Notable Roles

Question 1

Actuary

Answer 1

An accredited business professional who deals with the financial impact of risk and uncertainty. They are professionally trained in insurance mathematics, who have well defined analytical skills, business knowledge and an understanding of human behavior. Actuaries develop manual rate calculations, develop reserves, set dividends calculations, other valuations methods, and develops statistical studies and reports.

Question 2

Allsup

Answer 2

A vendor that assists with social security disability claims application process, including initial application, appeal, and overpayment recovery. Allsup can begin assistance even if a claim has been already initiated without them. The Policy outlines if claimants can receive assistance with Social Security application. Services are free of charge to claimants while they are covered under the Policy.

Question 3

American United Life (AUL)

Answer 3

Formed in 1936, American United Life is the founding member of OneAmerica.

Question 4

Broker

Answer 4

An Insurance Broker is a person not employed by AUL that serves as an intermediatory to sell AUL insurance products. They are generally paid by fee or commission.

Question 5

Claim Administrator

(ERISA)

Answer 5

Administers claims under the Plan (e.g. OA).

Question 6

ComPsych

Answer 6

An Employee Assistance Program and FMLA vendor.

Question 7

Corporate Support Services (CSS)

Answer 7

The Enterprise team that handles all incoming post mail, scans and indexes documents to AWD for processing, and supplies printed materials for brokers, policyholders, and the enterprise.

Question 8

Custom Disability Solutions (CDS)

Answer 8

A full-service group disability claims management company based in Portland, Maine. From 2016-2018, this group managed disability claims for Employee Benefits (EB) policyholders as a reinsurer. As of January 1, 2019 this group became part of OneAmerica and EB’s in-house disability claims management team.

Question 9

Department of Insurance (DOI)

Answer 9

A state-level body that governs the insurance business. This includes but is not limited to reviewing and approving group contract language and provisions before they may be provided to a policyholder, and licensing and regulating insurance professionals.

Question 10

Department of Labor (DOL)

Answer 10

A federal cabinet-level department responsible for occupational safety, wage and hour standards, unemployment insurance benefits, reemployment services, and some economic statistics. Many states also have such departments.

Question 11

Endorsements

Answer 11

An Enterprise team responsible for, as well as, an actual document that adds, deletes, excludes or changes insurance coverage and can also be used to increase standard limits of coverage and take precedent over the original agreement or Policy.

Question 12

Group Contact Center (GCC)

Answer 12

EB’s customer service and call center team. This team handles all incoming internal and external customer inquiry calls and emails.

Question 13

New Business (NB)

Answer 13

The team responsible for processing the work associated with onboarding a new policyholder. This term is also used to describe a new policyholder or the sale of a new line of coverage to an existing policyholder.

Question 14

Plan Administrator

(ERISA)

Answer 14

The party (not OneAmerica) responsible for the Plan and producing Plan Documents.

Question 15

Plan Participant

(ERISA)

Answer 15

Generally, the employee.

Question 16

Plan Sponsor

(ERISA)

Answer 16

Offers the Plan to employees or members.

Question 17

Regional Group Offices (RGO)

(Sales Office)

Answer 17

Our sales offices that are spread throughout the country. They handle the selling of our cases and have relationships with the Brokers.

Question 18

Revenue Management (RM)

Answer 18

The team that handles premium. They are responsible for applying premium received to the system, researching premium issues, and managing lapses, cancellations, reinstatements, and terminations of group policies.

Question 19

Servicing Agent

Answer 19

The party that services the Policy on behalf of the insured.

Question 20

Subject Matter Expert (SME)

Answer 20

A person who has special skills or knowledge on a particular job or topic.

Question 21

Third-Party Administrator (TPA)

Answer 21

A company or individual that provides outsourced operational services such as claims processing and employee benefits management under contract to another company.

Question 22

Underwriting (UW)

Answer 22

The team responsible for evaluating risk by reviewing factors such as plan design, demographics, and claims experience to determine pricing for new and existing policyholders.

Question 23

Writing Agent

Answer 23

The Individual who is authorized to write and issue policies on behalf of the insured.