AHIP Exam AHM-250 Topic 6 Question 89 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 89
Topic #: 6

The following statements are about concepts related to the underwriting function within a health plan. Select the answer choice containing the correct statement.

AAnti selection refers to the fact that individuals who believe that they have a less-than-average likelihood of loss tend to seek healthcare coverage to a greater extent than do individuals who believe that they have an average or greater-than-average like

BFederally qualified HMOs are required to medically underwrite all groups applying for coverage.

CTypically, a health plan guarantees the premium rate for a group health contract for a period of five years.

DWhen evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.

Show Suggested Answer

Suggested Answer: D

by Lamar at Jun 01, 2024, 10:11 PM

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Laurel

1 months ago

Wait, so the underwriters are looking at the group's 'activities'? Like, are they checking if the group has a bowling team or something?

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Adelina

3 days ago

D) When evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.

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Gilberto

11 days ago

Yes, they look at factors like the group's size, stability, and the type of activities they engage in to assess risk.

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Hui

16 days ago

D) When evaluating the risk for a group policy, underwriters typically focus on such factors as the size of the group, the stability of the group, and the activities of the group.

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Kyoko

17 days ago

A) Anti selection refers to the fact that individuals who believe that they have a less-than-average likelihood of loss tend to seek healthcare coverage to a greater extent than do individuals who believe that they have an average or greater-than-average like

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Carin

19 days ago

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Ceola

2 months ago

Option B is the way to go. Federally qualified HMOs are required to underwrite all groups, right?

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Lezlie

9 days ago

Definitely. It's an important part of the underwriting process to determine the appropriate premium rates for each group.

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Clay

26 days ago

That makes sense. It helps ensure that the health plan is able to accurately assess the risk of each group.

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Kristin

1 months ago

Yes, that's correct. Federally qualified HMOs are required to medically underwrite all groups applying for coverage.

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Dewitt

2 months ago

I'm going with C. Five-year premium rate guarantees? That's gotta be a trick question!

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Viva

2 months ago

Option A sounds right to me. Anti-selection is when individuals who believe they have a higher risk of loss seek coverage more often.

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Pamella

3 days ago

Yes, option A is the correct statement. Anti-selection plays a big role in how individuals seek healthcare coverage.

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Valentine

16 days ago

Option A is definitely the right choice. Anti-selection is an important concept in underwriting.

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Cassandra

1 months ago

I agree, option A is the correct statement. It's all about individuals seeking coverage based on their perceived risk.

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Leana

1 months ago

I think option A is correct. Anti-selection is when individuals with lower risk seek coverage more.

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Shoshana

2 months ago

I think option D is the correct answer. Underwriters do focus on factors like group size, stability, and activities when evaluating risk for a group policy.

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