Key Processes amp Communication Toolkit Table of Contents 2 3 Employee and Retiree Experience OneUSG Connect Benefits Website and Call Center OneUSG Connect Benefits website Employees and retirees ID: 658575
Download Presentation The PPT/PDF document "OneUSG Connect – Benefits" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
OneUSG Connect – BenefitsKey Processes & Communication ToolkitSlide2
Table of Contents
2Slide3
3
Employee and Retiree Experience
OneUSG Connect - Benefits Website and Call CenterSlide4
OneUSG Connect – Benefits website
Employees and retirees
are
able to:
Review current benefits coverage
Find doctors, hospitals or other healthcare providers in the plan’s networkKeep track of healthcare expenses (including deductibles, coinsurance and copayments)Contact insurance carriers and other benefit resourcesEmployees have the ability to:Make benefit changes due to a life status change (e.g., birth of a child, marriage)
4Slide5
5Slide6
OneUSG Connect -Benefits Call Center
Toll-free:
1-844-5USGBEN
(1-844-587-4236)
Representatives are available between 8 a.m. and 5 p.m. Eastern time, Monday through FridayEmployees and retirees can call to: Receive answers about benefit plansResolve technical issuesAdd or change beneficiary informationChange benefits due to life eventsRetirees have the ability to:Update address
information
Provide their banking information for ACH direct debit payments
6Slide7
7
Key Business ProcessesSlide8
Process Flow: Newly Eligible
Employee is hired or moved into an eligible benefits status.
USG HR/Payroll department sends employment data to
Alight
via the HR file.
If employee determined benefits-eligible, Alight triggers the Newly Eligible enrollment event and kit.1 Employee receives the enrollment information via email and mail.Employee can enroll in benefits through the OneUSG Connect – Benefits Call Center
or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).
2
Alight
processes the enrollment event.3Alight records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation email.
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the employee.
8
Processing
Timing
HR files are sent daily
.
(Hire
action will flow on the HR file up to 30 days in
advance)
Enrollment events are triggered within 24 hours of receipt of employment data.
Enrollment materials are sent within 24 hours of the event triggering.Confirmation materials will be sent within 24 hours of the event closing (elections complete or closing by default).Eligibility files will be sent to the carriers on the next carrier file.New payroll deductions will be sent on the next weekly payroll file.
1 New Hires will receive benefits depending on hire date. If hired on first of the month, all plans start as of that date. If hired after the first of the month, Basic Life/AD&D will start as of hired date and all other plans will start first of the following month, regardless of enrollment date.
The enrollment event will
remain open for
the greater of 30 days from the enrollment notice print date or the benefits eligibility begin date.
If dependents are added, then the
Alight
DVS verification process will begin; if EOI is required for election,
Alight
will trigger Online EOI form messages
.Slide9
Communications: Newly Eligible9
Enrollment Kit via mail will include:
COBRA Rights Notice – Participant
HIPAA Notice of Privacy Practices
Creditable Coverage Disclosure Notice (if 65 or older)
Enrollment Notice – Newly EligibleEnrollment Notice Email will be sent at initiation
Confirmation Kit via mail will include:
Confirmation of Benefits – Newly Eligible
COBRA Rights Notice – Spouse (if spouse is added to COBRA-able plans)
Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the employee)
HC-5 Form (if the employee lives in Hawaii and declines Healthcare coverage)
Confirmation of Benefits Email will be sent upon the event closing
Sample Communications: Slide10
Process Flow: Transfers/Rehires Employee is transferred from one institution to another.
The current USG HR/Payroll department sends the termination data to Alight via the HR files.
Alight processes the termination and updates the benefits and deductions.
The
new USG HR/Payroll department sends the rehire data for the new institution. If the employee is determined benefits-eligible, Alight updates the coverage and deductions based on prior elections.
Alight processes the enrollment event.1Alight records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation email.
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the employee.
10
1 Rehires
within 30 days are defaulted into prior coverage, effective the date of rehire. Benefits are effective through the end of the month with institution A. If the institution B rehire date crosses into the next month, benefits will be effective the hire date.Slide11
Important Notes: Transfers/Rehires
11
A midmonth transfer who starts at the new institution after the first of the month will have a gap in coverage
.
