健康福利条款
- 共同保险
- The sharing of certain covered expenses by the plan and the plan participant. 例如, if the plan covers an expense at 80 percent (the plan’s coinsurance), your coinsurance is 20 percent of the provider’s charge.
- 共同保险限制
- The coinsurance limit is the maximum that you must pay out of pocket for your coinsurance share each calendar year.
- 共同付费(钱)
- The specified dollar amount or percentage required to be paid directly to an in-network provider.
- 可扣除的
- The amount of covered expenses that a member must pay each plan year before the plan begins to pay benefits.
- 依赖
- A member’s spouse, civil union partner, same-sex domestic partner (as defined by P.L. 2003, c. 246), or child(ren) under the age of 26. Children include natural, adopted, foster, and stepchildren. If a covered child is not capable of self-support when he or she reaches age 26 due to a mental or physical disability, coverage may be continued subject to approval.
- In-Network Provider or Participating Provider
- 任何医生, 医院, 熟练的护理设施, or other individual or entity involved in the delivery of health care or ancillary services that contracts to provide covered services to plan participants for a negotiated charge.
- 网外供应商
- This term generally is used to mean providers who have not contracted with a health plan to provide services at negotiated fees; or, 与HMO合作, an in-network provider who is furnishing services or supplies without a referral from the patient’s PCP.
- 现款支付的最大
- The out-of-pocket maximum is the maximum amount you must pay toward covered medical expenses in a calendar year. Once you reach this maximum, the plan pays 100 percent of your remaining covered expenses for the rest of the year.
- 紧急护理
- Services received for an unexpected illness or 受伤 that is not life threatening but requires immediate outpatient medical care that cannot be postponed. An urgent medical condition requires prompt medical attention to avoid complications and unnecessary suffering or severe pain, 比如发高烧.
* Health benefits term definitions provided by the New Jersey Division of Pensions and 好处 (NJDPB)
休假条款
- Family and Medical Leave Act (FMLA)
- The Family and Medical Leave Act (FMLA), 联邦法律, provides 12 weeks of unpaid leave that protects you from negative impacts to your job when you take time off or a leave of absence for qualifying reasons.
- New Jersey Family Leave Act (NJFLA)
- The New Jersey Family Leave Act (NJFLA) provides 12 weeks of unpaid leave entitlement to eligible employees.
- Temporary Disability Insurance (TDI)
- Temporary Disability Insurance (TDI) is managed by the State of New Jersey, and provides cash benefits to eligible New Jersey workers who suffer an illness, 受伤, or other disability that prevents them from working.
- Family Leave Insurance (FLI)
- Family Leave Insurance (FLI) is managed by the State of New Jersey, and provides eligible New Jersey workers cash benefits for up to six weeks to bond with a newborn or newly adopted child, or to provide care for a seriously ill or injured family member.
- 无薪休假
- After exhausting all of your accrued time, you will no longer be paid by 十大博彩推荐排名州立 大学.