The Following Statements Are About Federal Laws and Regulations Which

question 57

Multiple Choice

The following statements are about federal laws and regulations which affect health plans that offer products and services to the employer group market. Select the answer choice containing the correct statement.

• A) Amendments to the HMO Act of 1973 require federally qualified HMOs to adjust a group's prior premiums on the basis of the group's experience during the prior rating period.
• B) The Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1986 requires that, if a plan sponsor elects to terminate its group coverage with a health plan, then the health plan must continue its coverage for the COBRA-qualified beneficiaries in the group.
• C) The Health Insurance Portability and Accountability Act (HIPAA) of 1996 generally requires the guaranteed renewal of healthcare coverage for certain individuals and for both small and large groups, regardless of the health status of any member.
• D) The Mental Health Parity Act (MHPA) of 1996 mandates that all health plans must offer benefits for mental healthcare.

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Definitions:

Servers

Computer systems or software that provide data, resources, or services to other computers, known as clients, over a network.

Warrant

A warrant is an official document issued by a legal or government official authorizing the police or some other body to make an arrest, search premises, or carry out some other action relating to the administration of justice.

Foreign Countries

Nations that are outside the jurisdiction or territory of one's own country, often having different legal, cultural, and political systems.

Advertising Law

Regulations and legal standards that govern the ways in which products and services can be promoted to the public.