Transfers should not receive an enrollment window unless they are being offered a new benefit (ex. Moving to GA State they would be offered parking and transit FSA)Slide12
Examples of Timing: Transfers/Rehires
12
Last
day institution A – 8/25
First day institution B – 9/4
Institution A covers through the end of August as with any termination.Institution B covers starting 9/4, with a gap in coverage for 9/1-3.Last day institution A – 8/10First day institution B – 8/28Institution A covers through the end of August as with any termination.Institution B covers starting 9/1, first of following month. There is not gap since it didn’t cross a month.Slide13
Process Flow: Retirement Plan Newly Eligible Enrollment
Employee is hired or moved into an eligible benefits status.
USG HR/Payroll department sends employment data to
Alight
via the HR file.
If employee determined benefits-eligible, Alight triggers the Retirement Plan Newly Eligible enrollment event and email. Employee receives the enrollment information via email.Employee can enroll in benefits through the OneUSG Connect
–
Benefits Call Center
or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).1Alight processes the enrollment event.
Alight
records the employee’s elections and sends to Payroll via the Benefits Enrollment File.
2
Employee works with Institution Practitioner to complete any additional information needed.
Institution Practitioner sends eligibility files to the carriers.
13
Processing
Timing
HR Files are sent daily.
Enrollment events are triggered within 24 hours of receipt of employment data.
Enrollment materials are sent within 24 hours of the event triggering.
Reminder email will be sent if no election made after 45 days.
Payroll calculates the deductions and applies on the next paycheck. 1 Non-exempt employees default immediately into TRS. For exempt employees, the enrollment event will pend for 60 days from the date of hire.
If the ORP option is elected, a TRS Opt-out form will be sent. If the Vested ERS Member option is elected, a Vested ERS Member form will be sent. If the TRS option is elected, no form will be sent.Slide14
Communications: Retirement Plan Newly Eligible Enrollment
Enrollment Email – sent at initiation
Reminder Enrollment Email – sent at 45 days if no election made
Confirmation Kit via mail will include:
TRS Opt-out Form (if participant is enrolled in ORP option)
Vested ERS Member Form (if participant is enrolled in Vested ERS Member option)Sample Communication:14Slide15
Process Flow: QSC – Non-COBRA Qualifying
Employee reports QSC through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits.
Alight
processes the QSC event.
1
Alight records the employee’s elections, updates payroll deductions or direct billing, and sends the confirmation kit and confirmation email.2Alight sends eligibility files to the carriers.If applicable, the carrier sends ID cards to the employee.
Confirmation Kit via mail will include:
Confirmation of Benefits – QSC
COBRA Rights Notice – Spouse (if spouse is added to COBRA plans)
COBRA Rights Notice – QMCSO Dependent (if QMCSO child is added to COBRA plans)HC5 Form (if the employee lives in Hawaii and declines Healthcare coverage)
15
Processing
Timing
QSC events must be reported within 30 days of the life event.
Communication statements will be sent within 24 hours of the event closing.
Eligibility files will be sent to the carriers on the next carrier file.
New payroll deductions will be sent on the next weekly payroll file.
If dependents are added, then the
Alight
DVS verification process will begin; if EOI is required for election,
Alight
will trigger Online EOI form messages.
Coverage that is updated between the 1st-15th of the month will have premiums applied for the whole month. If coverage is updated after the 15th of the month, then premiums will be updated as of first of the following month. This will be seen on the deductions file and financial reconciliation.Slide16
Process Flow: Qualified Status Change – COBRA Qualifying
Employee reports QSC through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits.
Alight
processes the QSC event.
1
Alight records the employee’s elections, updates payroll deductions or direct billing, and sends the confirmation kit and confirmation email.2Dependents will begin the COBRA Initial Enrollment process (if applicable).
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the employee.
16
Processing
Timing
QSC events must be reported within 30 days of the life event.
Communication statements will be sent within 24 hours of the event closing.
Eligibility files will be sent to the carriers on the next carrier file.
