HEALTH CARE

2. A health plan where the patient must receive care from a defined group of network providers (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. Manages health insurance with reduced out-of-pocket cost (initials)
9. Expenses incurred by the patient before payment is made by the insurance company
12. Applies mathematical and statistical methods to assess risk in the insurance industry
13. 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)
15. A state-licensed person who represents the insurance buyer rather than the insurance company
16. Continued health insurance coverage in lieu of coverage termination (acronym)
18. Federal Poverty Level
19. An insurance market place organized at the state or federal level starting in 2014 and put into place by the ACA
20. A numerical measure of usage of a single service or type of service

1. A health plan providing free choice of physicians (initials)
3. An individual or organization that provides, administers, or finances health services
4. The name of The Health Insurance Exchange established due to the ACA in our state (two words)
7. Provides an explanation of benefits provided by carrier (initials)
8. Sometimes referred to as “ObamaCare” (initials)
10. A person who exercises discretionary control or authority over management of a benefit plan
11. Agencies contracting together to provide services (initials)
14. Health care plan funded entirely by employers who do not purchase insurance (2 words)
17. Summary of Benefit Coverage (initials)
21. Administrators used to fund health benefits but do not administer the plan (initials)