Glossary

Benefits

Additional definitions are provided in the government required Uniform Glossary.

401(k) Plan - A retirement investment plan that allows an employee to put a percentage of earned wages into a tax-deferred investment account selected by the employer.

Accidental Death and Dismemberment (AD&D) insurance -  A policy that pays benefits to the beneficiary in the event of death or in the loss of a body part(s) or bodily function due to an accident. 

Associate Contribution - Your out-of-pocket payment toward the cost of your benefits taken via payroll deduction if you are actively at work.  Associates on leave must make contributions via check by mail. Certain benefits (medical, dental, and vision) are taken out on a pre-tax basis, which means the contribution is deducted from your pay before taxes are calculated, allowing you to avoid paying taxes on that income. Benefits that are taken out on a post-tax basis (life insurances, group legal) are taxed along with the rest of your pay.

Beneficiary – The person you designate to receive the payment of your life insurance or retirement plan benefit in the event of your death. Your primary beneficiary is the person whom you most prefer to receive the benefit. You may also designate a contingent or secondary beneficiary, who will receive the funds if your primary beneficiary is also deceased.

Benefits Eligible Compensation (BEC) – Eligible pay amount used when calculating compensation for benefits such as life insurance amounts, disability payments, and medical employee contributions. BEC includes most categories of earned pay such as your base salary, overtime, commissions, and annual incentives. Certain payments you receive are not considered eligible compensation for benefits amounts, such as referral bonuses and long-term incentive awards. Eligible amounts are based on compensation earned in the calendar year prior to open enrollment. For example, for Open Enrollment in 2019 for 2020 we use your 2018 BEC.

Benefits Eligible Position – Defined at Regions as a full-time associate working at least 30 hours per week.

Coordination of Benefits Arrangement in health insurance to discourage multiple payments for the same claim under two or more policies. When two or more group health insurance plans cover the insured and dependents, one plan becomes the primary plan and the other plan(s) the secondary plan(s). For example, two working spouses have health insurance at their respective places of employment.

Co-Insurance — The portion of covered expenses which you must pay, after first meeting a deductible amount, if any.

Co-Payment (Co-Pay) — A charge required under a plan that must be paid by you at the time of covered services are provided (e.g., a visit to the doctor's office).

Deductible — An amount that you must pay for covered services per specified period in accordance
with your plan before benefits will be paid by the insurance plan.

Dispensed as Written -  In most states, when a doctor writes you a prescription for a brand name drug, your pharmacist can substitute a generic version in its place. This saves you money, by allowing you to take advantage of a lower co-payment, while still providing you with medication that is medically equivalent to your prescription. However, when your doctor indicates “DAW” or “dispense as written,” the pharmacist cannot substitute a generic and must provide you with the exact drug in the prescription.

Domestic Partner –A domestic partnership is a legal or personal relationship between two individuals who live together and share a common domestic life but are neither joined by marriage nor a civil union. To be considered a domestic partner for Regions benefits, certain conditions must be met.  See the Dependent Eligibility policy for details.

Eligible Dependent — A person other than the enrollee who is eligible to receive care under a plan's provisions.
Examples include a spouse or child.

Flexible Spending Accounts (FSA) — Accounts regulated by IRS Section 125, which allows you to reduce your salary and pay on a pre-tax basis for unreimbursed health care expenses for you and your dependent(s) (i.e. deductibles, co-pays, dental and vision expenses) and/or dependent day care expenses (i.e. care for a child, elderly parent or disabled spouse). Available with Advantage PPO Plan.

Health Savings Account (HSA) – A HSA is a tax-favored savings account for paying eligible out-of-pocket medical, dental and vision expenses now or in the future, and even into retirement. Out-of-pocket expenses include deductibles, co-insurance, co-payments and other eligible expenses not covered by insurance. A HSA works much like a Healthcare Flexible Spending Account (FSA) only better. Available with Core HDHP Plan.

Generic Equivalent Drug — A drug which is a 100% therapeutic match to a brand-name drug and which can be produced after the brand-name drug's patent has expired.

In-Network (also: Participating Provider) – A group of physicians, dentists, hospitals, pharmacies and other providers who contract with the insurance plan to provide health care services to the members of the plan.

Inpatient Hospital Services — Medical or other services received during a hospital stay of 24 hours or longer.

Member Management – A program that educates patients about their chronic condition (diabetes, heart disease, etc.), and provides resources and tools to help manage the disease. The goal is to avoid problems such as hospitalization and worsening of the condition.

Open Enrollment – Opportunity once per year (held in the fall at Regions) to make additions or changes to your benefits coverage.

Outpatient Hospital Services – Medical or other services received during a hospital visit generally not requiring an overnight stay.

Out-of-network (also nonparticipating provider) – Doctors, dentists, pharmacies and other providers who do not contract with the insurance plan to participate in their network. Using out-of-network providers generally requires higher out-of-pocket costs for you.

Out-of-Pocket Expense – The money you pay toward health or dental services that is not reimbursed by insurance.

Out-of-Pocket Limit — Pre-determined amount of medical expenses you are responsible for before
a plan pays 100% of remaining eligible charges.

Precertification – The pretreatment approval required by insurers in certain situations to validate medical necessity of specific procedures.

Pre-Existing Condition – A diagnosed and/or treated medical condition you already have when you enroll in an insurance plan.

Qualified Medical Support Order (QMSCO) – A court order that provides health benefit coverage for the child of the noncustodial parent under that parents group health plan.

Qualifying Life Event – major events in your life that qualify you to change your health care coverage outside of the open enrollment period (examples include; marriage, birth, death). You have 31 days from the date of the event to make changes to your benefits coverage. See life@regions > HR > Associate Benefits > Benefits Changes for more details.

Statement of Health — A statement of your medical history used to determine if you will be approved for life insurance coverage, also known as Evidence of Insurability (EOI).

Summary Plan Description (SPD) – A document containing a comprehensive description of a benefits plan including the terms and conditions of participation, and how claims will be paid.

UCR (also Usual, Customary and Reasonable) – The amount on which your reimbursement is based.  Costs for services are averaged geographically and costs ranges are established to determine amounts to be paid on your behalf.

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Contact the HR Connect Team at 1-877-562-8383.