Premium rate that the insurance company and the insured agree at the beginning of the pay period, but it is paid at the end of the period only if the group’s claim experience justifies it. The insurance company obtains a lower base premium at the beginning of the period and charges a retro premium retroactively at the end of the period.

Made effective to an earlier date.

Insurance benefit paid from the date of disability after the insurance policy’s stated elimination period.

Qualified for the Medicaid program, which may begin as early as the first day of the third month before the month of application provided all appropriate factors are met in those months.

Funds from the premiums that the insurance company returns to a group insurance policyholder after analyzing the claims incurred, expenses, risk charges, changes in reserves, and profit.

Process in which coding for medical services occurs after the patient is discharged from the hospital.

Contract in which the policyholder pays the insurance company for any deficiencies incurred when the insurer agrees to continue coverage at a premium rate that eliminates any rise and fall in claims.