Abbreviations

Question 1

FMLA

Answer 1

Family Medical Leave Act - unpaid job protection for your own serious health condition, care of a family member or child bonding

Question 2

STD

Answer 2

Short term disability - % of pay for being out of work and unable to perform the material functions of ones job duties. Typically short term disability has a max duration of 13, 26 or 52 weeks (max duration is plan specific); transitioning into LTD if needed.

Question 3

LTD

Answer 3

Long term disability - % of pay for being out of work and unable to perform the material functions of ones job duties; typically after a waiting period of 60 or 180 days.

Question 4

NYPFL

Answer 4

New York Paid Family Leave - State benefit allowing up to 12 weeks of pay benefits for child bonding, care of family member or military contingency leaves. NYPFL benefits are a weekly benefit of 67% of pre-disability earnings (up to a max of $1,068.36 in 2022)

Question 5

NYDBL

Answer 5

New York Disability Benefit Law - State benefit allowing up to 26 weeks of pay up to $170 a week max benefit. NYDBL is for employee’s own serious health condition only.

Question 6

NJTBD

Answer 6

New Jersey Temporary Disability Benefits Law - Non-Occupational short term disability plan funded through a tax supported state fund

Question 7

PFML

Answer 7

Paid Family Medical Leave - CT, MA, WA state leave for ones own serious health condition, care of family member or child bonding. Leave options/qualifying reasons vary by state as well as qualifying family members.

Question 8

TAM

Answer 8

Total Absence Management - Unified approach to tracking and managing planned and unplanned absences. TAM is an internal term and should not be used with callers. Sample leave types include: military leave, jury duty, bereavement leave, personal leave, educational leave, parental leave and more

Question 9

EE

Answer 9

Employee

Question 10

ER

Answer 10

Employer

Question 11

LDW

Answer 11

Last Day Worked (last physical day worked)

Question 12

DOD

Answer 12

Date of Disability (could also be date of delivery for maternity leave claims)

Question 13

SX

Answer 13

Surgery

Question 14

FDA

Answer 14

First day absent (first day scheduled to work but did not)

Question 15

SAL CONT

Answer 15

Salary continuance (PTO, sick, vacation time paid out while out of work during disability)

Question 16

OOW

Answer 16

Out of work

Question 17

ERTW

Answer 17

Estimated return to work (when they have not physically returned to work yet but have an idea of when they might)

Question 18

ARTW

Answer 18

Actual return to work (EE has physically returned to work)

Question 19

OP

Answer 19

Overpayment

Question 20

EFT

Answer 20

Electronic funds transfer (similar to direct deposit but more along the lines of a wire transfer as the funds take up to 4 business days to go into the EE’s account once issued)

Question 21

CM / CS

Answer 21

Case manager or case specialist; the one who handles the claim and claim decisions

Question 22

UL

Answer 22

Unit leader - the cm / cs supervisor

Question 23

CN / NC

Answer 23

Clinical nurse / nurse clinician. Review medical information for the claim when requested/referred by case manager.

Question 24

CSR

Answer 24

Customer service representative

Question 25

CCA

Answer 25

Customer care advocate

Question 26

ADV

Answer 26

Advised / advise

Question 27

A&S

Answer 27

Accident & Sickness (another name for STD)

Question 28

AAW

Answer 28

Actively at work (not out of work yet)

Question 29

ADL

Answer 29

Actives of Daily Living (bathing, walking, eating, driving, caring for dependents, cleaning...)

Question 30

AFI

Answer 30

Annual Financial Inquiry; form used in LTD for yearly updates

Question 31

OCC

Answer 31

Occupation

Question 32

AP

Answer 32

Attending Physician

Question 33

AWW

Answer 33

Average Weekly Wage

Question 34

BHA

Answer 34

Behavioral Health Assessment - form used for mental health claims

Question 35

CBR

Answer 35

Call Back Request

Question 36

HCPO

Answer 36

Health Care Provider Office

Question 37

CCL

Answer 37

Child Care Leave

Question 38

CED

Answer 38

Claim End Date

Question 39

COLA

Answer 39

Cost of Living Adjustment

Question 40

CSS

Answer 40

Claims Support Specialist - Member of the claims team used for assistance on claims and broker support.

