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Question ID 17180

Determine whether the following statement is true or false:
Failing to adopt and implement standards for the prompt investigation and settlement of
claims is an example of an activity that would be considered an improper claims practice
according to the NAIC Model Unfair Claims Settlement Practices Act.

Option A

True

Option B

False

Correct Answer A
Explanation


Question ID 17181

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.
In the case of Pacificare of Oklahoma, Inc. v. Burrage, the U.S. Court of Appeals for the
Tenth Circuit considered whether ERISA preempts medical malpractice claims against
health plans based on certain liability theories. In this case, the Tenth Circuit court held that
ERISA (should / should not) preempt a liability claim against an HMO for the malpractice of
one of its primary care physicians, and therefore the HMO was subject to a claim of
(subordinated / vicarious) liability.

Option A

Should / subordinated

Option B

Should / vicarious

Option C

Should not / subordinated

Option D

 Should not / vicarious

Correct Answer D
Explanation

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