Question 1
Which type of managed care plan requires members to receive all non-emergency care from in-network providers but does NOT require a primary care physician referral to see a specialist?
Correct Answer:
Exclusive Provider Organization (EPO)
Question 2
An employer with 300 employees is considering moving from a fully-insured health plan to a self-insured arrangement. Which of the following is the PRIMARY financial advantage of self-insurance?
Correct Answer:
The employer retains underwriting savings and avoids state premium taxes and mandated benefits
Question 3
In a self-insured health plan, specific stop-loss insurance provides protection against which type of loss?
Correct Answer:
Individual claims exceeding a specified dollar amount per covered person
Question 4
A Consumer-Directed Health Plan (CDHP) typically combines which two components?
Correct Answer:
A High Deductible Health Plan (HDHP) and a tax-advantaged savings account (HSA or HRA)
Question 5
Which pharmacy benefit management strategy requires a patient to try a less expensive drug before the plan will cover a more expensive alternative?
Correct Answer:
Step therapy
Question 1
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About this Exam

Prepare with the GBA Practice Questions - Group Benefits Associate Exam practice quiz. This question bank includes 100 questions covering plan, health, coverage, employer, and employee. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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GBA Practice Questions - Group Benefits Associate Exam

This practice set contains 100 questions from the matching question bank and focuses on plan, health, coverage, employer, and employee. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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