America's Benefit Specialist March 2023

CPC QUIZ

7. Among the advantages of choosing an ICHRA model is a transfer of risk on the part of the __________, especial ly for those that have low participation or poor claims experience in their group health plan arrangement, likely contributing to higher renewal increases year over year.

1. There is a myriad of _____________ related to the Trans parency in Coverage Shoppable Services Online Self-Service Tool, TiC Machine Readable Files, the CAA’s No Surprises Act and the CAA RX Benefit Reporting.

A. problems B. intricacies C. headaches D. new regulations

A. employee B. employer

C. group D. agent

2. The ______ final rule included requirements for ma chine-readable files to be publicly disclosed, as well as an online self-service tool. A. TiC

8. Employers that have premiums that trend significantly ________ than the benchmark will likely see cost sav ings when transitioning to the ICHRA model. A. lower B. comparable C. higher D. cheaper 9. __________ the exchange and selecting the best-fitting plan can also be a challenge for employees. 10. For employers, payroll ________ are a manual process, due to the unique pricing that each employee has with the variety of ages and plan choices. A. deductions B. entries C. raises D. selections 11. ___________, when an employee is working but not performing at full capacity due to a physical or mental health condition, illness or injury, continues to be a problem for many companies A. Laziness B. Presenteeism C. Ineptitude D. Absenteeism 12. When employees come to work feeling unwell, they are more likely to make _________, have reduced work quality and be less productive, which can lead to lower employee morale and profitability for an organization. A. differences B. enemies A. Paying for B. Excluding C. Including D. Navigating

B. MRF C. CXM D. XML

3. The TiC requires plans and _______________ to publicly post two MRFs: In-Network Provider Rates for Cov ered Items and Services, and Out-of-Network (OON) Allowed Amounts for Covered Items and Services. A. employers B. insurance issuers C. regulators D. accountants 4. It is important to note that the MRF provision of the TiC _________ apply to grandfathered health plans under the ACA, and does not apply to excepted benefits such as limited-scope dental and vision plans, or account-based group health plans such as HRAs or Health FSAs. A. does

B. generally C. does not D. should not

5. A ___________ service is one that can be scheduled in advance and typically is provided in non-urgent situations, thus allowing patients to price-shop and schedule the service when it’s convenient for them, at the most affordable rates.

A. shoppable B. performed

C. benefit D. medical

6. Individual Coverage _________________ became an op tion in 2020, presenting an alternative solution to tra ditional plans by allowing employers to use HRA funds to reimburse individual premiums with pre-tax dollars.

A. FSAs B. HSAs C. HRAs D. ACAs

C. errors D. issues

44 ABS | benefitspecialistmagazine.com