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Explanation of Terms

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There are currently 8 terms in this directory beginning with the letter E.
Early Intervention
A Disability Management program designed to assist a plan member to make a healthy recovery, with the intention of returning to their previous, or modified job. Learn more about MDM’s Early Intervention Program.

Electronic Data Interchange
Real-time electronic claims adjudication. Claims information is electronically transmitted and exchanged between the provider and the insurer.

Elimination Period
A period of time a plan member must complete in order to qualify for disability benefits.

Employee Assistance Program (EAP)
Provides support to plan members and eligible dependents facing challenges due to personal or work-related issues.

Dental treatment of tooth pulp and root canal.

Evidence of Insurability
If an employee is a late applicant, or is eligible for coverage above the Non-Evidence Maximum, or is applying for coverage, health evidence must be submitted to the insurer before coverage can be approved.

Experience-Rated Benefit
The premium for this type of benefit is calculated based in whole or in part on a group’s claims experience. Also called a prospectively rated benefit.

Explanation of Benefits
A statement sent to a plan member to provide details on the payment of a submitted claim.

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