Health Maintainance Organization

A cost-sharing arrangement where participant pays a flat fee for a specified service.

Tax advantaged account that accepts employer or employee contributions.

Legislative Act designed to make health care more affordable.

Amount of time before an employee is coverage by the company benefits plan?

Type of plan that covers mental health and chemical dependency

Amount paid by the plan participant out-of -pocket for covered expenses before the plan pays any anything.

HRA

2 Medical Plan types that have "gatekeepers".

Cost stabilizing approach to manage dual coverage?

A hybrid of a PPO and an HMO

Maximum amount of covered medical expenses the employee and their dependents are responsble for each year?

Account balance is portable when an employee leaves his/her company?

Cosmetic surgery, nonmedically necessary, experimental procedures and workers compensation expenses.

Percentage that will be paid by plan participant and the employer after the deductible is met.

Plan that allows maximum amount of choice but is no very prevalant in recent years

Percent of coverage paid by the plan participant.

Provides tax-free funding by employers for general health care expenses.

The average fee charged by a particular health care practicioner within a geographic area.

Typically cost 2x the cost of active employee benefits coverage.

Medical plan type that incentivizes employees to manage their health care costs.

Option for plan participant to utlize providers who have agreed to pre-negotiated rates.

Account where funds are NOT portable when an employee leaves his/her company?

Sick Leave, STD, LTD, Life and AD&D insurance.

Federal Act impacting benefit plan design decisions.