Policy changes, or this acronym, occur when a policyholder/broker request changes be made to current policy.
New Business Old Contract (NBOC)
This tool is used to determine STD experience when claims experience is provided.
STD Case Rate Tool
Multiple states (i.e., New York and New Jersey, etc.) have passed laws that require employers to provide certain non-occupational coverage for injuries and sickness which affects which Unum benefit
STD
This tool is used administratively, as opposed to contractually, extending or waiving benefits for specified individuals.
Administrative Letter or SALT
This internal Doctor SIC is used to cover Geriatric Medicine (care of older patients)
8003
This acronym is the percentage of each premium dollar collected that Unum can afford to spend on claims payments and reserves while still maintaining profit levels and is part of the formula to determine the Experience Rate on a case.
Tolerable Loss Ratio (TLR)
Updated Manual Rates (Row 24 on APT) are determined by this equation.
Original Manual Rate * Strategic Adjustment (or vice versa)
Benefits for this state's PFML begin on January 01, 2026
Delaware
You can find inforce policy, billing, account team, and more in this tool.
Customer Management Environment (CME)
This SIC is Unum's Internal High-Risk code
8321
The Underwriter should review this acronym's reports to understand trends and recent changes (i.e. segment by SIC, plan, region, etc.).
Consolidated Financial Information System (CFIS)
This is the premium threshold where the QS needs to submit to UW for pricing
$50,000
This state offers 85% of average weekly wage
New Jersey, TDB
When a Policy Holder notifies us that a policy does not accurately document their expectations regarding a policy provision(s) as it relates to submitted claims, Benefits should partner with U/W to complete this
Administrative Error Impacting Claims (AEIC).
When a group includes police, fire, waste disposal, water, or other city workers, the SIC should be this.
9199
New Manual Rate / Old Manual Rate = This Acronym
VOB (Value of Benefit)
This adjustment factor is for 24-month WIB
1.06
Unum, as of 2024, offers self-funded PFML only for these three states
California, Connecticut, and Washington
If there is a 25% volume or lives change, the request must be submitted as this
NBOC Opportunity
Required changes to these SIC Code series', or codes falling under Special Handling, will need UW approval to change.
6000-8000
This acronym is used to describe a tool that we use to update out-to-bid cases and NBOCs during renewal.
Notice of Rate Action (NORA)
Name three things required to run Milliman
Names (First/Last), Home Postal Code, LTD Benefit Amount, Life Benefit Amount, Vol (Supp) Benefit Amount, Gender, Date of Birth
Non-ERISA Group Disability benefits cannot be quoted in this state as of January 01, 2024.
New Mexico
Non-standard definition of earnings requires us to reach out to this team for updated contract language
UW Financial Support Team (finuwsupport@unum.com)
This SIC Code is used to categorize car washes.
7542