A
Adjudication
The process of evaluating a claim against plan rules and benefit structures to determine payment.
ACORD
Association for Cooperative Operations Research and Development. Standards organization defining insurance data exchange formats.
Agent of Record
The licensed agent or broker designated to service an insurance policy or account.
B
Book of Business
The collection of policies, accounts, and client relationships managed by a producer, team, or agency.
Billing Cycle
The recurring schedule on which premiums are invoiced and collected for a group or individual policy.
C
Carrier
An insurance company that underwrites and issues insurance policies.
Carrier Download
Electronic transfer of policy, commission, and claims data from carriers to agency management systems.
Claims Lifecycle
The full process from claim intake through validation, adjudication, payment, and oversight.
COBRA
Consolidated Omnibus Budget Reconciliation Act. Federal law allowing continued health coverage after qualifying events.
Commission
Payment made to agents, brokers, or agencies for selling or servicing insurance policies.
Concierge
EbixEnterprise AI capability that turns plain-language requests into real workflow actions.
D
Deductible
The amount a policyholder must pay before insurance coverage begins paying.
Dependent
A person covered under another individual’s insurance policy, typically a spouse or child.
E
Eligibility
Rules and status determining whether a member or dependent qualifies for coverage under a plan.
Enrollment
The process by which individuals sign up for insurance or benefits coverage.
EOB
Explanation of Benefits. A statement from an insurer detailing what was covered and what the member owes.
Experience Hub
The unified front-end digital experience layer in EbixEnterprise for all stakeholder types.
G
Group Benefits
Insurance and benefits coverage provided to a group of people, typically employees of an organization.
M
Multi-Tenant
Software architecture where a single instance serves multiple organizations with data isolation.
Meeting Mode
EbixEnterprise AI capability that converts conversations into structured summaries, tasks, and follow-ups.
O
Opportunity Outlook
EbixEnterprise AI capability using predictive signals to prioritize pipeline items.
P
Policy Administration
Management of policy records, contracts, eligibility, billing, premium operations, and related workflows.
Premium
The amount paid for insurance coverage, typically billed on a regular schedule.
Producer
An individual or organization licensed to sell insurance products.
Q
Quote to Card
Connected workflow from initial quoting through plan comparison, enrollment, and ID card issuance.
Qualifying Event
A life event that triggers a special enrollment period outside of regular open enrollment.
R
Reconciliation
Verifying that financial records match between internal systems and external sources.
Renewal
The process of continuing or extending an insurance policy for a new term.
S
Self-Funded Group
An employer that assumes financial risk for providing health benefits rather than purchasing traditional insurance.
Split Credit
Revenue or production credit divided between multiple producers or teams on a single transaction.
Straight-Through Processing
Automated end-to-end processing of a transaction without manual intervention.
T
TPA
Third-Party Administrator. Organization managing claims processing, benefits administration, and related services on behalf of plan sponsors.
Tenant
An organization operating as its own workspace within a multi-tenant platform with isolated data and configuration.
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See how these concepts come together in one connected platform purpose-built for insurance and benefits.