New payroll deductions will be sent on the next weekly payroll
If dependents are added, then the
Alight
DVS verification process will begin; if EOI is required for election,
Alight
will trigger Online EOI form messages.
Coverage that is ending due to a COBRA Qualifying QSC will be effective the end of the month from the life event, with deductions/premiums being updated as of first of the following month.Slide17
Communications: Qualified Status Change – COBRA Qualifying
COBRA Enrollment Kit for the dependent(s) losing coverage will include:
COBRA Information Notice
COBRA Enrollment Notice
Confirmation Kit via mail will include:
Confirmation of Benefits – QSCCOBRA Rights Notice – QMCSO Dependent (if QMCSO child is added to COBRA plans)HC5 Form (if the employee lives in Hawaii and declines Healthcare coverage)Sample Communications:
17Slide18
Process Flow: Dependent Verification
Employee adds a dependent
to
coverage and begins verification process through the DVS Portal (via Single Sign On).
DVS sends the verification request letter via next day air mail to the employee.
1Employee can submit documents via fax, mail, or online.DVS reviews the documentation.If approved, process ends.
If denied or documentation not received,
Alight
drops the dependent from coverage and updates payroll deductions effective first of the following month, and sends the drop notification.
Alight sends updated eligibility files to the carriers if dependent is removed from coverage.
18
Processing
Timing
Process initiated immediately following enrollment event when a new dependent is added to coverage.
If documentation is not received by day 45, a reminder letter is sent by DVS team and 15 day grace period begins.
Documentation is reviewed by the 60 day deadline.
If coverage is changed, it will be reported to the carriers on the next carrier file.
If deductions change, they will be reported to payroll on the next payroll file.
1 Participant has up to 60 days to provide valid documentation or dependents will be removed from coverage prospectively, 1st of the following month. Slide19
Timeline: Dependent Verification
Timing Summary:
The standard verification window is a total of 60 calendar days for verification with a 6-business-day quality review period; The 60-day window includes a 45-day initial verification period with a 15-day grace period
Document Review Process Notes:
The standard turnaround for documentation review is generally 3 business days
Foreign documentation may be submitted without translationOnce documentation is reviewed, a status change letter is initiated informing the participantValid Dependents:Spouse Children - Biological, Step, Disabled, Adopted, Foster and Court awarded custody
19Slide20
Timeline: Dependent Verification for Unverified Dependents
20
Timing
Event/Action
What's Communicated
Day 1
Verification Request Notice
Deadline
List of Dependents
Day 11
Reminder email #1
Link to DVS portal
Day 21
Reminder Notice (mail)
Restates dates
List of Dependents
Day 31
Reminder email #2
Link to DVS portal
Day 45
Communicated Deadline
N/A
Day 46Coverage Termination Notice
Communicates the Coverage end date
Provides the 15 day grace period deadline
Day 60
Silent extension end date
N/A
Day 67
Final Results Letter
End of the verification process
Option to AppealSlide21
Communications: Dependent Verification
Sample
Letter Description
Sample
Verification
LetterReminder LetterStatus Change Letter
Final Results Letter
Termination
Letter
21Slide22
Process Flow: Unpaid Leave of Absences
The HR Data File is received with the LOA Status and loaded into the Alight Database.
Alight processes the Leave of Absence event
.
The change in status will update deductions and initiate direct billing. Alight records the employee’s election changes (if applicable), updates payroll deductions or direct billing, and sends the confirmation kit and confirmation email.
1Alight sends eligibility files to the carriers.Confirmation Kit via mail will include:
Confirmation of Benefits – Going on Leave
Sample Communication:
22
Processing
Timing
Process initiated immediately following receipt of the LOA status change
When an employee begins unpaid LOA after the first of the month, the institution should collect premiums for the current month. Alight will begin billing the following month.
When an employee returns to work mid-month, Alight will bill for that month and the institution will pick back up the first full month back.
