Tag: Health Insurance Laws

  • Managed Care

    Legal Definition and Related Resources of Managed Care Meaning of Managed Care An organized way to manage costs, use, and quality of the health care system. The major types of managed care plans are health maintenance organizations (HMOs) and […]

  • Risk

    Hazard , danger , peril , exposure to loss, injury , disadvantage or destruction, and comprises all elements of danger. Knox Jewelry Co. Inc. v Cincinnati Ins. Co., 203 S.E.2d 739, 130 Ga.App. 519. In insurance law, it denotes that specified contingency or peril contemplated in the […]

  • Attachment

    Attachment

    Legal Definition and Related Resources of Attachment Meaning of Attachment The seizure or taking of property for the purpose of placing same under the control of the court and held to satisfy a judgment to be obtained. Russell v Fred G. Pohl Co., […]

  • Morbidity

    Legal Definition and Related Resources of Morbidity Meaning of Morbidity A mathematical representation of the occurrence of illnesses to a specific classification of people. Related Entries of Morbidity in […]

  • Agent

    Agent

    (Lat. agens, from agere, to do). One who undertakes p transact some business, or to manage some affair, for another, by the authority and on account of the latter, and to render an account of it. 1 Livermore, Ag. 67; 2 Bouv. Inst. 3. The term is one of a very wide application, and […]

  • Agent

    Agent

    (Lat. agens, from agere, to do). One who undertakes p transact some business, or to manage some affair, for another, by the authority and on account of the latter, and to render an account of it. 1 Livermore, Ag. 67; 2 Bouv. Inst. 3. The term is one of a very wide application, and […]

  • 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 […]

  • 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 […]

  • Policy

    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 […]

  • Master Policy

    The group insurance policy that explains coverage to all members of the group….

  • 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 […]

  • Coinsurance

    The percentage of costs a patient pays out-of-pocket for medical care….

  • Member

    One of the persons constituting a family , a partnership, an association , a club, a court , a legislative assembly .

  • 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 […]

  • 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 […]