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AHIP AHM-250 Exam - Topic 4 Question 59 Discussion

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

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

Suggested Answer: A

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13 comments · newest first
GI
Giuseppe 12 months ago
Nope, Knoll doesn't make any premium payments to Castle.
WY
Wynell 1 year ago
Knoll definitely has to pay premiums to Castle, right?
MI
Micah 1 year ago
Wait, are we sure about that? Sounds too good to be true.
RO
Rodney 1 year ago
Totally agree, that's how fully funded plans work!
ST
Stephaine 1 year ago
Castle is responsible for paying for all incurred covered benefits.
SH
Shakira 1 year ago
I’m a bit confused, but I think the agreement means Castle covers the benefits, so A sounds like the best option, right?
NI
Niesha 1 year 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.
ER
Ernest 1 year ago
I'm not entirely sure, but I feel like Knoll must still make premium payments to Castle, so C seems unlikely.
SY
Sylvia 1 year ago
I remember discussing fully funded plans in class, and I think Castle would be responsible for paying claims, so maybe A is correct?
NI
Nidia 1 year 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.
DA
Darci 1 year 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.
TE
Tess 1 year 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.
CY
Cyndy 1 year 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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