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Note: Texas insurance law defines a small employer as a business with two to 50 employees, regardless of how many hours the employees work. If you provide health insurance, you must offer it to all your employees who work 30 hours or more each week. You must also offer coverage for their dependents.
This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.
Confirmation of Coverage means the accompanying document that outlines Your benefits and Maximum Benefit amounts.
A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor.
Groups must have at least two employees to be eligible for group insurance coverage. Group health insurance policy rates are usually based on: Group health insurance policy rates are usually based on experience rating in which premiums are based on the claims experience of the entire group.
Employees who elect coverage through the group policy usually receive a certificate of coverage, which is needed to provide to a subsequent insurance company in the event that an individual leaves the company or organization and terminates their coverage.
Typically, each insured member of the group receives a certificate of insurance. This certificate states that the insured member of the group is covered under the master contract held by the employer. Also, the provisions of the group insurance are usually stated in the certificate of insurance.
Which of the following is NOT required in the Outline of Coverage for a health insurance policy? "Projection of the policy's future costs". A table indicating the policy's projected future costs is not required in an Outline of Coverage.