Direct billing effect date is the first day of the month following the change
1. Employee’s are only allowed to change from coverage to no coverage.Slide23
Process Flow: Direct Billing and Payments
Billing Notices are produced monthly on the 10th of the month, except for the first Billing Notice for newly
billed
participants,
which is produced weekly. The Billing Notice covers the period from the premium effective date through the end of the month in which the participants have been billed. Note: initial bills will be for the current month and the upcoming month’s coverage.Billing Notices are produced around the 10th of the month for the next month’s coverage. Notices will be mailed within five business days after the tenth of the month.Payments are due on the first day of the month following the production of the Billing Notice, with a 30 day grace period, during which payment can be received before coverage is cancelled.
The Billing Notice informs participants how they can enroll in direct debit to pay future bills.
Automatic direct debit withdraws are processed on the first business day of the month, when bills are due.
The deadline to enter banking information for automatic direct debit withdraws (ACH) without getting a bill is the 9
th
of the month.
Sample
Communication:
23Slide24
September
October
November
Sept. 1
st
Sept.
5
th
Sept.
10thSept. 15
th
Oct. 1st
Oct.
9th
Oct. 10th
Oct. 15th
Nov.
1st
Employee retires
Retirement status to OneUSG Connect – Benefits on HR file
Initial bill created for Sept. & Oct. premiums
Initial bill is mailed
Payment due dateDeadline for banking info for direct debit (ACH) payment for Nov billingIf no banking info for direct debit provided by deadline, bill created for Nov. premiumsAll Nov. bills have been mailedPayment due date24Example of Timing: Direct Billing and PaymentsSlide25
Process Flow: Annual Enrollment – Active Employee
Alight
begins Annual Enrollment and calculates the employee’s options/prices and initiates default coverage and triggers the AE enrollment kit.
Employee receives the enrollment information via email and mail.
Employee can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).
1Alight processes the enrollment event.2
Alight
records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation email.
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the employee.
25
Processing
Timing
Annual Enrollment will be system-triggered on a pre-determined date each year.
Enrollment materials will be sent on a pre-determined date.
Confirmation emails will be sent upon election.
A paper Confirmation statement will be sent after the AE window has closed on a pre-determined date.
Eligibility files will be sent to the carriers by a pre-determined date.
Payroll deductions for the upcoming year will be sent on a pre-determined date.
1 The enrollment event will pend for two weeks as designated by the USO.
If dependents are added, then the
Alight DVS verification process will begin; if EOI is required for election, Alight will trigger Online EOI form messages.Slide26
Communications: Annual Enrollment – Active Employee
Enrollment Kit via mail will include:
HIPAA Notice of Privacy Practices
Enrollment Worksheet – Passive Annual Enrollment
Annual Enrollment Summary Guide
Enrollment Notice Email will be sent at initiationConfirmation Kit via mail will include:Confirmation of Benefits COBRA Rights Notice – Spouse (if spouse is added to COBRA-able plans)
Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the employee)
Creditable Coverage Disclosure Notice (if 65 or older)
HC-5 Form (if the employee lives in Hawaii and declines Healthcare coverage)
Confirmation of Benefits Email will be sent upon election
Sample Communication:
26Slide27
Process Flow: Annual Enrollment – COBRA Participant
Alight
begins Annual Enrollment and calculates the participant’s options/prices and initiates default coverage and triggers the AE enrollment kit.
Participant receives the enrollment information via mail.
Participant can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).
1Alight processes the enrollment event.
Alight
records the participant’s elections, updates direct billing, and sends the confirmation kit and confirmation email.
Alight
sends eligibility files to the carriers.If applicable, the carrier sends ID cards to the participant.
27
Processing
Timing
Annual Enrollment will be system-triggered on a pre-determined date each year.
Enrollment materials will be sent on a pre-determined date.
Confirmation emails will be sent upon election.
A paper Confirmation statement will be sent after the AE window has closed on a pre-determined date.
Eligibility files will be sent to the carriers by a pre-determined date.
1 The enrollment event will pend for two weeks as designated by the USO. Slide28
Communications: Annual Enrollment – COBRA Participant
Enrollment Kit via mail will include:
HIPAA Notice of Privacy Practices
COBRA Annual Enrollment Notice
Confirmation Kit via mail will include:
COBRA Confirmation of Benefits COBRA Termination Notice (if all COBRA coverage is dropped)Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the participant)Confirmation of Benefits Email will be sent upon election
28Slide29
Process Flow: Annual Enrollment – Retirees/Survivors
Alight
begins Annual Enrollment and calculates the retiree’s/survivor’s options/prices and initiates default coverage and triggers the AE enrollment kit.
