefits
B) Knoll is solely responsible for guaranteeing claim payments
C) Knoll makes no premium payments to Castle
D) Castle has no responsibilities for administering the health plan

AHIP AHM-250 Exam - Topic 4 Question 59 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 59
Topic #: 4
[All AHM-250 Questions]

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

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Suggested Answer: A

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

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Giuseppe
10 months ago
Nope, Knoll doesn't make any premium payments to Castle.
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Wynell
11 months ago
Knoll definitely has to pay premiums to Castle, right?
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Micah
11 months ago
Wait, are we sure about that? Sounds too good to be true.
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Rodney
11 months ago
Totally agree, that's how fully funded plans work!
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Stephaine
11 months ago
Castle is responsible for paying for all incurred covered benefits.
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Shakira
11 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
11 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
11 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
12 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
12 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
12 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
12 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
12 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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