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Midas
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Happy Birthday MetLife
Steve Kandarian
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Snoopy

Life Insurance Basics: Terminology Word Search

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Premium
Loan
Death Benefit
Face Amount
Policy
Surrender
Partial Withdrawal
Absolute Assignment
Claim
Cash value
Issue Date
Rider
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Life Insurance

Insurance terms Word Search

Type
Word Search
Description

Premium
Unearned premium
Standard policy
Proof of loss
Probability
Peril
Loss
Insurer
Insured
Insurance agent
Grace Period
Face amount
Exclusions
Deductible
Coverage
Claim
Cash Value
Benefits
Beneficiary
Actuary
Actuarial table
Hazard

Basics of Health Insurance Crossword

Type
Crossword
Description

An established schedule of fees set for services performed by providers and paid by the patient fee for service
protection in return for periodic premium payments that provides reimbursement of expenses resulting from illness or injury Health insurance
the sum of money paid at the time of medical service; it is a form of coinsurance copayment
provision frequently is found in medical insurance policies whereby the policyholder and the insurance company share the cost of covered losses in a specified ratio coinsurance
Civilian Health and Medical Program of the Veterans Administration known as CHAMPUS
states that when an individual is covered under two insurance policies, the insurance plan of the policyholder whose birthday comes first in the calendar year (month and day, not year) becomes the primary insurance. birthday rule
A term used in managed care for an approved referral authorization
a payment method used by many managed care organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services were received or how many visits were made. Capitation
a letter or statement from Medicare that describes what was paid, denied, or reduced in payment. EOMB
Pays expenses involved in the care of the teeth and gums Dental care
Protects a person in the event of a certain type of accident, such as an airplane crash Special risk insurance
Often includes benefits for medical expenses payable to individuals who are injured in the insured person’s home or during an automobile accident Liability insurance
Covers a continuum of maintenance and health services for chronically ill, disabled, or mentally retarded individuals Vision care
Provides payment of a specified amount on the insured’s death Life insurance
Pays the cost of all or part of the insured person’s hospital room and board and specific hospital services Hospitalization
a review of individual cases by a committee to make sure services are medically necessary and to study how providers use medical care resources utilization review
40. An insurance term used when a primary care provider wants to send a patient to a specialist referral
periodic (monthly, quarterly, or annual) payment of a specific sum of money to an insurance company for which the insurer, in return, agrees to provide certain benefits premium
person who pays a premium to an insurance company and in whose name the policy is written in exchange for the insurance protection provided by a policy of insurance policyholder
a general practice or nonspecialist provider or physician responsible for the care of a patient for some health maintenance organizations gatekeeper

Insurance Terms Crossword

Type
Crossword
Description

A person who sells insurance policies. Sometimes referred to as a producer, planner or advisor Agent
The person, people, or entity designated to receive the death benefits from a life insurance policy or annuity contract. Beneficiary
A policyholder's request for reimbursement from an insurance company under a home insurance policy for a loss to property. Claim
A period of up to two years during which a life insurance company may deny payment of a claim because of suicide or a material misrepresentation on an application. Contestability
When a policy is guaranteed to pay out but there is a limited death benefit within the first two years. This occurs when the second health question is answered yes or left blank Guaranteed Issue
The person or organization covered by an insurance policy. Insured
The termination of an insurance policy because a renewal premium is not paid by the end of the grace period. Lapse
The contract issued by the insurance company to the insured. Policy
Relative incidence of death within a particular group categorized according to age or some other factor such as occupation, sex, or ethnicity. Actuaries use these tables to estimate insurance premiums for products being sold. Mortality
The person or party who owns an individual insurance policy. This person may be the insured, the beneficiary, or another person. This person usually is the one who pays the premium and is the only person who may make changes to a policy. Policy Owner
The process by which a life insurance company puts a policy back in force after it lapsed because of nonpayment of renewal premiums. Reinstatement
The termination of an insurance contract by the insurer when material misrepresentation has occurred. Rescission
A written agreement attached to the policy expanding or limiting the benefits otherwise payable under the policy. Also called an "endorsement." Rider
The person who reviews an application for insurance and decides if the applicant is acceptable and at what premium rate. Underwriter

Personal Financial Literacy Word Search

Type
Word Search
Description

401K
accrued
annual
annual percentage rate
balance
bi-annual
budget
check
collateral
compound
credit
credit card
debit
deposit
dividend
interest
investment
loan
principal
quarterly
rate
scholarship
shortage
simple
social security
stocks
student loan
surplus
term
withdrawl

Health Insurance Terms Crossword

Type
Crossword
Description

protection in return for periodic premium payments that provides reimbursement of expenses resulting from illness or injury HealthInsurance
the sum of money paid at the time of medical service; it is a form of coinsurance COPAYMENT
An established schedule of fees set for services performed by providers and paid by the patient Feeforservice
A provision of the Insurance Contract that requires the insured to pay a percentage of all eligible medical expenses that result from sickness or injury. Coinsurance
A term used in managed care for an approved referral authorization
A payment method used by many managed care organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services were received or how many visits were made. Capitation
An insurance term used when a primary care provider wants to send a patient to a specialist Referral
periodic (monthly, quarterly, or annual) payment of a specific sum of money to an insurance company for which the insurer, in return, agrees to provide certain benefits Premium
A request that an insured or the insured’s health care provider makes to the health plan to pay for a health care service provided to the insured. CLAIM
A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions. Specialist

