Provisions of DEFRA make Medicare Secondary Payer for spouses age 65 through 69 of employed individuals of any age younger than 70 who are covered by an employer group health plan (EGHP).

Federal legislation effective January 1, 2007, that controls federal spending on entitlement programs such as Medicare and Medicaid. It transformed compliance programs from voluntary to mandatory, made certain employee handbook content and policies mandatory for recipients of $5 million or more in Medicaid reimbursement, encouraged states to adopt statutes that parallel the federal False Claims Act, and made available additional federal resources to combat fraud and abuse in Medicare and Medicaid programs.

Calculation used to establish periodic payment amounts for each participant on retirement in this pension plan. It is based on the number of years of participation in the plan.

Retirement plan that pays set monthly benefits to the participant on retirement. The amount is based on the retiree’s age, tenure, and former wages and is calculated by using a certain formula. A DBPP is backed by the Pension Benefit Guaranty Corporation, a government agency that pays worker pension benefits, to set limits, in the event of a plan insolvency.

Calculation used to establish the amount of money that is to be deposited into a pension plan each year for each participant. Contributions are based on a certain percentage of the participant’s compensation.

1. Serious physiological condition in which the body’s loss of fluid is more than the body’s intake of fluid. 2. Rendering a substance free from water.

Change in the location and focus of mental health care and treatment for medically and socially dependent individuals from an institutional to a community setting.

Provision in a life insurance policy that means the beneficiary must outlive the insured by a specific amount of time to receive the death benefit.

Individual who is given legal authority by an authorized official of the provider to make changes to the organization’s status in the Medicare program (e.g., change of address or new location for the practice) or to notify the provider to follow the regulations and Medicare program guidelines.