► Certified PEO (CPEO)
A Professional Employer Organization meeting rigorous IRS financial auditing, background checks, and surety bond requirements.
► Co-Employment Model
Contractual arrangement where the PEO acts as administrative employer of record for payroll taxes, while the client company directs operations.
► Stop-Loss Reinsurance
Insurance policy protecting self-funded employer health plans against catastrophic individual or aggregate claims.
► Level-Funded Health Plan
Hybrid health insurance model where employers pay fixed monthly premiums with surplus refunds in low-claim years.
► ERISA
Federal statute establishing fiduciary standards, disclosure mandates, and claims procedures for employer health and retirement plans.
► Form 5500 Annual Return
Mandatory federal report filed with the IRS and DOL detailing financial conditions of employee benefit plans.
► Summary Plan Description (SPD)
Statutory document required by ERISA explaining benefit coverage, claim procedures, and plan rules in plain language.
► Experience Modification Rate (EMR)
Multiplier applied to employer workers' compensation insurance premiums based on historical workplace injury claims.
► Pharmacy Benefit Manager (PBM)
Third-party administrator managing prescription drug programs and negotiating drug manufacturer rebates.
► Section 125 Cafeteria Plan
IRS-sanctioned benefit plan allowing employees to pay health insurance premiums and HSAs using pre-tax payroll dollars.
► COBRA Administration
Federal mandate requiring employers to provide temporary continuation of health coverage following employee separation.
► Mental Health Parity (MHPAEA)
Federal regulation mandating that mental health and substance use disorder benefits receive equal coverage to medical/surgical benefits.
► ACA Section 4980H Employer Mandate
Affordable Care Act requirement that employers with 50+ full-time equivalent employees offer affordable, minimum-value health coverage.
► SUTA Tax Rate Shield
Benefit of PEO co-employment where client companies can adopt the PEO's favorable State Unemployment Tax rate.
► Fiduciary Liability Insurance
Corporate insurance policy protecting company executives from personal liability arising from ERISA benefit management errors.