Health Coverage

3. Aspect of ACA subject to religious employer exceptions due to litigation
5. Entities paying claims through health coverage
6. Federal law governing surprise billing
7. Plans offered on the Exchange/Marketplace
9. Type of appeal to DIFS for providers that did not receive prompt claims payment
10. Entity governed by HIPAA that may not be a health care provider, plan, or clearing house
12. Marketplace where QHP Issuers sell plans
14. Type of third party licensed by DIFS providing administrative services to insurers
15. Self-funded employer sponsored plans

1. Abbreviation for Act allowing consumers an external appeal to DIFS
2. The 10 benefit categories offered on and off Exchange (small group/individual market)
4. Coverages that are excepted from most ACA protections
8. ACA requirement that benefits be plainly summarized and provided to consumers upon enrollment
11. Parts A, B, C, D
13. Another name for Medicare Supplement