your health insurance acronym guide

Health insurance can be confusing, and it certainly doesn’t help that there are countless acronyms for complicated terms. We have put together a guide to help you sort through the lingo and the mumbo jumbo so you can better understand your benefits:

ACA

Affordable Care Act, also called PPACA

ACO

Accountable Care Organizations

ALE

Applicable Large Employer

ASO

Administrative Services Only

COBRA

Consolidated Omnibus Budget Reduction Act

DOL

Department of Labor

EPO

Exclusive Provider Organization

ERISA

Employer Retirement Income Security Act

FMLA

Family Medical Leave Act

FSA

Flexible Spending Account

HDHP

High Deductible Health Plan

HIPAA

Health Insurance Portability and Accountability Act

HMO

Health Maintenance Organization

HRA

Health Reimbursement Account

HSA

Health Savings Account

MEC

Minimum Essential Coverage

MEWA

Multiple Employer Welfare Association

ODI

Ohio Department of Insurance

OEP

Open Enrollment Period

PBM

Pharmacy Benefit Manager

PCMH

Patient-Centered Medical Home

PCORI Fee

Patient-Centered Outcomes Research Institute

POP doc

Premium Only Plan document, also called Premium Conversion Plan

PPACA

Patient Protection and Affordable Care Act, also called ACA

PPO

Preferred Provider Organization

QHDHP

Qualified High Deductible Health Plan

QMCSO

Qualified Medical Child Support Order

QSEHRA

Qualified Small Employer Health Reimbursement Account

SBC

Summary of Benefits & Coverage

SEP

Special Enrollment Period

SMM

Summary of Material Modifications

SPD

Summary Plan Description

TPA

Third Party Administrator

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