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DEFINITIONS OF HEALTH INSURANCE TERMS

1 DEFINITIONS OF HEALTH INSURANCE TERMSIn February 2002, the Federal Government s Interdepartmental Committee onEmployment-based HEALTH INSURANCE Surveys approved the following set of definitionsfor use in Federal surveys collecting employer-based HEALTH INSURANCE data. The BLSN ational Compensation Survey currently uses these DEFINITIONS in its data collectionprocedures and publications. These DEFINITIONS will be periodically reviewed and updatedby the (Administrative Services Only) An arrangement in which an employer hires athird party to deliver administrative services to the employer such as claims processingand billing; the employer bears the risk for claims. This is common in self-insured HEALTH care - A form of medical cost sharing in a HEALTH INSURANCE plan that requires aninsured person to pay a stated percentage of medical expenses after the deductibleamount, if any, was paid.

3 Health Care Plans and Systems ♦ Indemnity plan - A type of medical plan that reimburses the patient and/or provider as expenses are incurred. ♦ Conventional indemnity plan - An indemnity that allows the participant the choice of any provider without effect on reimbursement. These …

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