Describe five ways that an employer-sponsored health plan could lose its grandfathered status
What will be an ideal response?
Answer: Grandfathered plans could lose this status if at least one of the following modifications were made:
? Eliminating all or substantially all benefits to diagnose or treat a particular condition.
? Increase in a percentage cost-sharing requirement (e.g., raising an individual's coinsurance requirement from 20% to 25%).
? Increasing a deductible or out-of-pocket maximum by an amount that exceeds medical inflation plus 15 percentage points.
? Increasing a copayment by an amount that exceeds medical inflation plus 15 percentage points (or, if greater, $5 plus medical inflation).
? Decreasing an employer's contribution rate towards the cost of coverage by more than 5 percentage points.
? Imposing annual limits on the dollar value of all benefits below specified amounts.
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Which of the following most accurately identifies a difference between a weakness and a threat in SWOT analysis?
A) A company is more able to change a threat than a weakness. B) A company is more able to change a weakness than a threat. C) A company can be more negatively affected by a weakness than by a threat. D) A company can be more negatively affected by a threat than by a weakness. E) A company can more easily identify threats than weaknesses.
__________ percent of manufacturing employees have some kind of SUB plan?
a. Twenty-five b. Ninety c. Fifty d. Ten