These entries answer "what is X" in broker language. Each term links to related field notes when you need a full workflow article. For calculation methodology, see QuoteTurbo methodology.
- Actuarial valueActuarial value is the share of expected medical costs a metal plan covers on average. How AV differs from deductible and why Silver CSR changes the math.
- AEPAnnual Enrollment PeriodAEP is the fall enrollment window when ACA brokers renew books and run the highest quote volume of the year. Dates, workflow, and compliance reminders.
- APTCAdvance Premium Tax CreditAPTC is the monthly subsidy that lowers Marketplace premiums for eligible households. How it is calculated, who qualifies, and how brokers quote it.
- CSRCost Sharing ReductionCSR lowers deductibles and copays on Silver Marketplace plans for households between 100 and 250 percent FPL. How it differs from APTC.
- EDEEnhanced Direct EnrollmentEDE lets certified web brokers enroll clients on the federal Marketplace without redirecting to Healthcare.gov. Certification requirements and broker workflow.
- EHBEssential Health BenefitsEHBs are the ten benefit categories ACA Marketplace plans must cover. What brokers should verify beyond the metal tier label.
- FPLFederal Poverty LevelFPL is the HHS income benchmark that drives ACA subsidy eligibility, CSR tiers, and Medicaid thresholds. Updated annually.
- HRAHealth Reimbursement ArrangementAn HRA is an employer funded account that reimburses employees for medical expenses. How HRAs interact with ACA Marketplace subsidies.
- ICHRAIndividual Coverage Health Reimbursement ArrangementICHRA lets employers reimburse employees for individual ACA premiums. Affordability test, broker commissions, and small group workflow.
- MAGIModified Adjusted Gross IncomeMAGI is the income measure ACA Marketplace eligibility uses for APTC, CSR, and Medicaid comparisons. What counts and what brokers should verify at intake.
- Metal tiersACA metal tiers group Marketplace plans by actuarial value. Bronze, Silver, Gold, and Platinum explained for broker quoting workflow.
- MLRMedical Loss RatioMLR rules require ACA insurers to spend a minimum share of premiums on medical claims or issue rebates. What brokers should know when clients ask.
- NPNNational Producer NumberThe NPN is the NAIC identifier for licensed insurance producers. How ACA brokers use it for Marketplace registration and AOR.
- OEPOpen Enrollment PeriodOEP is the annual window when anyone can enroll in ACA Marketplace coverage without a qualifying life event. Federal dates and state exceptions.
- QSEHRAQualified Small Employer HRAQSEHRA lets businesses with fewer than 50 employees reimburse individual premiums. Eligibility rules and APTC interaction for brokers.
- SBCSummary of Benefits and CoverageThe SBC is the standardized ACA plan comparison document. How brokers use it in client conversations and compliance files.
- SEPSpecial Enrollment PeriodA SEP is the 60 day window after a qualifying life event when clients can enroll in or change ACA Marketplace coverage outside Open Enrollment.
- SLCSPSecond Lowest Cost Silver PlanSLCSP is the IRS benchmark Silver plan used to calculate APTC on Form 8962. Definition, calculation steps, and broker workflow.
