HEALTH CARE

2. Provides an explanation of benefits provided by carrier (initials)
3. Umbrella insurance with a third party in a self-funding plan to cover risk that the plan cannot financially manage (2 words)
4. Summary of Benefit Coverage (initials)
5. Expenses incurred by the patient before payment is made by the insurance company
10. Applies mathematical and statistical methods to assess risk in the insurance industry
12. An individual or organization that provides, administers, or finances health services
13. The name of The Health Insurance Exchange established due to the ACA in our state (two words)
14. An insurance market place organized at the state or federal level starting in 2014 and put into place by the ACA
17. A health plan providing free choice of physicians (initials)
18. A numerical measure of usage of a single service or type of service
19. Health care plan funded entirely by employers who do not purchase insurance (2 words)

1. A health plan where the patient must receive care from a defined group of network providers (words)
2. 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)
6. Continued health insurance coverage in lieu of coverage termination (acronym)
7. A state-licensed person who represents the insurance buyer rather than the insurance company
8. A person who exercises discretionary control or authority over management of a benefit plan
9. Sometimes referred to as “ObamaCare” (initials)
11. Administrators used to fund health benefits but do not administer the plan (initials)
15. Manages health insurance with reduced out-of-pocket cost (initials)
16. Agencies contracting together to provide services (initials)
20. Federal Poverty Level