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Glossary

Below is a glossary of terms you may either encounter throughout BENEFEDS.com or in FEDVIP, FLTCIP or FSAFEDS reference materials. To find a particular term, select the first letter of that term in the alphabet provided.

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  • L|
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  • N|
  • O|
  • P|
  • Q|
  • R|
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  • T|
  • U|
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  • W|
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A

ABW Adjustment
An Automatic Bank Withdrawal was not honored for reasons including, but not limited to, the bank account does not exist, was closed, or does not have sufficient funds.

Accelerated Payment Option
An option for employees who meet certain criteria to pre-pay (accelerate) premiums to take advantage of their pre-tax status (annuitants are not allowed to accelerate their premium payments).

Administrative Credit
An administrative correction processed by the FEDVIP premium administration department in order to credit the enrollee's account with premium.

Agency
An agency is an entity of the Federal government including Cabinet level departments, departmental sub-agencies, independent agencies, commissions, the U.S. Postal Service (USPS), etc.

Agency Payroll Provider (APO)
An entity responsible for processing payroll for one or many Federal agencies and/or retirement systems.

Allotment
Per pay period deduction taken from a participant's pay which is deposited into their FSAFEDS elected account to be available for claims.

Annuity Payment
A payment for premium that was deducted from the enrollee's monthly annuity check.

Annuity Payment Adjustment
An administrative correction processed by the FEDVIP premium administration department to apply or remove a Premium Payment from an enrollee's account based on information received from the annuity provider.

Automatic Bank Withdrawal (ABW)
An option for some enrollees whose agency/retirement system cannot automatically deduct premiums from their pay/annuity. These enrollees can opt to have their premiums deducted directly from an authorized checking or savings account.

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B

BENEFEDS
The systems and business structures necessary to administer the enrollment and premium administration functions associated with multiple voluntary Federal benefits, including the FEDVIP. The systems include an enrollment and account management website, a premium administration system, and a customer service system.

BENEFEDS.com
An enrollment and account management website for the FEDVIP and other voluntary benefit programs. BENEFEDS.com includes the ability to submit a FEDVIP enrollment, QLE, and general account management functionality. The site is Section 508-compliant and adheres to strict OPM security guidelines for the protection of privacy and secure transmission and storage of data.

Benefit Payment (WC)
A premium payment that was deducted from the enrollee's workers' compensation benefit check.

Benefit Payment Adjustment (WC)
An administrative correction processed by the FEDVIP premium administration department to apply or remove a Benefit Payment (WC) from an enrollee's account based on information received from the Office of Worker's Compensation Programs (OWCP).

Billing Status
The terms under which an enrollee is being billed (e.g., workers compensation, direct bill, etc.).

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C

Carriers
FEDVIP plans.

Coverage Effective Date
The date in which an enrollee and eligible family member(s) can begin receiving services for a FEDVIP Dental or FEDVIP Vision plan.

Customer Service Representative(s) / CSR(s)
BENEFEDS CSRs, FEDVIP CSRs, Plan CSRs—A person who handles customer inquiries and provides any help / service needed by the customer.

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D

Deduction Amount
Amount deducted from an enrollee's pay / annuity / compensation.

Dependent
Also called an eligible family member. In order to be covered under an employee's or annuitant's Self Plus One or Self and Family coverage in the FEDVIP, a dependent must meet the eligibility requirements for the FEDVIP.

Note: Eligibility of family members for coverage under FEDVIP is not governed by the same rules used in the Federal Employees Health Benefits (FEHB) Program.

Direct Bill
A premium bill mailed directly to the enrollee.

Direct Payment (FEDVIP)
A payment made to BENEFEDS for premium that was sent directly by the enrollee through a paper or online check.

Direct/ABW Payment (FLTCIP)
A payment made to LTCP for premium either by a direct paper check or by a recurring automatic withdrawal of premiums from an authorized checking or savings account.

Direct Payment Reversal
An administrative correction processed by the FEDVIP premium administration department to remove a direct payment that was incorrectly posted to the enrollee's account.

Dishonored Payment
A direct/ABW payment that was not honored for reasons including, but not limited to, the bank account does not exist, was closed, or does not have sufficient funds.

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E

Enrollee
The employee or retiree enrolled in the FEDVIP.

Enrollment Status
A status to define the enrollee's enrollment. Examples of enrollment status include: "Enrolled" and "Not Enrolled".

