insurancesolutionpros.com

Website:http://www.insurancesolutionpros.com
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Definitions (36)

1

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agent


A licensed professional who represents several insurance companies and sells their products.
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benefit


Reimbursement for covered medical expenses as specified by the plan.
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brand-name drug


A prescription drug which is marketed with a specific brand name by the company that manufactures it. May cost insured individuals a higher co-pay than generic drugs on some health plans.
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carrier


An Insurance Company.
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claim


A formal request made by an insured person for the benefits provided by an insurance policy.
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cobra


The federal Consolidated Omnibus Budget Reconciliation Act of 1985. Under COBRA one can maintain their insurance benefits for up to 18 months at a premium monthly rate in most cases.
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co-insurance


The percentage of covered expenses an insured individual shares with the carrier. If applicable, co-insurance applies after the insured pays the deductible and is only required up to the plan’s Out-of-Pocket Maximum (See “Out-Of-Pocket Maximum”)
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collision coverage


Pays for damage to an insured vehicle when it hits or is hit by another car or object, or if the car overturns. This coverage is subject to the terms, limits and conditions of your policy contract.
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co-payment


The amount an insured individual must pay toward the cost of a particular benefit. For example, a plan might require a $30 co-pay for each doctor’s office visit.
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creditable coverage


A certificate of creditable coverage is intended to establish an individual’s prior creditable coverage for purposes of reducing the extent to which a plan or issuer offering health insurance coverage in the group market can apply a preexisting condition exclusion.
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