Glossary

An identification card is a printed card that is issued to covered persons under a plan, and it contains information on how to file and submit claims for payment or reimbursement.

An incurred and paid contract is an aggregate stop-loss policy that covers eligibile claims that have been incurred and paid during the same policy period.  A common option is a 12/12 contract, which covers eligibile claims that are incurred and paid during a 12-month period.  Claims paid prior to the effective date do not count toward the 12/12 stop-loss contract.  This type of contract is typically purchased when an employer moved from a fully insured to a self-funded health plan.

In-network providers are a group of physicians, hospitals, and other medical facilities that agree to provide health care at discounted fees.

The term "inpatient" refers to a patient who requires a hospital stay for 24 hours or more to receive medical treatment.

The IRC of 1986, as amended, is the basic federal tax law.

The term "IRC" means the Internal Revenue Code of 1986.