Systems Based
CX General
Health Insurance
Metal Tiers
100

What software is used to clock in?

Workday!

100

Whats the name for a dental/vison plan?

Ancillary 

100

Out of network care isn't provided, referrals are needed to see specialists, what am I?

HMO

100

I have a chronic condition and take multiple medications

Platinum

200

What system is used to find carrier metadata?

Hippo

200

Where in Hippo can you find your task list and that of your company?

Maestro Task List

200

I have the highest premiums and largest provider network, what am I

PPO

200

If I rarely get sick and am generally fit and healthy, what tier would you recommend for me?

Bronze

300

If a company is new to Gusto but has employed EE’s previously, you will have to request a QWR from ___?

Panda

300

When a customer decides to change plan policies while remaining with the same carrier. Offerings changing a little bit.

Same carrier, plan/group level changes

300

I have a smaller network, more expensive out-of-network care, my plan will require the selection of a Primary Care Physician 

POS

300

If I am an older individual, am at higher risk for colds, what plan would you suggest? 

Gold

400

This system is used to escalate a customer.

Sales Force

400

This requires that all employees be required the same benefits under the same circumstances. 

The Affordable Care Act

400

I have no out-of-network coverage and must use providers in the network, except for emergency care

EPO

400

I have children in elementary school who are involved in sports, and our family is generally healthy, with a few minor medical conditions. What plan would you suggest?

Silver

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