Last Updated: June 26, 2023
Full version of publication: Guide to Health Care Insurance
Health insurance can refer to a variety of insurance policies depending on what they cover, how they are purchased and paid for, and the rules that govern the health plan.
This guide provides general guidelines on types of health care insurance coverage, health plan designs, health plan options including those available through the Affordable Care Act, important terms and definitions, and the grievance and independent review process.
GLOSSARY TIP: To more easily view a glossary term in a PDF within your internet browser, simply hold the CTRL (control) key (or ⌘ key on a Mac) while clicking on the
dotted-underlined term. This will open the glossary in a new window, allowing you to hold your spot within the consumer guide.
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File a Complaint
If you have a specific
complaint about your insurance, refer it first to the insurance company or agent involved. If you do not receive satisfactory answers, contact the Office of the Commissioner of Insurance (OCI).