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Glossary: Small Business Terms

  • A
  • B
  • C
  • D
  • E
  • F
  • G
  • H
  • I
  • J
  • K
  • L
  • M
  • N
  • O
  • P
  • Q
  • R
  • S
  • T
  • U
  • V
  • W
  • X
  • Y
  • Z

A


B

  • Benefit year
  • Benefits

C

  • Claim
  • Coinsurance
  • Copay

D

  • Deductible
  • Dependent coverage

E

  • Effective date
  • Employer mandate
  • Enrollment
  • Excluded services

F

  • Flexible Spending Account (FSA)
  • Formulary
  • Full-time equivalent (FTE)

G

  • Guaranteed issue

H

  • Health care provider
  • Health insurance agent
  • Health plan categories
  • Health Savings Account (HSA)
  • HIPAA

I


J


K


L


M

  • Maternity and newborn coverage
  • Medical underwriting
  • Minimum Essential Coverage (MEC)
  • Minimum value

N

  • Network

O

  • Open Enrollment Period
  • Optional supplemental benefits
  • Out-of-pocket costs
  • Out-of-pocket maximum

P

  • Pre-existing condition
  • Preventive services
  • Primary care physician

Q

  • Qualified Small Employer Health Reimbursement Arrangement (QSEHRA)

R

  • Referral

S

  • Small Business Health Options Program (SHOP)
  • Special Enrollment Period (SEP)
  • Specialist
  • Subsidized coverage
  • Summary of Benefits and Coverage (SBC)

T


U


V


W

  • Waiting period

X

  • X-ray

Y


Z


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To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

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