Insurance Terminology

APTC

Advance Premium Tax Credit

CMS

Center (for) Medicare (& Medicaid) Services

CSR

Customer Service Representative

EHB

Essential Health Benefits

ESRD

End Stage Renal Disease

FSA

Flexible Spending Account

GA

Guaranteed Issue; a situation where a policy is offered to any eligible applicant without regard to health status.

HDHP

High Deductible Health (Insurance) Plan

HIPAA

Health Insurance Portability (&) Accountability Act

HMO

Health Maintenance Organization; gives access to certain doctors and hospitals within its network to utilize.

HRA

Health Reimbursement Account

HSA

Health Savings Account

ICEP

Initial Coverage Enrollment Period

IEP

Initial Enrollment Period

IPN

Independent Provider Network

LIS

Low Income Subsidy

LOA

Licensed Agent Only

LOCC

Letter of Credible Coverage

LOR

Letter of Record

MAPD

Medicare Advantage Prescription Drug

MGA

Main General Agent

MPTC

Monthly Premium Tax Credit

MSA

Medical Savings Account

OEP

Open Enrollment Period

OSB

Optional Supplemental Benefits

PAC

Prior Authorization (Auto Pay)

PCP

Primary Care Physician

PDP

Prescription Drug Plan

PFFS

Private Fee For Service

PHI

Protected health information

PPACA

Patient Protection (&) Affordable Care Act

PPO

Preferred Provider Organization, gives relative freedom to choose which doctors and hospitals they want to utilize.

SEP

Special Enrollment Period

SNP

Special Needs Plan