TERMINOLOGY

3. An individual who meets all of the requirements necessary to be able to enroll or participate as a dependent in the “standard” One Exchange benefits being administered by Towers Watson.
4. A statement or proof of a person's physical condition, occupation, etc., affecting the acceptance of the applicant for insurance.
5. Elected benefits begin.
10. A private group benefits for mid- to-large size employers – provides employers with configurable employee benefits options while empowering employees with choice and a satisfying experience.
13. Networks of health care providers, pay claims, provide customer service and offer wellbeing programs and other services.
14. A federal law that governs the use and disclosure of Protected Health Information (PHI).
16. Partial payment of medical expenses, emergency room services, or prescription drugs required by an individual who is enrolled in a group health insurance plan.
17. The person named as the recipient of insurance money in the event of the policyholder's (employee’s) death.
18. An account that lets you set aside pre-tax money each pay period and reimburse yourself tax-free for eligible elder care and child care.
19. A group of health care providers (like doctors, hospitals, dentists, vision care professionals and pharmacies) who have contracted with a carrier to offer services at discounted rates to network members.

1. A fixed dollar amount you pay before the plan begins paying for most medical services and most prescription drugs.
2. Time given that allows employees to make elections after the close of an event. The dates should NOT be communicated!
6. A percentage of the total cost that the plan will pay for, and you pay the rest up to an annual limit.
7. Doctors, hospitals, clinics, nurses, dentists, pharmacies, vision care professionals, etc.
8. A federal statute that requires most employers to offer to covered employees and covered dependents who would otherwise lose health coverage for reasons specified in the statute.
9. Dollars Amounts you earn that go into the account connected to your medical plans when you participate in activities to help you understand and manage your health.
11. Employer funded account where you are reimbursed tax free for qualified medical expenses up to a maximum dollar amount for a coverage period. As long as you remain in this account, your balance will transfer plan year to plan year.
12. The amount an enrollee must pay for his her health insurance or plan.
14. This portable account is used to set aside pre-tax dollars for reimbursement of qualifying health care expenses.
15. A “use it or lose it” account that allows you to make pre-tax contributions to reimburse yourself for out-of-pocket health care expenses.