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AHIP Exam AHM-520 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:

AA 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.

BA small group must consist of more than 10 employees in order to be underwritten on a group, rather than an individual, basis.

CA health plan is prohibited from canceling a small group's healthcare coverage because of poor claims experience.

DA 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.

Show Suggested Answer

Suggested Answer: B

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

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Luke

1 months 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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Laurel

4 days 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

17 days 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 months 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

13 days ago

User 3: Yeah, that doesn't seem fair at all.

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Tegan

15 days ago

User 2: I agree, health plans shouldn't be able to limit coverage for high-risk individuals.

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Frankie

17 days ago

User 1: I think Option D is the false statement.

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Corinne

1 months 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

6 days ago

So, it looks like we all agree that option B is the false statement.

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Aide

19 days ago

Yeah, I agree. The other options all make sense in relation to HIPAA.

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Lynette

1 months ago

I think you're right, option B does seem like the false statement.

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Wilburn

2 months 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

24 days 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

25 days 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 months ago

I agree, option B does seem incorrect. Small groups can consist of any number of employees.

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Leonida

1 months ago

I think option B is the false statement. There is no minimum employee requirement for small groups.

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Daniel

2 months 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

2 months ago

I believe the false statement is D.

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Ming

2 months ago

I agree with Colette, statement B seems incorrect.

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Colette

2 months ago

I think the false statement is B.

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Francoise

2 months ago

I believe the false statement is D, not B.

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Rhea

2 months ago

I agree with Staci, statement B seems incorrect.

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Staci

2 months ago

I think the false statement is B.

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