Actively at Work 1

Administrative Information 1

Advance Approval or Pre-Authorization Claim

Appeal 1

Review 1

Agents for Service of Legal Process 1

Appealing Denied Claims 1

Authority to Interpret 1

Bargaining 1

Benefits-Eligible Employee 1

Certificate of Coverage 1

Change in Status 1

Claim is Denied 1

Claims Administrator 1

COBRA 1

Coinsurance 1

Collective Bargaining 1

Continue Group Plan Coverage 1

Continuing Your Coverage 1

Coordination of Benefits

Defined 1

Provision 1

With Medicare 1

Copayment 1

Cost of Coverage 1

Coverage Begins 1

Coverage During a Leave 1

Coverage Ends 1

Coverage Levels 1

Deductible 1

Denied Claims 1

Dependent Children 1

Dependents 1

Disability 1

Discrepancies 1

Discretionary Authority 1

Domestic Partners 1

Elections, Changing 1

Eligibility 1

Employee Retirement Income Security Act of 1974 1

Employer 1

Employer Identification Number (EIN) 1

Enforce Your Rights 1

Enrolling 1

ERISA Rights 1

Family Medical Leave 1

Filing a Claim

HMOs 1

Maroon Plan 1

Full-Time 1

Glossary 1

HMO

Ambulance Transportation 1

Breast Cancer 1

Chiropractic and Naprapathy Services 1

Coordinated Home Care 1

Coverage Level 1

Defined 1

Drug and Alcoholism Services 1

Emergency Care 1, 2

Hearing Services 1

Hospitalization 1

Infertility Services 1

Maternity Care 1

Mental Health Care 1

Newborns and Mothers 1

Options 1

Outpatient Diagnostic Services 1

Physical Exams 1

Physical, Occupational Therapy 1

Physician Office Visits 1

Pre-Existing Conditions 1

Prescription Drugs 1

Skilled Nursing Facility 1

Speech Therapy 1

Vision Care 1

What is Covered 1

What is Not Covered 1

Home Health Care Agency 1

Hospital 1

How HMOs Work 1

How the Maroon Plan Works 1

ID Cards 1

Leave 1

Leave of Absence 1

Lifetime Maximum 1

Long-Term Disability 1

Maroon Plan

Ambulance Transportation 1

Breast Cancer 1

Care Outside the U.S. 1

Chiropractic, Muscle Manipulations and Naprapathy Services 1

Coinsurance Amount 1

Coinsurance Explained 1

Consultations 1

Coordinated Home Care 1

Coverage Levels 1

Deductible Amounts 1

Deductible Explained 1

Dental Accident Care 1

Diagnostic Services 1

Durable Medical Equipment 1

Elective Abortions 1

Eligible or Allowable Charges 1

Eligible or Allowable Charges Defined 1

Emergency Accident Care 1

Emergency Medical Care 1

Hospice Care Benefit 1

Hospice Care Explained 1

Hospital Services 1

Human Organ Transplants 1

If You Don’t Pre-certify 1

In-Network Providers 1

Infertility Treatment 1

Lifetime Maximum Amount 1

Lifetime Maximum Explained 1

Maternity Services 1

Medically Necessary Care 1

Mental Health Inpatient Services 1

Mental Health Outpatient Services 1

Newborns and Mothers 1

Occupational Therapy 1

Oral Surgery 1

Other Covered Services 1

Other Equipment, Supplies and Appliances 1

Out-of-Pocket Limit Amounts 1

Out-of-Pocket Maximum 1

Physical Therapy 1

Physician’s Services 1

Pre-admission Testing 1

Pre-existing Conditions 1

Preferred Provider Option (PPO) 1

Prescription Drugs 1

Private Duty Nursing Services 1

Prosthetic Appliances 1

Second or Third Opinions 1

Skilled Nursing Facility 1

Speech Therapy 1

Substance Abuse Treatment 1

Surgery and Related Services 1

Wellness Care 1

What is Covered 1

What is Not Covered 1

When You Must Pre-certify Care 1

Medical Options 1

Medically Necessary Care 1

Military Leave of Absence 1

Notification of Appeal Denial 1

Notification of Denial 1

Ongoing Course of Treatment Claim

Appeal 1

Review 1

Open Enrollment 1

Out-of-Pocket Limit 1

Overpayments 1

Part-Time 1

Participating 1, 2

Plan Administration 1

Plan Administrator 1

Plan Amendment 1

Plan Fiduciaries 1

Plan Funding 1

Plan Information 1

Plan Name 1

Plan Number 1

Plan Sponsor 1

Plan Type 1

Plan Year 1

Post-Service Claim

Appeal 1

Review 1

Pre-Existing Conditions 1

Prevailing Fee Schedule 1

Primary Care Physician (PCP)

Defined 1

HMO Provision 1

Referrals 1

Privacy Information 1

Qualified Beneficiaries 1

Qualifying Change in Family Status 1

Qualifying Change in Status 1

Qualifying Events 1

Questions 1

Reasonable and Customary Charges 1

Receiving Your Benefits 1

Review of Appeal 1

Right of Recovery 1

Short-Term Disability 1

Skilled Nursing Facility 1

Special Enrollment Event 1

Summary Plan Description 1

Termination, Plan 1

Timeframe for Claim Review 1

Urgent Care Claims

Appeal 1

Review 1

Utilization Review Organization 1