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Glossary of Health Coverage and Medical Terms

This PDF glossary has many commonly used terms but isn’t a full list. The terms and definitions are intended to be educational and may be different from the terms and definitions in your plan. Some of these terms also might not have exactly the same meaning when used in your policy or plan, and in any such case, the policy or plan governs. (See your Summary of Benefits and Coverage for information on how to get a copy of your policy or plan document.) READ PDF >

Definitions of Health Insurance Terms

In February 2002, the Federal Government’s Interdepartmental Committee on Employment-based Health Insurance Surveys approved the definitions in this PDF for use in Federal surveys collecting employer-based health insurance data. The BLS National Compensation Survey currently uses these definitions in its data collection procedures and publications. READ PDF >

Income Guidelines for Covered CA

You may be eligible for Medi-Cal or a Low-Income Health Plan. Whether you qualify for financial assistance depends on your household income and family size. See the charts in this PDF to help determine if you qualify for financial help. This chart is the Federal Poverty Level Guidelines for the Benefit Year. See the charts below to help determine if you qualify. READ PDF >

Employer Pay or Play Mandate Flowchart

The Play or Pay Mandate Flowchart outlines how employers may be penalized for either not offering health coverage or offering inadequate coverage. READ PDF >

Useful Links

U.S. Department of Labor >

California Employment Department on SDI >

U.S. Dept. of Labor Employee Benefits Security Administration >

Medicare >

MediCal >

COVID-19 >

Please feel free to call our office at 714.716.4060 or email us at should you need any assistance.

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