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1. Define Health insurarice and explain why it is different from life and general insurance. 6 marks 2. Jackson wants to take on a health

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1. Define Health insurarice and explain why it is different from life and general insurance. 6 marks 2. Jackson wants to take on a health insurance plan, explain the factors he would consider before choosing a plan and how these factors would influence his decision to have a plan or not given its prices. 6 marks 3. Briefly explain group and individual health insurance, public health insurance, singlepayer plan, socialized medicine and universal health insurance 6marks 4. Define deductibles and differentiate it from co-payment and coinsurance. 4 marks 5. Kwabena has a heart condition that requires frequent medical attention. He usually visit his Physician three times in a year. He joined a company as one of the managers, as part of the benefit package he gets a health insurance plan. Now he visits his Physician five times a year. Indicate whether it is a problem of moral hazard or adverse selection and explain your choice. 4 marks 6. Explain claim adjudication and conceptually differentiate between Claim adjudication and Utilization management 4 marks 7. Why would an employee refuse an employer provided plan? Hint: Explain using premium sensitivity. 6 marks

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