Content Overview
- Adverse Determination
- Annual Limits
- Case Manager
- Certificate of Creditable Coverage
- Coordination Of Benefits
- Co-Insurance
- Co-Pay
- Covered Charges
- Department Of Insurance
- Deductible
- Eligibility
- Experimental Treatment
- Explanation Of Benefits
- Extensions
- Fee-For-Service (Indemnity)
- Formulary
- Lifetime Limits
- HMO
- Medical Necessity (Medically Necessary)
- Out Of Network
- Out-of-Pocket Maximum (also known as "Stop Loss" or "Cap")
- Palliative Care
- POS
- PPO
- Renewability
- Pre-Existing Health Condition
- Stop Clause (also known as "Stop Loss Clause")
- Underwriting (What It Is And How It Works)
- U.S. Department Of Labor
- Usual, Customary and Reasonable "(UCR")
- Utilization Management
Glossary of Health Insurance Terms To Know
U.S. Department Of Labor
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The U.S. Department of Labor is charged with, among other functions:
- Preparing the American workforce for new and better jobs.
- Safeguarding the safety of American workers.
- Ensuring employer-sponsored benefits, including health insurance benefits, are complaint with the law.
- Enforcing various work laws such as COBRA, the Family and Medical Leave Act (FMLA) and Employment Retirement Income Security Act (ERISA)
To contact the Department of Labor:
- Web site: www.dol.gov
- Telephone: 866.487.2365. TTY: 877.889.5627
- Mail: U.S. Department of Labor, Frances Perkins Building, 200 Constitution Avenue, NW, Washington, D.C. 20210
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