Compliance and Regulatory
ACA | Affordable Care Act, also see PPACA |
AD&D Plan | Accidental Death and Dismemberment Plan |
ADA | Americans with Disabilities Act |
ADAAA | ADA Amendments Act of 2008 |
ALE | Applicable Large Employer |
ADEA | Age Discrimination in Employment Act |
APTC | Advance Premium Tax Credits |
ARRA | American Recovery and Reinvestment Act of 2009 |
ASO | Administrative Services Only |
CARES Act | Coronavirus Aid, Relief and Economic Securities Act |
CCIIO | Center for Consumer Information and Insurance Oversight (CCIIO), formerly known as the Office of Consumer Information and Insurance Oversight (OCIIO) |
CDHC | Consumer-Driven Health Care |
CFR | Code of Federal Regulations |
CMS | Centers for Medicare & Medicaid Services – formerly known as Health Care Financing Administration (HCFA) |
COBRA | Consolidated Omnibus Budget Reconciliation Act |
DCAP | Dependent Care Assistance Program |
DCTC | Dependent Care Tax Credit |
DOL | U.S. Department of Labor |
EAP | Employee Assistance Program |
EBSA | Employee Benefits Security Administration – formerly known as the Pension and Welfare Benefits Administration (PWBA) |
EDI | Electronic Data Interchange |
EFAST | ERISA Filing Acceptance System |
EEOC | Equal Employment Opportunity Commission |
EGTRRA | Economic Growth and Tax Relief Reconciliation Act |
EOB | Explanation of Benefits |
EOI | Evidence of Insurability |
ERISA | Employee Retirement Income Security Act |
FF-SHOP | Federally Facilitated Small Business Health Options Program |
FFCRA | Families First Coronavirus Response Act |
FICA | Federal Insurance Contributions Act |
FLSA | Fair Labor Standards Act |
FMLA | Family and Medical Leave Act |
FSA | Flexible Spending Arrangement |
FUTA | Federal Unemployment Tax Act |
GINA | Genetic Information Nondiscrimination Act |
GTL Insurance | Group Term Life Insurance |
HCE | Highly Compensated Employee |
HCFA | Health Care Financing Administration – now known as the Centers for Medicare & Medicaid Services (CMS) |
HCTC | Health Coverage Tax Credit |
HDHC | High Deductible Health Coverage |
HDHP | High Deductible Health Plan |
Health FSA | Health Flexible Spending Arrangement |
HEART Act | Heroes Earnings Assistance and Relief Tax Act of 2008 |
HHS | U.S. Department of Health and Human Services |
HIPAA | Health Insurance Portability and Accountability Act |
HIPAA SER | Health Insurance Portability and Accountability Act Special Enrollment Rights |
HIT | Health Insurance Tax |
HMO | Health Maintenance Organization |
HRA | Health Reimbursement Arrangement |
HSA | Health Savings Account |
IRC | Internal Revenue Code |
IRS | Internal Revenue Service |
LTC | Long-term Care |
LTD | Long-term Disability |
MEC | Minimum Essential Coverage |
MEWA | Multiple Employer Welfare Arrangement |
MHPAEA | Mental Health Parity and Addiction Equity Act |
MLR | Medical Loss Ratio |
MSP | Medicare Secondary Payer |
MSA | Medical Savings Account (also known as an Archer MSA) |
NAIC | National Association of Insurance Commissioners |
NHCE | Non-highly Compensated Employee |
NMHPA | Newborns' and Mothers' Health Protection Act |
OCR | Office of Civil Rights |
OCIIO | Office of Consumer Information and Insurance Oversight, now known as the Center for Consumer Information and Insurance Oversight (CCIIO) |
OTC | Over-the-counter Item or Drug |
PBM | Pharmacy Benefit Manager |
PCE | Preexisting Condition Exclusion |
PCOR Fee | Patient-centered Outcomes Research Fee |
PCORI | Patient-centered Outcomes Research Institute |
PEO | Professional Employer Organization |
PHI | Protected Health Information |
PPA | Pension Protection Act of 2006 |
PPACA | Patient Protection and Affordable Care Act- aka Health Care Reform |
POP | Premium Only Plan (Section 125 Cafeteria Plan) |
PPO | Preferred Provider Organization |
PWBA | Pension and Welfare Benefits Administration - now known as the Employee Benefits Security Administration (EBSA) |
QDRO | Qualified Domestic Relations Order |
QMCSO | Qualified Medical Child Support Order |
SAR | Summary Annual Report |
SBC | Summary of Benefits and Coverage |
SECURE Act | Setting Every Community Up for Retirement Enhancement Act of 2019 |
SHOP | Small Business Health Options Program |
SMM | Summary of Material Modifications |
SPD | Summary Plan Description |
STD | Short-term Disability |
TPA | Third Party Administrator |
USERRA | Uniformed Services Employment and Reemployment Rights Act |
VEBA | Voluntary Employees' Beneficiary Association |
VFC | Voluntary Fiduciary Correction Program |
WHCRA | Women's Health and Cancer Rights Act |