A Table of Health Insurance Programs and Regulatory Agencies

Part 1: The Basic Tools, Chapter 1: The Health Insurance Maze Page 4

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Table 1 - Health Insurance Programs and Regulatory Agencies

Program/Agency Description
Medicare Federal program designed to provide health insurance for the elderly and for some people under age 65 with disabilities
Medicaid Joint federal/state program designed to provide health insurance coverage for peo pie whose incomes fall below the poverty line and for some people with disabilities
COBRA (Congressional Omnibus Budget Reconciliation Act) Federal law that governs the continuation of health insur ance coverage for eligible individuals
ERISA (Employee Retirement Income Security Act) Federal law that regulates the operation of self-funded plans
CHAMPUS (Civilian Health And Medical Program of the Uniformed Services) Federal health insurance program for eligible retired armed forces personnel and for eligible family members
Self-Funded Plans Plans sponsored by a cor poration, an association, a union, or a state or municipal government agency
HCFA (Health Care Financing Administration) Regulates the operation of Medicare
Private Health Insurance Companies There are more than 1,500 health insurance companies and managed care companies in the United States at present; a single company may offer several types of health insurance plans
Pension and Welfare Benefits Administration of the United States Department of Labor Regulates self-funded plans; also regulates COBRA rules in relation to private health insurance plans
United States Public Health Service Regulates COBRA rules in relation to health insurance plans sponsored by state or municipal government agencies
State Departments of Insurance, state Departments of Health, special state insurance boards Regulate private health insurance programs, hospital-related health insurance is sues, and state-sponsored health insurance programs
State Health Insurance Programs Health insurance programs designed to help senior citizens or people with disabilities purchase medications or medical equipment, or to provide low-cost health in surance to individuals whose incomes fall below the poverty line

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