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2. You think you might have injured your knee, so you go the doctor and she takes an X- ray. The bill is $20!} for

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2. You think you might have injured your knee, so you go the doctor and she takes an X- ray. The bill is $20!} for the doctor and $1 00 for the III-ray. Your health plan covers both of these services. You have 20% coinsurance for doctor visits and 10% coinsurance for diagnostic tens, such as X-ravs. You have a HID co-pay and $3M] deductible. YoUr co-oayr docs not count towards the deductible. What is your part of the bill? a. $51} b. $61} c. $91} d. $1M e. None of the above 3. Lee Company is a business software firm based in Chicago that employs over 400 people. Lee has traditionally provided legislatively required benefits for its employees including Social Security, workers' compensation, and unemployment insurance. In addition, Lee offers employees health and dental insurance. Lee employees work Monday through Friday on a 9 to 5 schedule. Lee's top executives are considering the idea of adding a flexible benefits plan and implementing a flexible work schedule. Which of the following, if true, best supports the argument that Lee should offer its employees a cafeteria benefits plan? A) Lee lacks the resources to join a low-cost health insurance plan, so the firm belongs to a pool with other businesses. B) Some Lee employees have indicated that they would like vision insurance, while others have no interest in dental insurance. C) Lee offers its employees a PPO health insurance plan, but employees have expressed interest in an HMO plan. D) Lee outsources its employee benefits program, so employees go through the plan's administrator when filing claims. 4. Health plans differ in how much you are charged for your premium and how much coinsurance you pay when you go to the doctor or hospital. To make shopping for a plan easier, the plans are grouped into several types. . Gold plans have the highest premium payment of $500 and the lowest coinsurance payments of 10%. Silver plans have moderate premium payments of $400 and moderate coinsurance payments of 20%. Bronze plans have the lowest premium payment of $300 and the highest coinsurance payments of 30%. If a person visits the decAlt +Alder which type of plan will they be expected to pay the most for the doctor's visit? a. Gold b. Silver C. Bronze d. Not sureThomas Lee has basic coverage and supplementary major medical with a $100 deductible, 20 percent co-insurance, and a $1,500 stop loss on co-insurance payments. 5. How much will the major medical coverage pay if Lee incurs $1,000 in expenses during the year that are not covered by basic cover age but that are eligible for major medical? a. $280 b. $300 c. $700 d. $720 e. None of the above 6. How much will the major medical coverage pay if Lee incurs $8,000 in eligible expenses? a. $4720 b. $6320 c. $6400 d. $6500 e. None of the above. 7. At what level of eligible expenses will major medical coverage begin to pay 100% of additional expenses. a. $7400 b. $7500 c. $7600 d. $9400 e. None of the above 8. The administration of life insurance policies is similar to health insurance policies for all of the following EXCEPT: (A) Use of medical examination (B) Premium collection (C) Policy issue (D) Application (E) Claims administration

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