| A | B |
|---|
| Aetna Life Insurance | Adminers Basic, Optional and Dependent Life and Long Term Care Insurance Programs |
| BCBS | Blue Cross Blue Shield |
| Aetna Managed Care Disability | Administer of Sick Leave and Disability Insurance |
| BL | Basic Life Insurance |
| SPL | Spouse Life Insurance |
| STD | Short Term Disability |
| UHC | UnitedHealth Care |
| POS | Point of Service |
| PPO | Perferred Provider Organization |
| SPD | Summary Plan Decription |
| OOA | Out of Area |
| PCP | Primary Care Physician |
| OOP | Out of Pocket |
| Benefit Zip Code | A postal designation that determines a participant's eligibility for medical and dental options |
| LTC | Long Term Care Insurance |
| LTD | Long Term Care Insurance |
| Metlife | Preventive and Comprehensive dental plan carrier |
| HIPAA | Health Insurance Portability and Accountablity Act of 1996 |
| Co-Insurance | The amount of covered services to be paid by you, expressed as a percentage of the cost. |
| Co-payment | Set fees for in-network physician office visits, precriptions or some other services. |
| Covered Services | Those health services, supplies, or equipment covered under ther terms of the Plan. |
| Deductible | Set fee employees must pay for medical and/or dental benefits before the Plan will reimburse any covered healthcare claim. |
| Lifetime Maximum | The maximum amount that the medical plan will pay for covered services for any one individual during his or her lifetime. |
| Medicare Reimbursement Rate | The fee Medicare sets as reasonable for a covered medical service. |
| Network Charges | The amount that a network provider has agreed to charge for covered services under a contract with the third party administrator. |
| SMM | Summary Material Modification |
| Out-of-Pocket Maximum | The most a participant pays per person, per year for covered network services or separately, non-network services, not including deductibles and co-payments. |
| Pre-Certification | For inpatient or outpatient confinement, the insurance carrier must be notified of scheduled admissions at least five business days before the start of the confinement. |
| R & C | Reasonable and Customary Charge |
| Multi-household | Dependent child who resides in more than one household. |
| COB | Coordination of Benefits |
| Davis Vision | Vision plan carrier |
| OE | Open Enrollment |
| No Coverage Option | A benefits option. If selected, participants have no medical, dental, life insurances and FSA benefits coverage. |
| OPL | Optional Life Insurance |