Retiree/Survivor receives the enrollment information via mail.
Retiree/Survivor can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).
1Alight processes the enrollment event.
Alight
records the retiree’s/survivor’s elections, updates direct billing, and sends the confirmation kit and confirmation email.
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the retiree/survivor.
29
Processing
Timing
Annual Enrollment will be system-triggered on a pre-determined date each year.
Enrollment materials will be sent on a pre-determined date.
Confirmation emails will be sent upon election.
A paper Confirmation statement will be sent after the AE window has closed on a pre-determined date.
Eligibility files will be sent to the carriers by a pre-determined date.
1 The enrollment event will pend for two weeks as designated by the USO. Slide30
Communications: Annual Enrollment – Retirees/Survivors
Enrollment Kit via mail will include:
HIPAA Notice of Privacy Practices
Enrollment Worksheet – Passive Annual Enrollment
Annual Enrollment Summary Guide
Summary of Benefits and Coverage Confirmation Kit via mail will include:Confirmation of Benefits Summary of Benefits and Coverage (if dependent is added to Pre-65 Retiree Healthcare coverage and has a separate address from the retiree/survivor)
Confirmation of Benefits Email will be sent upon election
30Slide31
Process Flow: Retiree Initial Enrollment
Employee retires
USG HR/Payroll department sends employment data to
Alight
via the HR file.
Alight ends active coverage and payroll deductions, and begins retiree coverage and direct billing, and sends the confirmation kit.Employee receives the enrollment confirmation materials via mail.1
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the retiree.
Confirmation Kit via mail will include:Confirmation of Benefits – Retirement
31
Processing
Timing
HR Files are sent daily.
Enrollment events are triggered within 24 hours of receipt of employment data.
The event will close and process within 24 hours of event trigger.
Confirmation materials sent within 24 hours of the event closing.
Eligibility files will be sent to the carriers on the next carrier file.
An initial bill will be generated the following Sunday, or on the 10
th
of the month (depending on timing of enrollment).
1
The employee will be allowed to make limited changes, such as dropping coverage or dropping dependents, within 30 days of the confirmation statement. They will contact the OneUSG Connect - Benefits Call Center to make changes.Slide32
Process Flow: Attain Medicare Eligibility – Active Employee or Spouse of Active Employee
Alight
identifies employee’s/spouse’s 65
th
birthday milestone.
Alight updates employee’s/spouse’s account with a Medicare Eligible indicator of Y as of the Medicare Eligible begin date.If employee is enrolled in the HSA, Alight will send an HSA Enrollment letter.
32
Processing
Timing
The birthday milestone event is automatically initiated 120 days in advance of employee/spouse turning age 65.
Sample
Communications: Slide33
Process Flow: Attain Medicare Eligibility – Retiree or Spouse of Retiree
Retiree/Spouse initiates enrollment in Retiree Exchange.
1
Alight
identifies retiree’s/spouse’s 65
th birthday milestone.Alight updates retiree's/spouse’s account with a Medicare Eligible indicator of Y as of the Medicare Eligible begin date. Alight processes the enrollment event to update the Pre-65 Healthcare plan’s coverage depending on remaining covered family members.
Alight
updates direct billing deductions, and sends the confirmation kit.
2
Alight sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the retiree/spouse.
Confirmation Kit via mail will include:
Confirmation of Benefits – Medicare
33
Processing
Timing
The birthday milestone event is automatically initiated 120 days in advance of retiree/spouse turning age 65.
Confirmation materials will be sent within 24 hours of the event closing.
Eligibility files will be sent to the carriers on the next carrier file.
1 The Medicare enrollment process is initiated approximately 13 months prior to the retiree/spouse’s 65th birthdate and will be separate from
Alight
TBA.
