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The HIPAA certificate, also known as certificate of creditable coverage, documents the health coverage you had before you lost coverage. If you had less than 18 months of continuous coverage, the certificate includes the dates any waiting period began and when coverage began and ended.
In general, a health plan offered by an employer or employee organization that provides health coverage to employees and their families.
A Group Health Plan is an employee welfare benefit plan covering 50 or more Participants established by an employer or employee organization like a labor union called the ?Plan Sponsor? that pays for or provides employee or member Medical Care or, regardless of size, is administered by someone besides the Plan Sponsor.
A certificate of coverage is an official contract that outlines what an insured is entitled to, and what they aren't insured for, under a health insurance policy.
The CoC details the health benefits the beneficiary and their dependents have under their plan. Details include exclusions and conditions. Exclusions are uncovered services, and conditions are actions needed to receive benefits.