Become AHIP Certified with updated AHM-520 exam questions and correct answers
The purest form of a self-funded benefit plan is one in which the employer pays benefits from current revenue, administers all aspects of the plan, and bears the risk that actual benefit payments will exceed the expected amount of payments. A decision to use this kind of self-funding is generally considered most desirable when certain conditions are present.
These conditions most likely include that the benefit plan:
A health plan's costs can be classified as committed costs or discretionary costs. An example of a discretionary cost for a health plan is the cost of its:
The Jasmine Company, which self-funds the health plan for its 200 employees, has established a 501(c)(9) trust as a means of addressing possible claims fluctuations under the health plan. This plan is not a part of a collective bargaining process.
A potential disadvantage to Jasmine of using a 501(c)(9) trust is that:
A health plan can use segment margins to evaluate the profitability of its profit centers.
One characteristic of a segment margin is that this margin:
The following statements are about 501(c)(9) trusts. Select the answer choice containing the correct statement:
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