The individual health insurance market covers most people who have health insurance. covers a small percentage...

The individual health insurance market
1. covers most people who have health insurance.
2. covers a small percentage of people with health insurance.
3. is used by employers for their employees.
4. has been eliminated by the Affordable Care Act
The claims experience of an insurer’s enrollees does not include
1. the benefits available to the enrollees.
2. the demographic characteristics of the enrollees.
3. the cost-containment provisions of the health plan.
4. the insurer’s administrative costs.

Solutions

Expert Solution

1. The individual health insurance covers a small percentage of people with health insurance. This type of insurance is directly purchased by individuals.It is not provided by employers. The insurance premium has been paid by individuals and there is no contribution by employers. It has been estimated that almost 9% of population have individual health insurance.

2. The claims experience of an insurer's enrolleess doesnot include the insurer's administrative costs.This is because claims include the benfits given to enrollees. It also include demographic characteristics like age or health conditions.Even cost containment provisions are a part of claims like the amount of money given in case of medical requirement because premium are decided on the basis of cost.

Rahul Sunny answered 1 year ago

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