Medical Coding and Billing Crossword

Type
Crossword
Description

health plan carrier
reimburse policyhoders for medical sevices indemnity
list of selected drugs and their dosage formulary
amount paid for an insurance policy premium
document that modifies an insurance contract rider
review of systoms ROS
amount paid at time of service coypayment
amount a person pay, usually annual deductible
free service to other physicians professional courtesy
provider who completes the header of an ABN notifier
provides a higher payment upcoding
not coded at highest level truncated coding
identifies improper codes edits
a condition that remains after an acute illness sequelae
a long duration chronic
severe sysmptoms with a short duration acute

Healthcare Vocabulary Crossword

Type
Crossword
Description

A contract with a company where the subscriber pays a regular premium in exchange for a defined set of benefits Health Insurance
Reffered to as family doctor/PCP this person administers routine and preventive care, and makes referrals for specialty services when needed. Primary Care Provider
A provider who focuses on one area of medicine. Like a cardiologist or neurologist Specialist
A contracted, pre-determined dollar amount insurance company requires a patient to pay for a particular medical service. (It requires patients to pay a small amount upfront to deter people from seeking medical care that may not be necessary.) Copay
The contracted rate a health insurance company will pay toward a specific medical service. Allowable Charges
A contracted, pre-determined percentage of the allowable charge that a patient is required to pay for a particular medical service (after the deductible is met and before the out-of-pocket maximum is met). CoInsurance
A pre-determined annual amount patient must pay before insurance begins to cover. Deductible
Annual maximum amount patient is required to pay for in-network medical services per his/her insurance plan contract (typically, copay + coins + deductible) Out of Pocket
The person who is responsible for payment of the monthly premium, or whose employment is the basis for the coverage. Subscriber
A person entitled to health insurance benefits under the subscriber’s plan. Covered Member
Insurance Company Payor
A specific package of benefits negotiated between the company and the employer. Plan
Dates during which the insurance plan is active. Effective Dates
Explanation of Benefits is a statement from the insurance company that details payments and adjustments made for services. EOBs go to both the provider and the patient. EOB
/Response from the insurance company that states no payment will be made. (service could be not covered by the insurance plan, or the insurance company may need more information.) Denial
The order in which the claim is sent to insurance companies. If patient has more than one insurance plan, we must determine which insurance should be billed primary, secondary, etc. Primary: the first insurance company designated to pay toward their allowable charges. Secondary: the second insurance company designated to pay toward their allowable charges. Filing Order
The pathway a patient takes from one provider to another. Referrals may be required by insurance before a patient can be seen by the other provider. Referral
The process whereby a physician must obtain insurance approval before a patient receives certain treatment or drugs (study, test, procedure, surgery.) Authorization

Financial Planning with Life Insurance Crossword

Type
Crossword
Description

A person designated to receive something, such as life insurance proceeds, from the insured. beneficiary
Life insurance that does not provide policy dividends also called a nonpar policy. nonparticipating policy
Insurance that provides policy dividends, also called a par policy. participating policy
Life insurance protection for a specified period of time sometimes called temporary life insurance. term insurance
An insurance plan in which the policy holder pays a specified premium each year for as long as he or she lives; also may be called a straight life policy. Whole life insurance
The amount received after giving upa life insurance policy. cash value
A whole life policy that continues term insurance and investment elements. universal life insurance
A provision that allows the insured not to forfeit all accrued benefits. Nonforfeiture clause
A document attached to a policy that modifies its coverage rider
A benefit under which the company pays twice the face value of th epolicy if the insured's death results from an accident. double indemnity
A method of evaluating the cost of life insurance by taking into account the time value of money. interest-adjusted index
The insurance company pays the face amount of the policy in one installment to the beneficiary or to the estate of the insured. lump-sum payment
The option that provides for payment of the life insurance proceeds in equal periodic installments for a specified number of years after year death. limited installment payment
Life insurance option that pays the beneficiary for as long as he/she lives. life income option
The life insurance proceeds are left with the insurance company at a specified rate of interest. The company acts as trustee and pays the interest to the beneficiary. proceeds left with the company
A contract that provides a regular income for as long as the person lives. annuity

MEDICARE WORD SEARCH PUZZLE

Type
Word Search
Description

INSURANCE
MEDICARE
CREDITABLE COVERAGE
PENALTY
MEDIGAP
BENEFICIARY
BRAND NAME
GENERIC
DONUT HOLE
OUTPATIENT
HOSPITALIZATION
PRESCRIPTIONS
ANNUAL ENROLLMENT
ADVANTAGE
SUPPLEMENT
COPAY
PREMIUM
DEDUCTIBLE
PART B
PART A