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Key Definitions and Terms

  • Limited English Proficient

A Limited English Proficient (LEP) enrollee is an enrollee who has an inability or a limited ability to speak, read, write or understand the English language on a level that permits that individual to interact effectively with health care providers or plan employees.

LEP patients can be identified by any/all of the following:

    • Self identifies as LEP by requesting language assistance

    • Patient has trouble communicating in English or you may have trouble understanding what they are trying to communicate

    • Patient is unusually quiet and does not respond to questions

    • Patient simply answers “yes” or “no” or gives inappropriate/inconsistent answers

  • Threshold Language(s) Threshold language(s) are identified by a health insurer pursuant to California Insurance Code section 10133.8 and regulations into which vital documents shall be translated. CIGNA has determined its threshold languages to be Spanish and Traditional Chinese. CIGNA participants that register a written language preference with CIGNA for Spanish and Traditional Chinese will have access to translated vital documents.

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