Consolidation Omnibus Budget Reconciliation Act (COBRA)
A federal act that enables an insured, spouse, or dependent to continue benefits after a qualifying event which would otherwise cause them to lose their benefits
10
Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid
11
Surviving Spouse
12
Lay Off
13
Leave of Absence
14
Voluntary Withdrawal
15
Primary Care Provider (PCP) Change
16
Quit
17
Fired
18
Suspended
19
Sabbatical
20
Active
21
Disability
A physical or mental condition that makes an insured incapable of performing one or more duties of his or her own occupation
22
Plan Change
23
Furloughed
24
Resigned
25
Change in Identifying Data Elements
A change has been made to the primary elements that identify a specific employee. Such elements are first name, last name, social security number, date of birth, and employee identification number
26
Declined Coverage
27
Pre-Enrollment
28
Initial Enrollment
29
Benefit Selection
30
Discrimination Test
A deferral-percentage test, defined by the Internal Revenue Code, to ensure a defined contribution retirement plan complies with limitations on contributions made by highly compensated employees as compared to all other employees covered by the plan
31
Legal Separation
32
Marriage
33
Personnel Data
General information about the participant
34
Investment Elections and Contribution Rates
Percentage of contributions to be invested in specified funds and percentage of salary which the participant has elected to contribute to specified sources (or categories)
35
Loan Repayment
Financial information for repayment of the participant's loan
36
Contribution or Plan Allocation
Financial information for contributions made to the plan
37
Leave of Absence with Benefits
38
Leave of Absence without Benefits
39
Lay Off with Benefits
40
Lay Off without Benefits
41
Re-enrollment
42
New Entity
43
Change of Location
44
Change of Telephone Number
45
Went Out of Business
46
Current Customer Information File in Error
47
Account Balance Reporting
48
Fees Processing
49
Interfund Transfer
50
Loan Request
51
Enrollment in Subsequent Benefit Plan
52
Health Care Facility Change
53
Name Synonym Add
54
Sub Location Add
55
Sub Location Change
56
Sub Location Expire
57
Buyout
58
Merger
59
Non Payment
60
Coverage Placed Elsewhere
61
Duplicate Coverage
62
Change in Ownership
63
Business Sold
64
Underwriting Reason
65
No Employees, Exposure or Operations
66
Revocation of Voluntary Market Acceptance
67
Include Primary Business Management
Primary Business Management includes corporate officer, partner or sole proprietor
68
Exclude Primary Business Management
Primary Business Management includes corporate officer, partner or sole proprietor
69
Failure to Pay Deductible
70
Misrepresented Information
71
Rewritten
72
Adding a Jurisdiction
73
Deleting a Jurisdiction
75
Occupational Illness
76
Change Insured Federal Employer Identification Number (FEIN)
77
Change Employer Federal Employer Identification Number (FEIN)
78
Change Employer Unemployment Insurance (UI) Code
79
Change Policy Number
80
Modification without a Specific Operating Unit Location in Jurisdiction
81
Change Policy Effective Date
82
Change Policy Expiration Date
83
Change Insurer Federal Employer Identification Number (FEIN)
84
No Eligible Employees
85
Reinstatement - Canceled in Error
86
Change in Insured Information
87
Change in Employer Information
88
Parent Identification Change
89
Change to Expiration Date
90
Phone Verify Only
AA
Dissatisfaction with Office Staff
AB
Dissatisfaction with Medical Care/Services Rendered
AC
Inconvenient Office Location
AD
Dissatisfaction with Office Hours
AE
Unable to Schedule Appointments in a Timely Manner
AF
Dissatisfaction with Physician's Referral Policy
AG
Less Respect and Attention Time Given than to Other Patients