Governance and Regulation

Here you have the best AHIP AHM-510 practice exam questions

  • You have 76 total questions to study from
  • Each page has 5 questions, making a total of 16 pages
  • You can navigate through the pages using the buttons at the bottom
  • This questions were last updated on November 16, 2025
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Question 1 of 76
In the paragraph below, a statement contains two pairs of terms enclosed in parentheses. Determine which term in each pair correctly completes the statement. Then select the answer choice containing the two terms that you have chosen. Every employee benefit plan governed by the Employee Retirement Income Security Act (ERISA) must distribute a summary plan description (SPD) to participants within (90/120) days after the date on which the plan is adopted or made effective. Thereafter, if the plan is amended, a new SPD must be distributed every (5/10) years.
    Correct Answer: C

Question 2 of 76
The Hanford Health Plan has delegated the credentialing of its providers to the Sienna Group, a credential verification organization (CVO). If the contract between Hanford and Sienna complies with all of the National Committee for Quality Assurance (NCQA) guidelines for delegation of credentialing, then this contract:
    Correct Answer: C

Question 3 of 76
Congress enacted three clauses relating to the preemptive effect of the Employee Retirement Income Security Act of 1974 (ERISA). One of these clauses preserves from ERISA preemption any state law that regulates insurance, banking, or securities, with the exception of the exemption for self-funded employee benefit plans. This clause is called the:
    Correct Answer: A

Question 4 of 76
Any willing provider laws have their share of proponents and opponents. Arguments commonly made in opposition to any willing provider laws include:
    Correct Answer: B

Question 5 of 76
The Sawgrass Health Center is an institution that trains healthcare professionals and performs various clinical and other types of healthcare-related research. Because Sawgrass receives government funding, it is required to provide medical care for the poor. Of the following types of health plans, Sawgrass can best be described as:
    Correct Answer: B