Glossary

Actuary

A mathematician working for a health insurance company responsible for determining what premiums the company needs to charge based in large part on claims paid verses amounts of premium generated. Their job is to make sure a block of business is priced to be profitable.

Admitting Privileges

The right granted to a doctor to admit patients to a particular hospital.

Advocacy

Any activity done to help a person or group to get something the person or group needs or wants.

Agent

Licensed salespersons who represent one or more health insurance companies and present their products to consumers.

Association

A group with members who prefer to seek certain services together. Often, associations can offer individual health insurance plans specially designed for their members.

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