Health Insurer Fee definition

Health Insurer Fee means the annual fee the Contractor is required to pay pursuant to Section 9010 of the Patient Protection and Affordable Care Act Health Plan means a Managed Care Organization under contract with the Department to provide specified physical health care services to a specific group of Medicaid Eligible Individuals. HEDIS means Healthcare Effectiveness Data and Information Set maintained by NCQA. Home and Community-Based Services means services, not otherwise furnished under the ICF/ID means an intermediate care facility for individuals with intellectual disabilities.
Health Insurer Fee means the annual fee the Contractor is required to pay pursuant to Section 9010 of the Patient Protection and Affordable Care Act. Health Insuring Organization (HIO) means a county operated entity, that in exchange for capitation payments, covers services for beneficiaries (1) through payments to, or arrangements with, providers; (2) under a Comprehensive Risk Contract with the State; and (3) meets the following criteria: (i) first became operational prior to January 1, 1986; or (ii) is described in section 9517(c)(3) of the Omnibus Budget Reconciliation Act of 1985 (as amended by section 4734 of the Omnibus Budget Reconciliation Act of 1990 and section 205 of the Medicare Improvements for Patients and Providers Act of 2008).

Examples of Health Insurer Fee in a sentence

  • Section 9010(a) of ACA requires that “covered entities” providing health insurance (“health insurers”) pay an annual fee to the federal government, commonly referred to as the Health Insurer Fee.

  • Due to the ACA Health Insurer Fee (HIF) cancellation beyond calendar year 2020, we have not accounted for payment of the HIF in either P1 or P2.

  • For purposes of this subsection, the full cost of the Health Insurer Fee includes both the Health Insurer Fee and the allowance to reflect the federal and state income tax.

  • The fee (hereafter identified as the Health Insurer Fee, or HIF) was allocated to health insurers based on their respective market share of premium revenue in the previous year.

  • Section 9010 of the Affordable Care Act: Health Insurer Fee: Tax collected in 2014 will be based on 2013 revenue for applicable health insurers.

  • Potential regulatory or market reforms may include, but are not limited to changes in:▪ Average risk profile of single risk pool (e.g., modifications to Arkansas Works Program);▪ Cost Sharing Reductions (better known as CSR); and▪ State or Federal Taxes (e.g., Health Insurer Fee).

  • This change increased the TOL. The health care trend rate assumption was updated to reflect the anticipated return of the Health Insurer Fee (HIF) in 2020.

  • We have included a pmpm cost of $5.25 to cover this cost.▪ Health Insurer Fee: We have included a pmpm cost of $9.05 to cover this cost.

  • This change increased the total OPEB liability • The health care trend rate assumption was updated to reflect the anticipated return of the Health Insurer Fee (HIF) in 2020.

  • This change increased the total OPEB liability  The health care trend rate assumption was updated to reflect the anticipated return of the Health Insurer Fee (HIF) in 2020.


More Definitions of Health Insurer Fee

Health Insurer Fee means the annual fee the Contractor is required to pay pursuant to Section 9010 of the Patient Protection and Affordable Care Act. HEDIS means Healthcare Effectiveness Data and Information Set maintained by NCQA. ICF/ID means an intermediate care facility for individuals with intellectual disabilities.
Health Insurer Fee means the annual fee the Contractor is required to pay pursuant to Section

Related to Health Insurer Fee

  • Health insurer means the same as that term is defined in Section 31A-22-615.5.

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • Health insurance issuer means an insurance company, or insurance organization (including a health

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Health insurance exchange means an exchange as defined in 45 C.F.R. Sec. 155.20.

  • Health Insurance Portability and Accountability Act means the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended.

  • Accident and health insurance means contracts that incorporate morbidity risk and provide protection against economic loss resulting from accident, sickness, or medical conditions and as may be specified in the valuation manual.

  • Credit accident and health insurance means insurance on a debtor to provide

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Paycheck Protection Program means loan program created by Section 1102 of the CARES Act.

  • Health information means any information or data except age or gender, whether oral or recorded in any form or medium, created by or derived from a health care provider or the consumer that relates to:

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Flood Insurance Regulations means (a) the National Flood Insurance Act of 1968 as now or hereafter in effect or any successor statute thereto, (b) the Flood Disaster Protection Act of 1973 as now or hereafter in effect or any successor statute thereto, (c) the National Flood Insurance Reform Act of 1994 (amending 42 USC § 4001, et seq.), as the same may be amended or recodified from time to time, and (d) the Flood Insurance Reform Act of 2004 and any regulations promulgated thereunder.

  • health institution means an organisation whose primary purpose is the care or treatment of patients or the promotion of public health;

  • Health planning region means a contiguous geographical area of the Commonwealth with a

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Group health benefit plan means any health care plan, subscription contract, evidence of

  • National Flood Insurance Program means the program created by the U.S. Congress pursuant to the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973, as revised by the National Flood Insurance Reform Act of 1994, that mandates the purchase of flood insurance to cover real property improvements located in Special Flood Hazard Areas in participating communities and provides protection to property owners through a Federal insurance program.

  • Health information exchange or “HIE” shall mean the Common HIE Resources and infrastructure made available to Participants by CRISP for Permitted Purposes, as defined in Section 3.02 of the Terms and Conditions, subject to the terms of the Agreement. Common HIE Resources shall not include the technological infrastructure provided by the Direct Technology Provider for the Direct Service.

  • Basic health plan means the plan described under chapter

  • Health benefits plan means a benefits plan which pays or