Claim
This refers to any request to your insurance company for benefits.
Carrier
The insurance company you receive your health plan from.
Certificate of Insurance
This is the printed description of your benefits and coverage limits that forms a contract between you and your carrier. It spells out precisely what will be covered, what won’t, and the dollar maximums.
Benefit Period
The interval during which you will be eligible for benefits. Generally, your benefit period will begin with the first medical service you received for a specific illness and end after you have not been treated for that condition for 60 days.