Term
| family member;newborn child |
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Definition
| All individual and group health policies that provide coverage for a _______________________________ of the insured shall also provide coverage for a __________________________________. |
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Term
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Definition
| Group Health insurance policies must cover the treatment of________________________________ |
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Term
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Definition
| All individual or group policies that provide accident and health benefits must cover the testing and treatment of _______________. |
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Term
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Definition
| When required by the insurance company, medical examinations will be conducted at the __________________. |
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Term
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Definition
| Underwriting for HIV or AIDS is permitted as long as it is not unfairly _________________________ |
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Term
| strict confidentiality;test results or diagnosis |
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Definition
| Insurance companies must maintain ________________________________ regarding HIV-related ________________. |
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Term
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Definition
| Test results may not be provided to the __________ if the individual is ________________________ |
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Term
| deny;6 months;preexisting condition |
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Definition
| MSPs cannot ____________ a claim for losses incurred more than _________________ from the effective date of coverage because it involved a _____________________________ |
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Term
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Definition
| A Small Employer employees not less that _______ nor more than _________ eligible employees. |
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Term
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Definition
| Small employers are required to pay at least _______ of the premium for each __________________ employee. |
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Term
| basic coverage benefit plan;catastrophic care benefit plan |
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Definition
| Every small employer carrier (except HMO's) shall offer the _______________________________________ and the _____________________. |
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Term
| catastrophic care benefit plan |
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Definition
| The ____________________ must provide necessary coverage in the event of catastrophic illness or injury. |
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Term
| basic hospital, medical; surgical |
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Definition
| Basic Coverage Benefit Plan covers _______________ and ______________ procedures. |
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Term
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Definition
| The small employer has the __________________ the medical plan except in certain cases. |
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Term
| limit;exclude;newborn child |
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Definition
| A small employer plan may not _______________ or _____________ initial coverage for a _________________ of a covered employee. |
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Term
| exclude;pregnancy;effective date |
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Definition
| A small employer plan may ____________ coverage for a ________________ existing on the ____________ of the coverage. |
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Term
| Texas insurance risk pool;unable |
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Definition
| The ____________ was developed to assist Texans who are _____________ to get health insurance because of their medical history. |
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Term
| two medical plans;deductable;out of pocket |
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Definition
| The pool offers ______________ that differ only in their ____________ amounts and ________________ maximums. |
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Term
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Definition
| Co-payments for both Plan I and Plan II are _______ when using the preferred providers and _______ when using out-of-network providers. |
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