Health Plan Types
Components of a Health Plan
Eligibility & Enrollment
Systems
Spending Accounts
100

This plan type contracts with a network of doctors or medical organizations to give care at a price that is usually discounted, so you better stay in-network.

What is an HMO?

100

This is the amount of money that is deducted from your paycheck to pay for the insurance plan.

What is a premium?

100

This is the time that employees can enroll for benefits that their employer offers for the next plan year.

What is annual enrollment?

100

This is the system that allows you to access client specific information such as benefit rules, service center information and how to's.

What is Expert KM?

100

This spending account type allows both employee and employer to make deposits, though only the employee can make withdrawls.

What is an HSA?

200

This plan type will allow you to chose a specialists without a referal and there is no requirement to assign a primary care physician.

What is a PPO?

200

This is the amount of money you pay for care before the health plan starts paying.

What is a deductible.

200

These employees work 30 or more per week and are typically eligible for benefits.

What is a full-time employee?

200

This web application gives the ability to change your phone's status.

What is InContact-CXone?

200

This spending account is only funded by the employer and the employee must be enrolled in a specific plan to qualify for it.

What is an HRA?

300

This plan is a hybrid where it works like an HMO when going to in-network providers and a PPO when going to out-of-network providers.

What is a POS?

300

This is the percentage of care cost you will pay after the deductible is met.

What is coinsurance?

300

This type of enrollment will apply when the employee is newly married.

What is a life event enrollment?

300

This is the application you use to access the caller's profile and document the call.

What is Unified Desktop React (UDR)?

300

This type of spending account can be used to pay for qualifying healthcare expenses and is use it or lose it .

What is a FSA?

400

This plan has a fairly low monthly premium but you have to pay a high price before the coverage will kick in.

What is an HDHP?

400

This is the most you will pay for care with the exception of premiums and co-payments.

What is the out-of-pocket maximum?

400

This type of employee is typically not eligible to enroll in most benefits.

What is a part-time employee?

400

This web-based platform gives you access to other systems such as UDR and KM.

What is bswift?

400

This spending account is not front-loaded and can only be used to cover qualified expenses for people who are under 13 years old, over 13 years old with certain disabilities, live with the employee and can be claimed on their tax return.

What is a Dependent Care FSA?

500

This plan is very restrictive and will only cover you if you visit a provider in a specific region of the country.

What is an EPO?

500

This is the fixed amount you will pay for office visits or prescriptions.

What is a copay?

500

This enrollment type will be offered when changing from part-time to full-time or when a benefits class change occurs.

What is a special enrollment?

500

This application protects the access in AWS from potential security threats.

What is zScaler?

500

This type of spending account can only be chosen when enrolled in an HDHP and an HSA but can not enroll in a Health FSA.  

What is a Limited Purpose FSA?  

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