Category: Health Insurance Terms Dictionary
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Lapse
Legal Definition and Related Resources of Lapse Meaning of Lapse The termination or failure of a right or privilege through neglect to exercise it within some limit of time; or through failure of some contingency. The failure of a testamentary […]
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Capitation
Legal Definition and Related Resources of Broker Meaning of Broker One who exercises the calling of negotiating between parties ; the business of buying or selling or any other lawful transactions. A person whose business it is to bring a […]
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Policy
Legal Definition and Related Resources of Plan Administration Meaning of Plan Administration Supervising the details and routine activities of installing and running a health plan, such as answering questions, enrolling individuals, billing and […]
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Master Policy
The group insurance policy that explains coverage to all members of the group….
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Rescission
The act of abrogating, cancelling, vacating or annulling; the undoing of a thing. Carlson v Sheppard Pontiac Inc., 314 N. Y. S.2d 77, 63 Misc.2d 994; it involves the restoration of parties to their relative positions as though the contract had never been made. See Rescind. In relation to […]
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Underwriting
As applied to corporate stock, an underwriting agreement is an agreement made before such stock is offered to the public whereby the signer, or underwriter” agrees for a certain compensation to take a stipulated number of shares of stock, or a portion thereof, if the public […]
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Exclusion
An exclusion is a provision within a health insurance policy that eliminates coverage for certain acts, property, types of damage or locations….
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Coinsurance
The percentage of costs a patient pays out-of-pocket for medical care….
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Referral
Legal Definition and Related Resources of Referral Meaning of Referral An OK from the primary care physician for the patient to see a specialist or get certain services. In many HMO plans, the insured person needs to get a referral before they […]
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Advocacy
Legal Definition and Related Resources of Advocacy Meaning of Advocacy Any activity done to help a person or group to get something the person or group needs or wants. Synonyms of Advocacy […]
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Renewal
A change of something old for something new; as, the renewal of a note; the renewal of a lease. See Novation; 1 Bouv. Inst, note 800. …
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Renewal
A change of something old for something new; as, the renewal of a note; the renewal of a lease. See Novation; 1 Bouv. Inst, note 800. …
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Certificate Of Insurance
The certificate of insurance is a printed description of the benefits and coverage provisions forming the contract between the carrier and the customer. It discloses what is covered, what is not, and dollar limits….
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Cobra
Consolidated Omnibus Budget Reconciliation Act. A federal law passed in 1985 that permits many people who lose eligibility under a group health plan to continue using that coverage….