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Unformatted text preview: determine whether or not the employee will have network providers or not. Network providers are the providers in a specific network and the insurance will usually cover the cost if employee is seen by one of their providers if not it will be an out of pocket experience. In some cases group health insurance can be kept for a period of time after an employee has ended their job. This is when the insurance is portable. The employees creditable coverage is the coverage from a previous group health plan. Self funded health plans usually take the responsibility of covering their employees health and medical benefits. In these situations the employer may hire a third party administrator to handle collecting premiums and processing medical claims and payments....
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This note was uploaded on 04/19/2011 for the course HCR 230 taught by Professor Volk during the Fall '11 term at University of Phoenix.
- Fall '11