#Issuer : The companies providing the insurance. Eg Humana, Aetna etc.
#Standard for Electronic Rating for Form Filing (SERFF) : This is run by National Association of Insurance Commissioners (NAIC, USA). The Electronic Filing Submission's intent was to provide a cost-effective method for handling insurance policy rate and form filings between regulators and insurance companies.
#Service Area : The geographical area where the issuer is offering the insurance. It can be identified using Zip Code/County
#Maximum Out-of-Pocket (MOOP) : refers to the actual amount of money you will pay for your medical cost before an insurance plan pays 100% of your bill.
#Copay : is a payment (in dollars) defined in the insurance policy and paid by the insured person each time a medical service is accessed
#Co-insurance : is a percentage(%) payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company
#Actuarial Value : The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%, on average, you would be responsible for 30% of the costs of all covered benefits. However, you could be responsible for a higher or lower percentage of the total costs of covered services for the year, depending on your actual health care needs and the terms of your insurance policy.
#Catastrophic Plans : A high-deductible health plan (HDHP) is a health insurance plan with lower premiums and higher deductibles than a traditional health plan
#Preferred Provider Organization (PPO) Plans : is a managed care organization of medical doctors, hospitals, and other health care providers who have covenanted with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients.
#Exclusive Provider Organization (EPO) Plans : is a network of individual medical care providers, or groups of medical care providers, who have entered into written agreements with an insurer to provide health insurance to subscribers. With an EPO, medical care providers enter a mutually beneficial relationship with an insurer.
#Standard for Electronic Rating for Form Filing (SERFF) : This is run by National Association of Insurance Commissioners (NAIC, USA). The Electronic Filing Submission's intent was to provide a cost-effective method for handling insurance policy rate and form filings between regulators and insurance companies.
#Service Area : The geographical area where the issuer is offering the insurance. It can be identified using Zip Code/County
#Maximum Out-of-Pocket (MOOP) : refers to the actual amount of money you will pay for your medical cost before an insurance plan pays 100% of your bill.
#Copay : is a payment (in dollars) defined in the insurance policy and paid by the insured person each time a medical service is accessed
#Co-insurance : is a percentage(%) payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company
#Actuarial Value : The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%, on average, you would be responsible for 30% of the costs of all covered benefits. However, you could be responsible for a higher or lower percentage of the total costs of covered services for the year, depending on your actual health care needs and the terms of your insurance policy.
#Catastrophic Plans : A high-deductible health plan (HDHP) is a health insurance plan with lower premiums and higher deductibles than a traditional health plan
#Preferred Provider Organization (PPO) Plans : is a managed care organization of medical doctors, hospitals, and other health care providers who have covenanted with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients.
#Exclusive Provider Organization (EPO) Plans : is a network of individual medical care providers, or groups of medical care providers, who have entered into written agreements with an insurer to provide health insurance to subscribers. With an EPO, medical care providers enter a mutually beneficial relationship with an insurer.
