The process of evaluating, or underwriting, a group or individual to determine a health insurance premium rate relative to the financial risk of the person or group. Key components of the rating formula include age, sex, location and plan design.

rating bands

Amounts by which insurance rates for a specific class of insured individuals may vary.


A primary care doctor’s written permission for a patient to see a certain specialist or to receive certain services. Required by some managed care health plans.

refundable tax credit

A way of providing a tax subsidy to an individual or business, even if no taxes are owed. (See tax credit.) If a person owes no tax, the government sends the person (or a third party) a check for the amount of the refundable tax credit.

Regional Extension Center Program

Created under the Health Information Technology for Economic and Clinical Health Act (HITECH), RECs offer technical assistance, guidance, and information to support and accelerate health care providers’ efforts to become meaningful users of electronic health...