Formulas
Gross Premium-Claims-Expenses = ?
Profit
The number of months since the original effective date of a group?
Duration Month
TPA?
Third Party Administrator
What is the fixed amount you pay for each doctor visit?
Copay
Arizona is home to which one of the Seven Wonders of the World?
Grand Canyon
Incurred and Paid Claims + Reserve = ?
Incurred Claims
A different, higher spec deductible for an individual with a known condition that is likely to exceed the spec deductible for the rest of the group?
Laser
IBNR?
What is the government-funded health program for those 65 or older?
Medicare
Highest natural point in Arizona, standing at 12,633 ft?
Humphreys Peak
Expected Claims*Attachment Point = ?
Funding
The general increasing nature of claim rates. Certain factors could be inflation, utilization, etc.?
Trend
FDCR?
First Dollar Claim Reserve
This plan type generally requires you to select a primary care provider and get referrals for specialists?
HMO
How many states does Arizona border?
Five
Current LECs/Renewal LECs(at 1.0 RTM) = ?
Just Prior RTM
A health plan purchased by a plan sponsor (e.g. employer) from an insurer who takes on the financial risk of paying all claims covered by the purchased benefits?
Fully-Insured Health Plan
DAT?
Duration Adjusted Trend
This government program allows you to keep your former group health plan for up to 18 months if you leave your job?
COBRA
In which year was Arizona admitted to the U.S. as its 48th state?
1912
Net Spec Premium Factor + Net Agg Premium Factor + Funding Factor - 1 = ?
Expected Surplus
The time between when a claim is incurred and when it is and paid?
Claim Lag
BPAIC?
Benefit Pooling Adjusted Incurred Claims
Employees can reduce their taxable income by contributing to this pre-tax account for annual use-it-or-loose-it health expenses?
FSA
Name the U.S. Army chaplain who founded the Arizona city of Scottsdale?
Winfield Scott