Free GR1 Exam Braindumps (page: 12)

Page 12 of 34

Which of the following best describes a factor that has influenced the growth and change in benefits?

  1. There is a decreasing number of females in the workforce.
  2. Employees are expressing a greater desire for choice in their benefits.
  3. Employees have longer career expectations.
  4. Decreasing costs are causing growth in the numbers of benefits employers offer.

Answer(s): B



Regarding medical plans, what is the out-of-pocket maximum?

  1. The most that the member will be liable for in relation to co-insurance
  2. The maximum the plan will pay if the member is covered by another insurance plan
  3. The limit the member will be required to pay at each doctor visit
  4. The lifetime limit for benefits to any one employee

Answer(s): A



What are usual, customary and reasonable charges (UCR)?

  1. The charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area
  2. The charges that are published annually in the Global Insurers' Medical Cost Comparison Guide
  3. The charges that are allowable for any given medical procedure with no pre-treatment authorization
  4. The charges that are typically paid up front by a plan participant for services rendered.

Answer(s): A



A medical benefits plan provision ensuring that the correct plan is paying expenses when the member is covered under more than one plan is known as what?

  1. Deductible
  2. Coinsurance
  3. Coordination of benefits
  4. Out-of-pocket expenses

Answer(s): C



Page 12 of 34



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