This page (revision-37) was last changed on 26-Nov-2021 10:22 by rforbes

This page was created on 26-Nov-2021 10:22 by JEscott

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Version Date Modified Size Author Changes ... Change note
37 26-Nov-2021 10:22 20 KB rforbes to previous BSS_EVIDENCE_REQ(System_Preference) ==> BSS EVIDENCE REQ(System_Preference)
36 26-Nov-2021 10:22 20 KB jmyers to previous | to last BSS D REASON REQ ==> BSS D REASON REQ(System_Preference)
35 26-Nov-2021 10:22 20 KB jmyers to previous | to last BSS_EVIDENCE_REQ ==> BSS_EVIDENCE_REQ(System_Preference)
34 26-Nov-2021 10:22 20 KB jmyers to previous | to last
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Page References

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OPEN ENROLLMENT SET UP
OPEN ENROLLMENT SET UP

Version management

Difference between version and

At line 38 added one line
;Plan Details
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;[Description|DESCRIPTION]:The description of the benefit plan should be descriptive of the plan as this will be displayed to the employees.
;[Plan Election Set |PLAN_ELECTION_SET]:Specify a plan set code if the benefit plan is part of a Plan Election Set. The plans within the Plan Election Set must be part of the same plan type. Since Plan Election Sets are used when plans are mutually exclusive of one another, they can only be implemented if the client already restricts the employees to only enroll into one plan. If employees are currently enrolled in multiple plans that are to be included in the same plan election set, the enrollments for these plans must be first declined before the plans can be tied to a plan election set, otherwise there will be errors when the OE period is generated. This field is tied to the lexicon [X_PLAN_ELECTION_SET].
;[Open Enroll Allowed |OPEN_ENROLLMENT_ALLOWED]:If the benefit plan is to be included in the Open Enrollment process then the Open Enroll Allowed field must be populated with either ‘Always Open’ or ‘OE Periods Only’. Always Open will ensure that the benefit plan is always open to employees to elect into. OE Periods Only ensures that the benefit plan is only open during the OE Period. If the benefit plan is never to be used by the Open Enrollment process then select ‘Never Open’. This field is tied to the lexicon [X_BE_OE_ALLOWED].
;[Approval Required|APPROVAL_REQUIRED]:Approval logic can be enabled at the plan level. Clients can choose No Approval Required, Approval Required (Approval is required for Open Enrollments with new elections, existing elections with changes and declined elections.), or Apr Req for Chgs Only (Approval is only required for changes made to elections). This field is tied to the lexicon [X_BE_APPROVAL].
;[Display Sequence|DISPLAY_SEQUENCE]:A display sequence is used to determine the order the benefit plans are listed in the [WEBOEE] form in Self Service.
;[Grandfathered|GRANDFATHERED]:This will indicate if the benefit plan has been ‘grandfathered’. This field is currently only supported in Open Enrollments, it is not currently respected in [IBEL]. For Open Enrollments, this will restrict new employees from being elected into the plan. Any grandfathered plans will not be included in the Open Enrollment process.
;[Required Documents|ELECTION_INTRO_TEXT]:Any documents that are required to be uploaded by the employee during the Open Enrollment must be listed here. This field will be visible in the third tab in [WEBOEE] to indicate to the employee what documents are needed for each plan. If none of the coverages in the plan require documentation, this field should be left blank.
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;Coverages
At line 50 added 14 lines
;[Recipient Type|RECIPIENT_TYPE]:This field determines the recipient eligible for the coverage. This field is used for Open Enrollments. Recipient_Type is a fixed lexicon ([X_PLAN_RECIPIENT_TYPE]). If the coverage is only available to the employee, ‘Not Applicable’ must be selected. The type of recipient defined at the coverage will filter the list of benefit recipients available to the employee for that plan during the election period. The filtration is done by comparing the recipient type lexicon values to the stored values of the [relation lexicon|X_RELATION] in [IECT]. The system will check for a recipient type at the coverage first, if none are found it will then check the plan type to see if one has been defined at that level. If the system cannot locate a recipient type for either the coverage or plan type, all of the employee’s contacts defined in [IECT] will be listed for the employee to elect.
;[Display Sequence|DISPLAY_SEQUENCE]:This will determine the order the coverages are listed within the plans in [WEBOEE].
;[Waiting Period|WAITING_PERIOD]:If there is a waiting period before an employee is eligible for the plan, specify the number of days.
;[Minimum hrs/wk|MINIMUM_HOURS_PER_WEEK]:Used when an employee must work a minimum number of hours per week to qualify for the plan.
;[Max # Recipients|NUMBER_RECIPIENTS]:If the coverage is only available to a specific number of recipients, define the maximum number allowed.
;[Max Child Age|MAXIMUM_CHILD_AGE]:If the coverage is open to children and there is an age restriction, state what the maximum child age is. The election process will verify the recipient’s age based on their birth date defined in [IECT].
;[Max Student Age|MAXIMUM_STUDENT_AGE]:If the coverage is open to students and there is an age restriction, state what the maximum student age is. The election process will verify the recipient’s age based on their birth date defined in [IECT]. This will only be in effect for those recipients who are defined as Students in [IECT].
;[Evidence Required|EVIDENCE_REQUIRED]:If evidence is required before an employee can be enrolled into a plan, then this should be toggled ON.
;[Estimated Costs|ESTIMATED_COSTS]:If the EE and ER costs are based on estimated earnings the Estimated Costs toggle should be checked ON. With this ON there will be a notation displayed for the coverage’s cost in [WEBOEE].
;[Pre Tax|PRE_TAX]:With this toggle checked ON, this will identify to the employee in [WEBOEE] if the coverage is Pre Tax or Not.
;[Exclude From OE|EXCLUDE_FROM_OPEN_ENROLLMENT]:A coverage may be excluded from an Open Enrollment by checking this toggle ON.
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;Components
;[OE Enter Elections|ENTER_ELECTION]: This is only used in BSS for Open Enrollments. This toggle must be checked if an employee must submit information before electing a coverage, such as a Deduction amount for a Flex Spending account. This will prompt the employee for the necessary information. Again, if the BC is not visible in [IBEN] then the BC will not be visible in [WEBOEE].
This page (revision-37) was last changed on 26-Nov-2021 10:22 by rforbesTop