220 exam Health, gen lines rules + reg, types of property policies

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What is the difference between these terms?

Match the text (click and drag)   

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Match the text

Provider Contract

Certificate of Coverage

Group Contract

Group Health Insurance

Click and drag

an agreement with a provision relating to reimbursement for health care services provided to an individual under a plan

AKA a master policy. It is issued to the policyowner, which could be the employer, an association, a union. or a trust.

This contract is between the insurance company and the employer, union, trust.

The individuals covered under the insurance contract are issued one of these. It tells what's covered in the policy; how to file a claim, how long coverage will last, and how to convert the policy to an individual policy.


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