Enrollment Settings and Changes
Certain group settings can impact employee eligibility and the enrollment process. For most companies, enrollment and benefits change activity constitutes the biggest piece of the administration process. As such, we recommend you familiarize yourself with this section and pay particular attention to the information that must be included on an enrollment or change form in order to prevent potential claims problems caused by delayed enrollment or missing information.
So we can provide you with accurate billing statements and effectively administer the benefits under your health benefits plan, please submit timely and accurate information on any eligibility changes that may occur. These include but are not limited to the following:
• Employees and/or dependents being added to the plan
• Employees and/or dependents being deleted from the plan
• Group address change
• Employee address change
• Change in plans
• Change in Medicare eligibility
• Change in COBRA or State Continuation status for employees
• Employees turning age 65
• Change in ownership of the group
• Employee changes within the group in the event of an acquisition
• Change in the number of employees within the group that would affect the group’s eligibility for COBRA, State Continuation, or Medicare payor status
• Change in dependent student status
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