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health insurance
Insurance covering medical expenses or income loss resulting
from injury or sickness. Health insurance is a general category
that includes many different types of insurance coverage,
including hospital confinement insurance, hospital expense
insurance, surgical expense insurance, major medical insurance,
disability income insurance, dental expense insurance, prescription
drug insurance, and vision care insurance. See also disability
income insurance and medical expense insurance.
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health maintenance
organization (HMO)
Prepaid health plans in which you pay a monthly premium and
the HMO covers your necessary medical treatment. You must
choose a primary care physician from within the network to
coordinate all of your care. All specialty referrals need
to be authorized by your primary care physician.
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history statement
An Attending Physician's Statement concerning a specific health
history admitted by the proposed insured.
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hold harmless
release
A discharge stating that a payee will reimburse an insurance
company if a subsequent claimant successfully challenges the
disbursement of the policy's proceeds.
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home-office-to-home-office
arrangement
A manufacturer-distributor arrangement in which an insurance
company that chooses not to offer a particular product or
product line agrees to act as a brokerage general agent for
certain product lines manufactured by another insurer.
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home service
agents
Exclusive or captive agents who work for home service companies
and who collect premiums and provide service at the policyowner's
residence. Home service agents offer monthly debit life, health,
and fire insurance products as well as products for which
premiums are billed by and remitted directly to the insurer.
Some of their business may also be in industrial insurance.
They market products primarily to middle and lower-middle
income individuals and families. See also industrial insurance
and monthly debit ordinary (MDO).
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home service
distribution system
A distribution system which is used primarily for individual
insurance products and which employs agents who collect premiums
and provide service at the policyowner's residence. Each home
service agent works within a defined geographical territory.
Home service agents offer monthly debit life, health, and
fire insurance products as well as products for which premiums
are billed by and remitted directly to the insurer. Some market
industrial insurance. The home service market is usually middle
and lower-middle income individuals and families. See also
industrial insurance and monthly debit ordinary (MDO).
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hospital confinement
insurance
A type of health insurance that provides a predetermined flat
benefit amount for each day an insured is hospitalized. The
benefit amount does not vary according to the amount of medical
expenses the insured incurs, although some policies provide
higher benefit amounts if the insured is in an intensive or
cardiac care unit. Also called hospital indemnity insurance.
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hospital expense
insurance
See hospital-surgical expense insurance.
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hospital indemnity
insurance
See hospital confinement insurance.
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hospital-surgical
expense insurance
A type of health insurance that provides benefits related
directly to hospitalization costs and associated medical expenses
incurred by an insured for treatment of a sickness or injury.
Most hospital-surgical expense policies cover (a) hospital
charges for room, board, and hospital services, (b) surgeon's
and physician's fees during a hospital stay, (c) specified
outpatient expenses, and (d) extended care services, such
as convalescent or nursing home costs.
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hour of service
As defined by ERISA in the United States, an hour for which
an employee is entitled to be paid or is paid. An hour of
service can be earned while the employee is performing services
for the employer or during a period in which no service is
performed due to vacation, holidays, illness, or other paid
leaves of absence. See also year of service.
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H.R. 10 plan
See Keogh Act. |