Exclusive Provider Organization (EPO)
An EPO plan is an in-network, copay based plan. Members will pay a fixed copay for covered services received from in-network providers. There is no out-of-network coverage except in cases of emergency.

Escheat Check
An unclaimed post tax refund check that has been turned over to a holding account after all efforts to contact the enrollee have been exhausted.

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F

FEDVIP
Federal Employees Dental and Vision Insurance Program.

FEGLI
Federal Employees' Group Life Insurance Program.

FEHB
The Federal Employees Health Benefits Program.

FLTCIP
The Federal Long Term Care Insurance Program.

FSAFEDS
The Federal Flexible Spending Account Program.

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H

Health Maintenance Organization (HMO)
An HMO plan typically doesn't have any deductibles, rather when you receive a dental service you pay a fixed amount for the treatment (copay). Diagnostic and preventative services often have no copayment. A Primary Care Provider selection is required and coordinates your care. Services received outside of the network may or may not be covered.

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N

New Hire
A person whose employment by the Federal government began within the past 60 days.

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O

Open Season
A specific time period determined by the U.S. Office of Personnel Management (OPM) to perform enrollments and make changes in enrollment for the next plan year.

OPM
The U.S. Office of Personnel Management. The sponsor and regulator for FEDVIP.

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P

Past Due Amount
An outstanding premium amount that has not been paid and must be paid by the enrollee.

Pay Period
The date range for which billing / payment is done.

Payroll Payment (FEDVIP)
A premium payment that was deducted pre-tax from the enrollee's payroll check.

Payroll/Annuity Payment (FLTCIP)
A premium payment that was deducted post tax from the enrollee's payroll/pension check.

Payroll Payment Adjustment
An administrative correction processed by the FEDVIP premium administration department to apply or remove a Payroll Payment from an enrollee's account based on information received from the payroll provider.

Plan
A dental plan or a vision plan available in the FEDVIP.

Preferred Provider Organization (PPO)
A Preferred or Participating Provider Organization is a plan that typically requires you to pay a deductible and care is obtained through a network of dental providers who agree to serve the plan's members at reduced rates. When you use a network provider you typically pay a certain percentage of that reduced rate and the plan will pay the remaining percentage.

Premium
The rate for a particular insurance plan. The rate can be a bi-weekly, semi-monthly, 28-day or monthly rate.

Premium Effective Date
The date in which premium will begin being calculated for a start of a new enrollment, or a change to that enrollment that results in a premium amount change (such as a Qualifying Life Event (QLE)).

Program Transfer
The movement of funds from one FSAFEDS elected account to the other (i.e. from DC (Dependent Care) to HC (Health Care)) due to a QLE.

Programs
Federal benefits programs such as the FEDVIP, FSAFEDS, FEHB, FEGLI and FLTCIP.

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Q

Qualifying Life Event (QLE)
A Qualifying Life Event, or QLE, is an event that allows an enrollee to make certain changes to his / her enrollment or to enroll outside of an open season.

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R

Refund (post tax) (FEDVIP)
Excess premium payment(s) returned directly to the enrollee through a post tax refund check.

Refund (pre-tax) (FEDVIP, FSAFEDS)
Excess premium/allotment payment(s) returned to the enrollee's payroll office in order to adjust taxes before issuing the refund to the enrollee.

Reversal
Occurs any time previously applied funds need to be removed, or "reversed", from an account. These typically occur as a result of dishonored payments.

Reverse Allotment
Occurs when an incorrect payment file has been submitted by a payroll provider. The incorrect payment details are reversed and the correct payment details are then submitted.

Reverse Escheat
A previously unclaimed post tax refund check that has been credited to the enrollee's account.

Reverse Refund (post tax) (FEDVIP)
An unclaimed post tax refund check that has been applied to the enrollee's account to be used for premium payment.

Reverse Refund (pre-tax) (FEDVIP)
An unclaimed pre-tax refund check that has been applied to the enrollee's account to be used for premium payment.

Reverse Refund (pre-tax) (FSAFEDS)
Reverse refund entries for FSAFEDS are due to a correction in processing.
Examples: Processing a refund when the intention was to process an AFT (Account Fund Transfer) or processing a refund amount incorrectly, therefore reversing and reprocessing accurately.

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T

Termination Notification Letter
A warning letter from BENEFEDS to the enrollee containing information about the outstanding payments that the enrollee owes which might result in coverage termination.

Transaction Date
The date in which an action is performed in the BENEFEDS system.

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