Under the Health Insurance Portability and Accountability Act (HIPAA), the person who is the subject of protected health information.

Retirement plan that is funded in accordance with a formula based on a certain percentage of the participant’s compensation.

Insurance claim that must be reviewed because of an unusual, unique, or variation from standard medical service to determine the benefit or payment allowance.

Name of a segment of the insurance market of single employers that provide insurance coverage for their employees through a master contract that is issued to the employer.

Type of medical insurance fraud that is committed by individuals on their insurance claims so that they can obtain benefits in excess of their medical expenses. Also see provider fraud and fraud .

Retirement plan funding system that is determined by first separately calculating the contributions for each of the plan’s participants and then adding those amounts to obtain the total required contribution.

Insurance health plan in which one person and his or her dependents are insured under a policy. Also called individual health insurance, individual contract , individual medical plan , or personal insurance .