Shared Flashcard Set

Details

Texas Life and Health
Texas Statutes and Rules Pertinent to Accident and Health Only
19
Finance
Professional
08/06/2004

Additional Finance Flashcards

 


 

Cards

Term
family member;newborn child
Definition
All individual and group health policies that provide coverage for a _______________________________ of the insured shall also provide coverage for a __________________________________.
Term
chemical dependency
Definition
Group Health insurance policies must cover the treatment of________________________________
Term
HIV infection
Definition
All individual or group policies that provide accident and health benefits must cover the testing and treatment of _______________.
Term
company's expense
Definition
When required by the insurance company, medical examinations will be conducted at the __________________.
Term
discriminatory
Definition
Underwriting for HIV or AIDS is permitted as long as it is not unfairly _________________________
Term
strict confidentiality;test results or diagnosis
Definition
Insurance companies must maintain ________________________________ regarding HIV-related ________________.
Term
MIB;identified
Definition
Test results may not be provided to the __________ if the individual is ________________________
Term
deny;6 months;preexisting condition
Definition
MSPs cannot ____________ a claim for losses incurred more than _________________ from the effective date of coverage because it involved a _____________________________
Term
3;25
Definition
A Small Employer employees not less that _______ nor more than _________ eligible employees.
Term
75%;eligible
Definition
Small employers are required to pay at least _______ of the premium for each __________________ employee.
Term
basic coverage benefit plan;catastrophic care benefit plan
Definition
Every small employer carrier (except HMO's) shall offer the _______________________________________ and the _____________________.
Term
catastrophic care benefit plan
Definition
The ____________________ must provide necessary coverage in the event of catastrophic illness or injury.
Term
basic hospital, medical; surgical
Definition
Basic Coverage Benefit Plan covers _______________ and ______________ procedures.
Term
option to renew
Definition
The small employer has the __________________ the medical plan except in certain cases.
Term
limit;exclude;newborn child
Definition
A small employer plan may not _______________ or _____________ initial coverage for a _________________ of a covered employee.
Term
exclude;pregnancy;effective date
Definition
A small employer plan may ____________ coverage for a ________________ existing on the ____________ of the coverage.
Term
Texas insurance risk pool;unable
Definition
The ____________ was developed to assist Texans who are _____________ to get health insurance because of their medical history.
Term
two medical plans;deductable;out of pocket
Definition
The pool offers ______________ that differ only in their ____________ amounts and ________________ maximums.
Term
20%;40%
Definition
Co-payments for both Plan I and Plan II are _______ when using the preferred providers and _______ when using out-of-network providers.
Supporting users have an ad free experience!