HEALTH CARE

5. Umbrella insurance with a third party in a self-funding plan to cover risk that the plan cannot financially manage (2 words)
6. Manages health insurance with reduced out-of-pocket cost (initials)
7. A health plan where the patient must receive care from a defined group of network providers (words)
9. Expenses incurred by the patient before payment is made by the insurance company
11. Provides an explanation of benefits provided by carrier (initials)
12. Health care plan funded entirely by employers who do not purchase insurance (2 words)
14. A person who exercises discretionary control or authority over management of a benefit plan
18. The name of The Health Insurance Exchange established due to the ACA in our state (two words)
19. Sometimes referred to as “ObamaCare” (initials)
20. Administrators used to fund health benefits but do not administer the plan (initials)

1. Federal Poverty Level
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)
3. Agencies contracting together to provide services (initials)
4. A state-licensed person who represents the insurance buyer rather than the insurance company
8. A numerical measure of usage of a single service or type of service
10. Continued health insurance coverage in lieu of coverage termination (acronym)
12. Summary of Benefit Coverage (initials)
13. Applies mathematical and statistical methods to assess risk in the insurance industry
15. A health plan providing free choice of physicians (initials)
16. An insurance market place organized at the state or federal level starting in 2014 and put into place by the ACA
17. An individual or organization that provides, administers, or finances health services