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AHIP AHM-520 Exam - Topic 4 Question 100 Discussion

The following statements are about the Health Insurance Portability and Accountability Act (HIPAA) as it relates to the small group market. Three of these statements are true and one statement is false. Select the answer choice containing the FALSE statement:
B) A small group must consist of more than 10 employees in order to be underwritten on a group, rather than an individual, basis.
A) A health plan that participates in the small group market is required to issue a contract to any employer that requests healthcare benefits, as long as the employer meets the statutory definition of a small group.
C) A health plan is prohibited from canceling a small group's healthcare coverage because of poor claims experience.
D) A health plan that participates in the small group market is limited in placing restrictions such as waiting periods and pre-existing conditions exclusions to individuals in high risk categories.

AHIP AHM-520 Exam - Topic 4 Question 100 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 100
Topic #: 4
[All AHM-520 Questions]

The following statements are about the Health Insurance Portability and Accountability Act (HIPAA) as it relates to the small group market. Three of these statements are true and one statement is false. Select the answer choice containing the FALSE statement:

Show Suggested Answer Hide Answer
Suggested Answer: B

by Valentin at Sep 17, 2024, 01:48 PM

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Aron
7 months ago
D sounds a bit off, are there really limits on waiting periods?
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Lavonda
7 months ago
C is true, they can't just cancel for claims.
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Cristen
7 months ago
Wait, are you sure about B? I thought it was 2-50 employees.
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Cristen
7 months ago
Totally agree, A is definitely the false one here.
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Annalee
8 months ago
A small group can have as few as 1 employee, not 10!
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Altha
8 months ago
The part about restrictions on waiting periods and pre-existing conditions seems tricky; I thought they could apply those to all individuals, not just high-risk ones.
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Lou
8 months ago
I feel like I read that health plans can't cancel coverage based on claims experience, so that one might be true.
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Kenda
8 months ago
I think the statement about needing more than 10 employees for group underwriting sounds familiar, but I can't recall the exact number.
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Hubert
8 months ago
I remember studying that health plans have to issue contracts to small groups, but I’m not sure if it’s for every employer that requests it.
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Lottie
8 months ago
Okay, I've got a strategy - I'll first identify the 3 true statements, then the remaining one must be the false statement.
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Art
8 months ago
Hmm, I'm a little unsure about the details of HIPAA's small group market requirements. I'll have to think through each option closely.
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Donte
8 months ago
This HIPAA question looks straightforward, but I'll need to carefully read through each statement to determine which one is false.
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Karl
9 months ago
This is a good HIPAA question. I feel confident I can identify the false statement if I apply my knowledge of the small group market regulations.
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Luke
1 year ago
Wait, there's a small group market? I thought HIPAA was just for big corporations. This exam is getting way too specific!
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Shawn
12 months ago
D) A health plan that participates in the small group market is limited in placing restrictions such as waiting periods and pre-existing conditions exclusions to individuals in high risk categories.
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Blondell
1 year ago
C) A health plan is prohibited from canceling a small group's healthcare coverage because of poor claims experience.
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Laurel
1 year ago
B) A small group must consist of more than 10 employees in order to be underwritten on a group, rather than an individual, basis.
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Kenda
1 year ago
A) A health plan that participates in the small group market is required to issue a contract to any employer that requests healthcare benefits, as long as the employer meets the statutory definition of a small group.
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Sharen
1 year ago
This is a tricky one, but I think Option D is the false statement. Health plans can't really limit coverage for high-risk individuals, can they?
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Dell
1 year ago
User 3: Yeah, that doesn't seem fair at all.
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Tegan
1 year ago
User 2: I agree, health plans shouldn't be able to limit coverage for high-risk individuals.
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Frankie
1 year ago
User 1: I think Option D is the false statement.
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Corinne
1 year ago
I agree with Wilburn. Option B is definitely the false statement. The others all sound accurate based on my understanding of HIPAA.
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Laura
1 year ago
So, it looks like we all agree that option B is the false statement.
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Aide
1 year ago
Yeah, I agree. The other options all make sense in relation to HIPAA.
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Lynette
1 year ago
I think you're right, option B does seem like the false statement.
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Wilburn
1 year ago
Option B looks like the false statement to me. I don't think there's a minimum employee requirement for small groups.
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Arthur
1 year ago
Yes, it looks like option B is the false statement. Small groups can vary in size and still be underwritten on a group basis.
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Shasta
1 year ago
I believe option B is the false statement as well. Small groups can be made up of any number of employees.
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Corrina
1 year ago
I agree, option B does seem incorrect. Small groups can consist of any number of employees.
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Leonida
1 year ago
I think option B is the false statement. There is no minimum employee requirement for small groups.
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Daniel
1 year ago
The question seems straightforward, but I'm not sure about the false statement. I'll need to review the HIPAA regulations carefully.
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Carman
1 year ago
I believe the false statement is D.
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Ming
1 year ago
I agree with Colette, statement B seems incorrect.
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Colette
1 year ago
I think the false statement is B.
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Francoise
1 year ago
I believe the false statement is D, not B.
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Rhea
1 year ago
I agree with Staci, statement B seems incorrect.
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Staci
1 year ago
I think the false statement is B.
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