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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ARC Benefit Solutions, Inc. is a wholly-owned subsidiary of CBISA Holdings, Inc., which is licensed as an insurance agency in all states in which it sells. Not all agents are licensed to sell all products. Service and product availability vary by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. Not connected with or endorsed by the U.S. Government or the federal Medicare program. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. ARC Benefit Solutions currently represents 15 organizations and more than 16,000 total possible plan options, depending upon your county of residence. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options. This site contains decision-support content and information about Medicare, services related to Medicare, and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov.