HEALTH CARE

4. Health care plan funded entirely by employers who do not purchase insurance (2 words)
5. Umbrella insurance with a third party in a self-funding plan to cover risk that the plan cannot financially manage (2 words)
6. Provides an explanation of benefits provided by carrier (initials)
9. A numerical measure of usage of a single service or type of service
11. Applies mathematical and statistical methods to assess risk in the insurance industry
13. The name of The Health Insurance Exchange established due to the ACA in our state (two words)
15. Expenses incurred by the patient before payment is made by the insurance company
18. A person who exercises discretionary control or authority over management of a benefit plan
19. Administrators used to fund health benefits but do not administer the plan (initials)
20. An insurance market place organized at the state or federal level starting in 2014 and put into place by the ACA

1. Manages health insurance with reduced out-of-pocket cost (initials)
2. Federal Poverty Level
3. 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)
8. A state-licensed person who represents the insurance buyer rather than the insurance company
10. Summary of Benefit Coverage (initials)
12. Agencies contracting together to provide services (initials)
14. Sometimes referred to as “ObamaCare” (initials)
16. Continued health insurance coverage in lieu of coverage termination (acronym)
17. An individual or organization that provides, administers, or finances health services
21. A health plan where the patient must receive care from a defined group of network providers (words)