The coverage and coverage tier will be defaulted based on requirements. The coverage update is effective the 1st of the month in which the retiree turns 65 or the 1st of the prior month if the birthdate falls on the 1st day of the month.Slide34
Process Flow: Death of Retiree & Survivor Enrollment
Beneficiary/Survivor or Institution Practitioner reports death to the OneUSG Connect - Benefits Call Center.
Alight
processes the death event ending retiree coverage and direct billing, and sends the life claim file.
1
Alight Life Benefits Specialist contacts Survivor to offer condolences and general information.Alight sends eligibility files to the carriers reporting the coverage ending.
Carriers send death benefit to Beneficiary (if applicable).
If remaining dependents determined eligible for survivor benefits,
Alight
triggers the Survivor Auto Enrollment event.2
Alight
updates coverage, begins direct billing, and sends the Confirmation Kit via mail.
Alight
sends eligibility files to the carriers.
If applicable, the carrier sends ID cards to the survivor.
Confirmation Kit via mail will include:
Confirmation of Benefits – Survivor
34
Processing
Timing
Death events are triggered within 24 hours of notification.
Eligibility files will be sent to the carriers on the next carrier file.
Survivor Enrollment events are processed immediately following the Death event.Confirmation materials will be sent within 24 hours of the event closing.
1 Life claims will only be processed if the Retiree has applicable life insurance.
A new record-keeper survivor account will be automatically enrolled into the prior coverage from the deceased participant's account. If the survivor is of an active employee but the spouse is 65 or older, he/she is eligible for the HRA if he/she enrolls in the Exchange. HRA data will be setup on the survivor’s account. Slide35
Process Flow: Power of Attorney/Legal Guardianship
Employee or Agent/Guardian calls the OneUSG Connect - Benefits Call Center to request POA/Legal Guardianship rights.
Alight
answers questions about the process and/or receives legal paperwork.
POA Administration team reviews and makes determination.
If denied, employee or guardian receives notice of denial.
If approved,
Alight
sends security code and notice of approval.
35
Processing
Timing
The POA Administration Team tracks details and timing. They will review submissions based on employer and state law requirements to make a determination. Slide36
Communications: Power of Attorney/Legal Guardianship
Potential materials sent via mail include:
POA P01—Power of Attorney Approval Notice (Agent)
POA P02—Power of Attorney Approval Notice (Principal)
POA P05—Power of Attorney Denial Notice (Agent)
POA P06—Power of Attorney Denial Notice (Principal)POA P07—Power of Attorney Revocation Notice (Agent)POA P08—Power of Attorney Revocation Notice (Principal)
POA P09—Power of Attorney Security Code Reset Notice (Agent)
POA R01—Revocation of Power of Attorney
GUA G01 - Guardianship Approval Notice (Guardian)
GUA G02 - Guardianship Approval Notice (Ward) (aka Customer)
GUA G04 - Guardianship Denial Notice (Guardian)
GUA G05 - Guardianship Denial Notice (Ward) (aka Customer)
GUA L02 - Legal Guardianship Security Code Reset Notice
(Guardian)
36
Sample Communication:
Slide37
Process Flow: QMCSO
A Qualified Medical Child Support Order is a court order that requires a parent to provide health care coverage for a dependent child. The court order generally requires the parent to provide a certain type of health care coverage (i.e., medical, dental, vision) until the dependent reaches a certain age regardless of the dependent's status in the employer plan.
Documentation is submitted directly to the QMCSO Services via:
Online
: www.qocenter.com
Fax:1-847-442-0899 (Attn: University System of Georgia QMCSO)Mail: University System of GA QMCSO TeamPO Box 1542Lincolnshire, IL 60069-1542
The documentation is reviewed to determine whether it is qualified or not qualified
If qualified, the QMCSO dependent is added to the Health
plan; If employee is not enrolled in coverage prior to QMCSO, they will be enrolled in default coverage (Comprehensive Care plan)
Deductions are updated on the Alight systemAlight sends eligibility files to the carriers.
37
Processing
Timing
Documents are processed within 15 days once received
QMCSOs can apply until the dependent reaches the plan's limiting age or until the employee no longer works for the employer. Slide38
38
Carrier & Vendor FilesSlide39
Carrier & Vendor Files Timing39