OneUSG Connect – Benefits - PowerPoint Presentation

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