If you have Medicare and other health insurance or coverage, each type of coverage is called a payer.. When there's more than one payer,  coordination of benefits  rules decide which one pays first. The primary payer pays what it owes on your bills first, and then sends the rest to the secondary payer to pay.
Shadow government may refer to: 1  A government run by an unelected bureaucracy, also known as a deep state or state within a state. 2  A conspiracy theory of a secret government, see Shadow government (conspiracy).
A republic is a form of government in which the country is considered a public matter (Latin: res publica), not the private concern or property of the rulers, and where offices of states are subsequently directly or indirectly elected or appointed rather than inherited. system of government where an executive branch is led by a president who serves as both head of state and head of government. In such a system, this branch exists separately from the legislature, to which it is not responsible and which it cannot, in normal circumstances, dismiss.