MEPS-IC proposed test questions and placement within forms:
On your Federal taxes for 2011, will your organization claim a Tax Credit for Small Employer Health Insurance Premiums?
Yes
No
Don’t Know
1a. (If yes) Did your organization offer health insurance to your employees in the year prior to first claiming the tax credit?
Yes
No
Don’t Know
This question would be added to the MEPS-10 Section D- question 2. (new question and number)
Approximately what percentage of the employees at this location in 2011 earned more than $39.50 per hour?........ Approximately $82,000 a year or more
__________%
Earned more than $39.50 per hour
This question would be added to existing question on the MEPS-10 Section C- question 7d.
Did your organization offer any of the following wellness programs to your employees at this location in 2011?
Fitness program or on-site health club facilities Yes/No/Don’t know
Smoking cessation Yes/No/Don’t know
Injury prevention Yes/No/Don’t know
Weight loss Yes/No/Don’t know
Cholesterol or High Blood Pressure screening Yes/No/Don’t know
This question would be added to the MEPS-10 Section D- question 1b. Current question 1b. would now be 1c.
“What is the specific stop-loss deductible amount?”
$__________
This question would be added to the MEPS-10(s) Self-Insured Plan Information section, after current question 6b. and would be labeled 6c.
Does the plan impose limits on the number of any services (e.g., physician visits, inpatient days) or items (e.g., drugs, devices) that an enrollee can be reimbursed for IN ONE YEAR?
Yes
No
Don’t Know
5a. (If yes) Which of the following services/items are limited?
Physician visits Yes/No/Don’t know
Inpatient days Yes/No/Don’t know
Drugs Yes/No/Don’t know
Devices Yes/No/Don’t know
Other (specify: ___________________ ) Yes/No/Don’t know
Does the plan impose limits on the number of any services (e.g., physician visits, inpatient days) or items (e.g., drugs, devices) that an enrollee can be reimbursed for OVER A LIFETIME?
Yes
No
Don’t Know
6a. (If yes) Which of the following services/items are limited?
Physician visits Yes/No/Don’t know
Inpatient days Yes/No/Don’t know
Drugs Yes/No/Don’t know
Devices Yes/No/Don’t know
Other (specify: ___________________ ) Yes/No/Don’t know
These questions would be added to MEPS-10(s) payments section (pg 6) after question 19. These questions would be questions 20 and 21 and all current questions would be re-numbered to reflect the addition.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | lewis419 |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |