Health Insurance Dictionary
Confused by all of the health insurance jargon? This dictionary will help you sort it out.
Small Employer Group: Generally means groups with 1 99 employees. The definition may vary between states.
State Mandated Benefits: When a state passes laws requiring that health insurance plans include specific benefits.
Stop-loss: The dollar amount of claims filed for eligible expenses at which point you’ve paid 100 percent of your out-of-pocket and the insurance begins to pay at 100%. Stop-loss is reached when an insured individual has paid the deductible and reached the out-of-pocket maximum amount of co-insurance.