HEALTH CARE

4. A state-licensed person who represents the insurance buyer rather than the insurance company
6. Expenses incurred by the patient before payment is made by the insurance company
8. Continued health insurance coverage in lieu of coverage termination (acronym)
12. Umbrella insurance with a third party in a self-funding plan to cover risk that the plan cannot financially manage (2 words)
14. Summary of Benefit Coverage (initials)
17. The name of The Health Insurance Exchange established due to the ACA in our state (two words)
18. Sometimes referred to as “ObamaCare” (initials)
20. A person who exercises discretionary control or authority over management of a benefit plan

1. A health plan where the patient must receive care from a defined group of network providers (words)
2. A numerical measure of usage of a single service or type of service
3. Federal Poverty Level
5. Insurance policies must cover these benefits in order to be certified and offered in The Exchanges under the Affordable Care Act by 2014 (two words)
7. A health plan providing free choice of physicians (initials)
9. Applies mathematical and statistical methods to assess risk in the insurance industry
10. Manages health insurance with reduced out-of-pocket cost (initials)
11. Agencies contracting together to provide services (initials)
13. An insurance market place organized at the state or federal level starting in 2014 and put into place by the ACA
14. Health care plan funded entirely by employers who do not purchase insurance (2 words)
15. Provides an explanation of benefits provided by carrier (initials)
16. Administrators used to fund health benefits but do not administer the plan (initials)
19. An individual or organization that provides, administers, or finances health services