Glossary - Index

A - E

Accidental Death and Dismemberment (AD&D)

Accountable Care Organization (ACO)

Adoption assistance credit and exclusion

Affordable Care Act (ACA)

Age Discrimination in Employment Act (ADEA)

Alternate Recipient

Amendment

Americans with Disabilities Act (ADA)

Annual Limit

Applicable Premium

Archer Medical Savings Account (MSA)

Balance Billing

Behavioral Health

Blue Cross Blue Shield Association (BCBSA)

Bonding

Business Associate

Cadillac Tax

Cafeteria Plan

Captive Insurance Company

Centers for Medicare & Medicaid Services (CMS)

Certificate of Creditable Coverage

Children's Health Insurance Program (CHIP)

Church Plan

CHAMPUS

Coinsurance

Collective Bargaining Agreement (CBA)

Common Law Marriage

Comparative Clinical Effectiveness Research Fee

Compensation

Consolidated Omnibus Budget Reconcilation Act (COBRA) of 1986

Consultative Review

Consumer Operated and Oriented Plan (Co-Op)

Consumer-Directed Health Plan (CDHP)

Consumer Operated and Oriented Plan (CO-OP)

Conversion

Coordination of Benefits (COB)

Copay

Coverage Period

Covered Entity

Creditable Coverage (HIPAA Certificate of Creditable Coverage)

Creditable Coverage (Medicare Part D Creditable Coverage Notices)

Critical Illness

Deductible

Delinquent Filer Voluntary Compliance (DFVC) Program

Department of Labor (DOL)

Dependent Care Assistance Plan (DCAP)

Dependent Care Expenses

Dependent Care Flexible Spending Account (DCSA)

Dependent Care Tax Credit

Dependent Eligibilty Audit

Designated Record Set

Disease Management

Domestic Partner

Early Retirement Reinsurance Program (ERRP)

Electronic Data Interchange (EDI)

Electronic Health Record

Electronic Protected Health Information (e-PHI)

Employee Assistance Program (EAP)

Employee Benefits Security Administration (EBSA)

Employee Retirement Income Security Act (ERISA)

Equal Employment Opportunity Commission (EEOC)

Essential Health Benefits

Evidence of Insurability (EOI)

Exchange (Marketplace)

External Review

F - J

FAIR Health, Inc.

FAIR Labor Standards Act (FLSA)

Family and Medical Leave Act (FMLA)

Federal Poverty Level (FPL)

Fiduciary

Flexible Spending Account (FSA)

Forfeiture

Fringe Benefit

Full Time

Genetic Information Nondiscrimination Act (GINA)

Governance

Governmental Plan

Grace Period

Grandfathered Plan

Gross Misconduct

Group Excess Liability Insurance

Group Health Plan

Group Term Life Insurance

Health and Human Services (HHS)

Health Assessment

Health Care and Education Reconciliation Act (HCERA)

Healthcare Reform (HCR)

Health Flexible Spending Account (HFSA)

Health Insurance Fund (HIF)

Health Insurance Portability and Accountability ACt (HIPAA)

Health Maintenance Organization (HMO)

Health Plan

Health Reimbursement Arrangement (HRA)

Health Savings Account (HSA)

Heroes Earnings Assistance and Relief Tax Act (HEART)

Heterogeneous Captives

High Deductible Health Plan (HDHP)

Highly Compensated Employee

Highly Compensated Individual

High-Cost Excise Tax

Homogeneous Captives

Hourly

Imputed Income

Indemnifiation

Independent Review Organization (IRO)

Individual Mandate

Individual Market

Internal Revenue Code (IRC)

Internal Revenue Service (IRS)

Internal Review

International Foundation of Employee Benefit Plans (IFEBP)

K - P

Key Employee

Leased Employee

Legal Separation

Lifetime Maximum Limit

Limited Benefits Plan

Limited Data Set

Long-Term Disability (LTD)

Mandated Benefit

Medicaid

Medical Child Support Order (MCSO)

Medical Loss Ratio (MLR)

Medicare

Medicare Advantage

Medicare As Second Payer (MSP)

Medicare Supplement Insurance (Medicap)

Mental Health Parity Act (MHPA)

Michelle's Law

Military Caregiver Leave (MCL)

Minimum Essential Coverage

Minimum Necessary

Minimum Value Health Plan

Multiple Employer Welfare Arrangement (MEWA)

National Medical Support Notice

National Provider Identifier

Newborns' and Mothers' Health Protection Act (NHMPA)

Onsite Medical Clinics

Open Enrollment Period

Organized Health Care Arrangement (OHCA)

Out-of-Network (OON) Provider

Out-of-Pocket (OOP) Limit

Part Time

Participant

Patient-Centered Outcomes Research Institute (PCORI) Fee

Patient Protection and Affordable Care Act (PPACA)

Pay or Play Mandate

PERMA

Plan Administrator

Plan Adoption

Plan Assets

Plan Document

Plan Number

Plan Sponsor

Plan Year

Point-of-Service (POS) Plan

Preemption

Pre-Existing Condition Exclusion Period

Pre-Existing Condition Insurance Plan (PCIP)

Premium Subsidy

Preferred Provider Organization (PPO)

Preventive Benefits

Privacy Notice

Protected Health Information (PHI)

Provider Directory

Public Health Service Act (PHSA)

Q-T

Qualified Beneficiary (QB)

Qualified Benefits

Qualified Health Plan (QHP)

Qualified Medical Child Support Order (QMCSO)

Qualifying Event (QLE)

Qualifying Exigency Leave

Qualifying Individual

Reinsurance

Rescission

Revenue Procedure

Revenue Ruling

Salaried

Self-Insurance

Serious Health Condition (SHC)

Severence Benefits

Short-Term Disability (STD)

Small Business Health Options Program (SHOP)

Small Business Tax Credit

Small Group Market

Social Security Number (SSN)

Society for Human Resource Management (SHRM)

Special Enrollment Event

Subrogation

Subsidy

Summary Annual Report (SAR)

Summary Health Information (SHI)

Summary of Benefits and Coverage (SBC)

Summary of Material Modification (SMM)

Summary of Material Reduction (SMR)

Summary Plan Description (SPD)

Tax Dependent

Termination for Cause

Transitional Reinsurance Program Fee

Tricare

U-Z

Uniform Services

Uniformed Services Employment and Reemployment Act (USERRA)

Usual, Customary and Reasonable (UCR)

Value-Based Insurance Design (VBID)

Vendor Contract

Voluntary Benefits

Voluntary Employees' Beneficiary Association (VEBA)

Waiting Period

Webcast

Webinar

Wellness Credit

Wellness Program

Women's Health and Cancer Rights Act (WHCRA)

Workers Adjustment and Retraining Notification (WARN) Act

Workers' Compensation (WC)

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