Question 41

DCN

Answer 41

Document Control Number (number assigned to incoming correspondence to identify correspondence)

Question 42

DIS or DISA

Answer 42

Disability

Question 43

DMR

Answer 43

Detailed Medical Request - Request sent to the HCPO for medical needed to review the claim

Question 44

DOB

Answer 44

Date of Birth

Question 45

DOH

Answer 45

Date of Hire

Question 46

DX

Answer 46

Diagnosis

Question 47

EAP

Answer 47

Employee Assistance Program

Question 48

EML

Answer 48

Employee Medical Leave

Question 49

EOB

Answer 49

Explanation of Benefits (what is paid out)

Question 50

EP

Answer 50

Elimination or waiting period; how long before benefits can be issued out. This is an unpaid period of time on MetLife's end!

Question 51

EXT

Answer 51

Extension

Question 52

FFD

Answer 52

Fitness for duty

Question 53

FOV

Answer 53

First office visit

Question 54

F/T

Answer 54

Full time

Question 55

P/T

Answer 55

Part Time

Question 56

F/U

Answer 56

Follow-up

Question 57

GOSC

Answer 57

Global Operations Support Center

Question 58

HCPC

Answer 58

Health Care Provider Certification (form needed for FMLA claims only)

Question 59

HCP

Answer 59

Health Care Provider

Question 60

ICD

Answer 60

International Classification of Diseases; a list of diagnosis and identifying codes used by physicians and other health care providers

Question 61

ICP

Answer 61

Initial Claim Packet (forms sent to the EE after the claim is created)

Question 62

IME

Answer 62

Independent medical examination

Question 63

IPC

Answer 63

Independent Physician Consultant

Question 64

INQ

Answer 64

Inquiry / inquire

Question 65

J/C

Answer 65

Job Class

Question 66

JD

Answer 66

Job Description

Question 67

LOA

Answer 67

Leave of Absence

Question 68

LOM

Answer 68

Lack of Medical

Question 69

LOS

Answer 69

Length of Service

Question 70

LOV

Answer 70

Last office visit

Question 71

MBD

Answer 71

Max benefit duration

Question 72

MED

Answer 72

Medical

Question 73

NON OCC

Answer 73

Non occupational (did not happen at work)

Question 74

NP

Answer 74

Nurse practicioner

Question 75

OOW

Answer 75

Out of Work

Question 76

OT

Answer 76

Occupational Therapy

Question 77

OUTPT

Answer 77

Outpatient

Question 78

OVN

Answer 78

Office Visit Note (not an out of work note; sometimes referred to as an office visit summary note)

Question 79

OWN OCC

Answer 79

Own Occupation

Question 80

PA

Answer 80

Physician Assistant

Question 81

PCP

Answer 81

Primary Care Physician

Question 82

PCS

Answer 82

Physic Clinical Specialist

Question 83

PED

Answer 83

Payment effective date

Question 84

PFL

Answer 84

Paid family leave

Question 85

PFR

Answer 85

Physician file review

Question 86

POB

Answer 86

Proof of birth

Question 87

PRE EX

Answer 87

Pre Existing (already had condition when insurance whet into effect or during a set period of time before a claim was filed)

Question 88

PTO

Answer 88

Paid time off

Question 89

R&L

Answer 89

Restrictions and Limitations (what one can or cannot do under advice of their treating physican)

Question 90

RECD

Answer 90

Received

Question 91

REHAB

Answer 91

Rehabilitation

Question 92

RN

Answer 92

Registered Nurse

Question 93

ROM

Answer 93

Range of Motion

Question 94

ROI

Answer 94

Release of Information

Question 95

SHU

Answer 95

Special Handling Unit (team of case managers and UL's that take over LTD claims after one is on LTD for a certain period of time; typically once it is deemed that the EE is unable to hold any gainful employment and will never be able to work again)

Question 96

SHC

Answer 96

Serious Health Condition

Question 97

SSDI

Answer 97

Social Security Disability Insurance

Question 98

S/W

Answer 98

Spoke with

Question 99

TD

Answer 99

Total disability

Question 100

TDI

Answer 100

Temporary Disability Insurance (state disability for Rhode Island and Hawaii)

Question 101

T/F

Answer 101

Time frame

Question 102

T&P

Answer 102

Total and Permanant

Question 103

TS

Answer 103

Technical support

Question 104

UTC

Answer 104

Unable to Contact

Question 105

VM

Answer 105

Voicemail

Question 106

VRC

Answer 106

Vocational Rehab Consultant

Question 107

WBR

Answer 107

Weekly benefit rate

Question 108

WC

Answer 108

Workers Compensation

Question 109

W/

Answer 109

With

Question 110

w/o

Answer 110

Without

Question 111

WP

Answer 111

Waiting period (also referred to as the elimination period)

Question 112

WSTD

Answer 112

Worksite Short Term Disability

Question 113

XFER

Answer 113

Transfer