his consequences may include which of the following?
Private lawsuits under ERISA
IRS excise Taxes
Liability for past and future medical expenses during the qualified beneficiary’s continuation period.
All of the Above
You belong to a system that provides both health care services and health care insurance.
You belong to:
PPO
HMO
An HMO found guilty of unfair trade practices can be subject to:
Imprisonment
Fines not exceeding $25,000
Fines up to $50,000
Both imprisonment and fines up to $50,000
If Sally belongs to an HMO, she can expect which of the following included in her benefits?
Annual physical
Immunization shots as required
Age related preventative treatment
All of the above
Steve is considering the HMO option offered by his employer. Which of the following can Steve expect if chooses this option?
Choice of any doctor he wishes to use.
Treatment for diagnosed illness only
Annual physical and preventative care
Before an HMO may offer coverage and benefits to the public, the HMO must do which of the following:
Obtain a certificate of authority from the state’s Department of Insurance.
A Health Maintenance Organization (HMO) uses a method called capitation. Which of the following describes capitation?
Sets a limit on the number of doctors that can be employed by the HMO.
Pays a fixed monthly fee to the health provider for each member regardless of the services they may use.
HMOs (Health Maintenance Organizations) typically:
Provide annual

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