Notable Roles Flashcards

1
Q

Adds & Changes

(ACES)

A

This team processes employee-level changes to the billing system to ensure policyholders’ bills are accurate.

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2
Q

Administrator

A

The person at the employer’s place of business responsible for the administration of an employer’s group insurance plan.

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3
Q

American United Life

(AUL)

A

OneAmerica is the holding company for this insurance company. This company was formed when United Mutual Life Insurance Company and American Central Life Insurance Company merged.

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4
Q

Broker

A

This is the person or Agency that sold the case of our coverages. They usually make a commission on the premium paid.

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5
Q

Content Manager on Demand (CMOD)

A

An enterprise repository containing computer-generated reports.

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6
Q

Corporate Support Services

(CSS)

A

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.

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7
Q

Department of Insurance

A

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.

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8
Q

Endorsements

A

This team processes changes for existing policyholders, including making changes to plan design and bill type, adding a new location, or moving coverage to a newer version of a contract.

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9
Q

Medical Underwriting Support Unit

(MUSU)

A

The team that reviews applications for coverage that require Evidence of Insurability (EOI).

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10
Q

New Business

(NB)

A

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.

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11
Q

Ports & Conversions

A

The team responsible for reviewing employee requests to continue coverage when they become ineligible, and issuing policies for approved applications.

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12
Q

Regional Group Office

(RGO)

A

The sales team. Team members include sales representatives, sales admins, and account managers. This team is field-based and includes offices across the country.

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13
Q

Revenue Management

(RM)

A

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.

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14
Q

Third Party Administrator

(TPA)

A

A company or individual that provides outsourced operational services to policyholders such as plan administration and billing.

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15
Q

Underwriting

(UW)

A

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.

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16
Q

Union Central Life

(UCL)

A

OneAmerica acquired this insurance company’s group life and disability policyholders in the early 2000’s. These policyholders are easily identified in GAIN by policy numbers that begin with ‘0003’.