Health Insurance Providers

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Across
  1. 4. Rating used for large groups (51+ employees)
  2. 5. Group insurance plan typically require 75% participation of eligible members
  3. 6. A type of HMO structure model in which physicians are employed directly by HMO
  4. 7. Require the selection of a PCP who acts as a gatekeeper
  5. 9. Group insurance plan typically require 100% participation of eligible members
  6. 12. Combines multiple employers into a single pool
  7. 13. Mandates privacy protections for health information
Down
  1. 1. Allow direct access to specialists without PCP referrals
  2. 2. A plan in which employers fund and pay claims directly under ERISA regulations
  3. 3. Two or more unrelated employers providing benefits
  4. 5. Rating used for small groups (2-50 employees)
  5. 8. A type of HMO structure model in which it pays physicians for service provided
  6. 10. Requires continuation coverage after qualifying events
  7. 11. A type of HMO structure model involving multiple physician groups