The following is a list of acronyms commonly used in relation to life, accident
and health insurance.
|
Acronym
|
Title
|
| ACD |
Accidental Death Benefit |
| ADA |
Americans with Disabilities Act (Federal Act) |
| AD & D |
Accidental Death and Dismemberment |
| ADB |
Accelerated Death Benefit |
| ADEA |
Age Discrimination in Employment Act (Federal Act)
|
| ADL |
Activities of Daily Living |
| ADR |
Alternative Dispute Resolution |
| APL |
Automatic Premium Loan |
| APS |
Attending Physician's Statement |
| ART |
Annually Renewable Term (Also YRT - yearly renewable
term) Life Insurance |
| ASO |
Administrative Services Only |
| Cap |
Capitation |
| CFA |
Certified Financial Analyst |
| CFP |
Certified Financial Planner |
| CHAMPUS |
Health Insurance Program for Military Personnel
(Now TRICARE) (Federal Program) |
| CHIP |
Comprehensive Health Insurance Plan (State Agency)
|
| CLU |
Chartered Life Underwriter |
| CMS |
Centers For Medicare & Medicaid Services (Was HCFA)
(Federal Agency) |
| COB |
Coordination of Benefits |
| COC |
Certificate of Coverage |
| COLA |
Cost-Of-Living Adjustment |
| COBRA |
Consolidated Omnibus Budget Reconciliation Act (Federal
Act) |
| CPI |
Consumer Price Index |
| CPT |
Current Procedural Terminology (Procedure Codes)
|
| CSO |
Commissioners Standard Ordinary (Mortality Tables) |
| DME |
Durable Medical Equipment |
| DO |
Doctor of Osteopath |
| DOB |
Date of Birth |
| DOS |
Date of Service |
| DOL |
U.S. Department of Labor (Federal Agency) |
| DRGs |
Diagnostic Related Groups |
| DX |
Diagnosis Code |
| EAP |
Employee Assistance Program |
| EFT |
Electronic Funds Transfer |
| EOB |
Explanation of Benefits |
| EOI |
Evidence of Insurability |
| EOMB |
Explanation of Medicare Benefits |
| EPO |
Exclusive Provider Organization |
| ERISA |
Employee Retirement Income Security Act (Federal
Act) |
| ESRD |
End Stage Renal Disease |
| FCRA |
Fair Credit Reporting Act (Federal Act) |
| FEHBP |
Federal Employees Health Benefits Program |
| FMLA |
Family Medical Leave Act (Federal Act) |
| FPDA |
Flexible Premium Deferred Annuity |
| GI |
Guaranteed Insurability Benefit (Life) |
| GLBA |
Gramm-Leach Bliley (Financial Modernization Act)
(Federal Act) |
| GUL |
Group Universal Life Insurance |
| HCFA |
Health Care Financing Administration (Now CMS) (Federal
Agency) |
| HCFA-1500 |
Standardized Physician Billing Form |
| HIAA |
Health Insurance Association of America |
| HIPAA |
Health Insurance Portability and Accountability
Act (Federal Act and State Law) |
| HIPAA CHIP |
CHIP plan for uninsurable people at termination
of continuation coverage whether it be Illinois continuation or COBRA |
| HMO |
Health Maintenance Organization |
| ILAHP |
Illinois Association of Health Plans |
| IDEA |
Individuals with Disabilities Education Act of 1997
(Federal Act) |
| ICD-9 |
International Classification of Diseases (Diagnosis
codes) |
| IME |
Independent Medical Exam |
| IRA |
Individual Retirement Account |
| IPA |
Independent Practice Association |
| JCAHO |
Joint Commission on Accreditation of Healthcare
Organizations |
| KIDCARE |
Illinois Program for insuring certain children and
expectant mothers |
| LCSW |
Licensed Clinical Social Worker |
| LHSO |
Limited Health Service Organization |
| LTC |
Long Term Care |
| MCO |
Managed Care Organization |
| MSN |
Medicare Summary Notice |
| Medigap |
Medicare Supplement Insurance |
| Medsupp |
Medicare Supplement Insurance |
| MET |
Multiple Employer Trust |
| MEWA |
Multiple Employer Welfare Arrangement |
| MIB |
Medical Information Bureau |
| MIS |
Management Information Systems |
| MSA |
Medical Savings Account |
| MSP |
Medicare Second Payer |
| NAIC |
National Association of Insurance Commissioners
|
| NAMCR |
National Association of Managed Care Regulators
|
| NCQA |
National Committee for Quality Assurance |
| NICB |
National Insurance Crime Bureau |
| Non-par |
Non-participating Provider |
| OBRA |
Omnibus Budget Reconciliation Act of 1993 |
| OCHI |
Office of Consumer Health Insurance |
| OPM |
Office of Personnel Management (Federal employee
benefits) |
| OTC |
Over the Counter |
| Par |
Participating Provider |
| PCP |
Primary Care Physician |
| PFFS |
Private Fee For Service (An alternative form of
Medicare) |
| POA |
Power of Attorney |
| PHO |
Physician Hospital Organization |
| PMPM |
Per Member Per Month |
| POS |
Point of Service |
| PPA |
Preferred Provider Arrangement |
| PPO |
Preferred Provider Organization |
| PWBA |
Pension and Welfare Benefits Administration (Federal
Agency) |
| QA |
Quality Assurance |
| QMB |
Qualified Medicare Beneficiary |
| QMCSO |
Qualified Medical Child Support Order |
| RBC |
Risk Based Capital |
| ROC |
Review Oversight Committee |
| RTW |
Return to Work (date for disability coverage) |
| SEC |
Securities and Exchange Commission |
| SEP |
Simplified Employee Pension |
| SHIP |
Senior Health Insurance Program |
| SNF |
Skilled Nursing Facility |
| SPD |
Summary Plan Description |
| SPDA |
Single-Premium Deferred Annuity |
| SPIA |
Single-Premium Immediate Annuity |
| SSDI |
Social Security Disability Insurance |
| TPA |
Third Party Administrator |
| TPPP |
Third Party Prescription Program |
| TRICARE |
Health insurance program for military personnel
(Was called CHAMPUS) (Federal Program) |
| UB92 |
Standardized Hospital Billing Form |
| U & C (R&C) (UCR) |
Usual and Customary, Reasonable and Customary, Usual
Customary and Reasonable |
| UR |
Utilization Review |
| URAC |
Utilization Review Accreditation Commission |
| VHSP |
Voluntary Health Service Plan |
| VSP |
Viatical Settlement Provider |
| WHCRA |
Women's Health and Cancer Rights Act |
| WP |
Waiver of Premium For Disability Benefit |
| WPHCP |
Women's Principal Health Care Provider |
| YTD |
Year-To-Date |
| YRT |
Yearly Renewable Term Insurance (Also ART - annually
renewable term ins) |
