1. Specific benefits that federally qualified health maintenance organizations (HMOs) must offer to enrollees, defined under Subpart A, 110.102 of the Federal HMO Regulations. 2. Minimum health services that should be available for adequate health care for a population.

Insurance policy that provides for payment of a specific dollar amount on the insured’s death either to his or her estate or to a designated beneficiary so named.

Statistical table without a safety margin that shows the death rate at each age, expressed as so many per thousand. Also called a basic experience table .
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A table listing the actual ages of death of a population, with no adjustments made for probability.

1. In investing, a rule that allows insurance companies to invest a small percentage of their assets without statutory restrictions. 2. In accounting, a clause that permits life and health insurers to keep a specific amount of their assets as nonauthorized assets that are not restricted in the same way as authorized assets.

Day in which a live birth occupies a bassinet in the hospital’s newborn nursery and is continuous since birth at the time the census is done for a report. The status of the mother does not affect this.

Group of claims for different patients from one office submitted in one computer transmission.
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A group of up to 20 surplus lines documents submitted to SLTX at once for processing.

Process of comparing the number of documents that have been processed against a control total that has been estimated (e.g., an insurance company that issues 500 claims checks that are batch balanced against 500 insurance claims).