Terminology
Below are key terms, domain models, and concepts that will be referenced throughout these guides:
Partner - A partner is the top level domain object in our platform. A partner is the one directly integrating with First Dollar, and is typically a third-party administrator, health plan, or HR platform.
Organization - An organization is commonly an employer group that is tied to a partner. A partner typically has hundreds or thousands of organizations associated to it.
Individual - An individual is tied to an organization, and is the end user of the Health Wallet and respective benefits.
Benefit Template - A benefit template is a predefined benefit offering that a partner or organization can use to set up their benefits plan. Our platform provides default templates for various benefits that you can customize and build upon.
Benefit Program - A benefit program is an organization-level collection of benefits. A Benefits Program groups multiple Benefits together, enabling all of them to operate against a single Card, and defines shared settings that control Payment and Operational concerns for the grouped benefits. You will create a benefit program for an organization, and then using the benefit template ID, add a benefit to that benefit program. A benefit program can exist for a single plan year and can also exist and support benefit offerings across multiple plan years.
Benefit Types
While our platform can support any benefit design, we impress standardization so consumers can clearly understand their benefit and how it can be used. Following our patterns will ensure all end-users are on the same page from developers, to administrators, to consumers.
Industry | Acronym | Shortened Title | Consumer Description |
---|---|---|---|
Health Savings Account | HSA | Health Savings | A savings account that lets account holders set aside funds on a pre-tax basis to pay for qualified medical expenses. |
General Health FSA | FSA | General Health | An employer arrangement that enables employees to pay for qualified healthcare expenses with tax-free dollars. Known as just "HC-FSA" by some. |
Dependent Care FSA | DC-FSA | Dependent Care | An employer arrangement that lets employees pay for eligible dependent care expenses with tax-free dollars. |
Limited Purpose FSA | LP-FSA | Dental & Vision | An employer arrangement that lets employees pay for eligible dental and vision expenses with tax-free dollars. Also known as a limited purpose FSA. |
Commuter FSA | - | Commuter Benefit | An employee benefit program that enables employees to use pre-tax dollars to pay for eligible commuting expenses. |
General HRA | HRA | Health Reimbursement | An employer-funded health plan that reimburses employees for eligible medical expenses such as co-pays, deductibles, and other out-of-pocket medical expenses. Unused amounts may be rolled over to be used in subsequent years. The employer funds and owns the arrangement. |
Specialty HRA | HRA | eg. Fertility Reimbursement | eg. Fertility HRA: an employer-funded benefit that provides employees with financial assistance for fertility treatments and related services. |
Lifestyle Spending Account | LSA | eg. Remote Work | An employee benefit program that reimburses employees for eligible remote work expenses like home study furniture. |