Type of plan that provides a series of payments only if a designated person is alive.

Health care (medical or dental) that can be delayed without risk to the patient’s physical condition such as eye refraction, immunizations, and dental prophylaxis).

Agreement between the insurance company and the policyholder (company or business) to extend a group insurance policy’s grace period permanently by either 30, 60, or 90 days. This allows the policyholder to use the deferred premium amounts for the length of time by which the grace period is extended. Such an arrangement is usually granted to companies with excellent credit ratings. Also called a premium-delay arrangement .

Premiums that are due after a policy’s statement date but before the next policy anniversary.

In relation to a nursing home, finding that it failed to meet one or more federal or state requirements.

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.