Service Definitions

4. The process by which an insurer evaluates the risk and on what basis it will offer insurance to a proposed client
7. The provisions of the group policy that state the requirements employees and/or dependents must satisfy to become eligible and remain eligible under the contract
9. A part of a plan that describes or explains a feature, benefit, condition or requirement of the insurance protection afforded by the contract.
10. The person to whom the employee is legally married; this may include a domestic partner, civil union or equivalent
11. A fixed fee paid in advance to the carrier that provides the covered person with direct health care or financial reimbursement for covered services
12. Employee pays 100% of the premium through payroll deductions.

1. Agreement to insure individuals or a class of individuals who would normally fall outside the parameters of the contract
2. The main duties performed in the national workforce, as defined by the Department of Labor's Dictionary of Occupational Titles
3. An employer shares the cost with employees. Participation levels are expected to be less than 100%
5. The covered spouse or child of the member who meets the eligibility requirements.
6. A change, amendment, improvement, or update to an existing policy at any time
8. When the employee ends his/her employment with their employer