This page (revision-7) was last changed on 26-Nov-2021 10:22 by jmyers

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Open Enrollment
Open Enrollment

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At line 47 changed 44 lines
ROLE WHAT DUTIES DO THEY PERFORM?
Employer • Establishes benefit plans and eligibility rules
• Determines Open Enrollment and benefit mid-year change policies
• Provides financing
Employee • Makes benefit plan elections during Open Enrollment
• Notifies Benefit Administrators of life and work events
• Updates dependent/beneficiary data
Dependent / Beneficiary (Benefit Recipients) • Named by employees on benefit plans
• Not directly involved in the Open Enrollment process
Manager • Supervises employees
• Not directly involved in the Open Enrollment process
Benefits Administrator • Recommends, implements and communicates benefit options
• Obtains bids and selects benefit providers
• Negotiates benefit plans and rates
• Sets up and maintains benefit plans and coverages
• Changes benefit rate tables as needed
• Turns on Open Enrollment for selected employees and benefit plans
Benefit Reviewer / Approver • Provides employee assistance and guidance for the Open Enrollment process
• Reviews elections and obtains additional information as needed
• Makes changes as necessary to incorrect elections
• Approves elections or routes them for additional approval, possibly to Payroll
• Updates provider web sites as needed for changes
Payroll Administrator / Final Approver • Works with the benefit administrators to set up benefits and ensure accurate and timely deductions
• Reviews employee elections and provides final approval for payroll processing
• Changes incorrect benefit enrollment records
• Cross checks benefit amounts for billing purposes
Benefit Provider (Supplier) • Provides insurance coverage and administration for benefit plans
• Conducts employee meetings to review benefit plans and options
• Not directly involved in the Open Enrollment process
Application Administrator • Assists others with the usage of the benefit application software
• Performs Web Master duties such as writing HTML and providing links where needed for the web pages
• Assists with the definition and setup of new plans
• Implements workflows
• Provides tailoring of system components as required
• Troubleshoots application issues
• Tests new features
• Implements system security and establishes system access rules
Systems Administrator • Provides the hardware and operating system environments
• Maintains the Application Servers and the Database Servers
• Installs new releases and patches
• Troubleshoots technical issues
• Performs performance tuning as needed
• Ensures that adequate backup and recovery procedures are in place
• Assists Application Administrator as required
||Role||What Duties Do They Perform?
|Employer|Establishes benefit plans and eligibility rules\\ \\Determines Open Enrollment and benefit mid-year change policies\\ \\Provides financing
|Employee|Makes benefit plan elections during Open Enrollment\\ \\Notifies Benefit Administrators of life and work events\\ \\Updates dependent/beneficiary data
|Dependent / Beneficiary (Benefit Recipients)|Named by employees on benefit plans\\ \\Not directly involved in the Open Enrollment process
|Manager|Supervises employees\\ \\Not directly involved in the Open Enrollment process
|Benefits Administrator|Recommends, implements and communicates benefit options\\ \\Obtains bids and selects benefit providers\\ \\Negotiates benefit plans and rates\\ \\Sets up and maintains benefit plans and coverages\\ \\Changes benefit rate tables as needed\\ \\Turns on Open Enrollment for selected employees and benefit plans
|Benefit Reviewer / Approver|Provides employee assistance and guidance for the Open Enrollment process \\ \\Reviews elections and obtains additional information as needed\\ \\Makes changes as necessary to incorrect elections\\ \\Approves elections or routes them for additional approval, possibly to Payroll\\ \\Updates provider web sites as needed for changes
|Payroll Administrator / Final Approver|Works with the benefit administrators to set up benefits and ensure accurate and timely deductions\\ \\Reviews employee elections and provides final approval for payroll processing\\ \\Changes incorrect benefit enrollment records\\ \\Cross checks benefit amounts for billing purposes
|Benefit Provider (Supplier)|Provides insurance coverage and administration for benefit plans\\ \\Conducts employee meetings to review benefit plans and options\\ \\Not directly involved in the Open Enrollment process
|Application Administrator|Assists others with the usage of the benefit application software\\ \\Performs Web Master duties such as writing HTML and providing links where needed for the web pages\\ \\Assists with the definition and setup of new plans\\ \\Implements workflows\\ \\Provides tailoring of system components as required\\ \\Troubleshoots application issues\\ \\Tests new features\\ \\Implements system security and establishes system access rules
|Systems Administrator|Provides the hardware and operating system environments\\ \\Maintains the Application Servers and the Database Servers\\ \\Installs new releases and patches\\ \\Troubleshoots technical issues\\ \\Performs performance tuning as needed \\ \\Ensures that adequate backup and recovery procedures are in place\\ \\Assists Application Administrator as required.
At line 59 added 9 lines
!!Open Enrollment Information:
*[Open Enrollment Process Flow|OPEN ENROLLMENT PROCESS FLOW ]
**[Mass Open Enrollment Process Flow|MASS OE PROCESS FLOW]
**[Life and Work Event Open Enrollment Process Flow|LIFE AND WORK EVENT OE PROCESS FLOW]
**[Ad Hoc Open Enrollment Process Flow|AD HOC OE PROCESS FLOW|AD HOC OE PROCESS FLOW]
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![Notes|Edit:Internal.Open Enrollment]
[{InsertPage page='Internal.Open Enrollment' default='Click to create a new notes page'}]
This page (revision-7) was last changed on 26-Nov-2021 10:22 by jmyersTop