Resources

Terms & Definitions

Plain-language explanations of the benefits terms you’ll see on this site.

Common Benefit Terms

Benefits come with their own vocabulary. Here’s what the most common terms mean.

  • Beneficiary

    A person designated to receive benefits (e.g., life insurance payout) in the event of an employee’s death.

  • Beneficiary - Primary

    This is the first person, or entity (trust) who will receive the benefit. If you have multiple primary beneficiaries, the benefit is divided among them according to the percentages you specify.

  • Beneficiary - Contingent

    This person, or entity (trust) only receives the benefit if all primary beneficiaries are unable to receive it (for example, if they have passed away or cannot be located). Contingent beneficiaries are essentially the backup recipients.

  • Benefit Elections

    Choices you make for health, dental, vision, and other coverage options during enrollment periods.

  • Benefits Statement

    Summary document that outlines your current benefit elections, coverage levels, costs, and effective dates, typically available after enrollment or changes are submitted.

  • Coinsurance

    Your share of the cost for care, shown as a percentage. You pay this after meeting your deductible, until you reach your out-of-pocket maximum.

  • Confirmation Statement

    Summary document showing the details of elected benefits after your submission.

  • Copay

    A set amount you may pay for care, like a doctor’s visit or prescription.

  • Coverage

    Type and level of protection provided by a benefit plan, such as medical, dental, or vision, which may vary based on selected options like individual, spouse, or family coverage.

  • Deductible

    The amount you pay each year before your plan starts to help pay for care. Some services, like preventive care, are covered right away.

  • Dependents

    Individuals such as spouses or children, who can be added to an employee’s benefit plans.

  • Effective Date

    The date on which a benefit election or change becomes active.

  • Evidence of Insurability (EOI)

    Additional documentation for approval which may be required for certain benefit elections, such as increased life insurance.

  • Guaranteed Issue (GI)

    You can be approved for certain coverage without answering health questions.

  • Imputed Income

    Some employer-paid benefits are counted as income for tax purposes.

  • In-Network Care

    Care from doctors and hospitals in your plan’s network. This usually costs less than out-of-network services.

  • Open Enrollment

    Designated annual period when employees can enroll in or make changes to their benefit plans.

  • Out-of-Network Care

    Care from doctors and hospitals not in your plan’s network. This usually costs more, and you may be balance billed — when a provider bills you for the difference between what they charge and what your plan pays.

  • Out-of-Pocket Maximum

    The most you will pay in a year for covered care. After you reach this amount, your plan pays 100%.

  • Premium

    The cost of your plan. You pay part of it through your paycheck, and your employer pays the rest.

  • Qualifying Life Event (QLE)

    A personal event - such as marriage, birth, or loss of coverage—that allows benefit changes outside of open enrollment.

  • Workday Inbox

    Location within Workday where you receive tasks and notifications, including benefit-related actions.

Questions?
HR Solutions Center

Our team is available through Workday Help Cases to help navigate enrollment, eligibility, and plan questions. Open a Workday Help Case through Home > Personal > Help > Create Case.