DISABILITY
PENSION
HEALTH
ALERTS
PROCESSES
100

Name of the application and processing time

What is... Disability Eligibility Verification packet (DEV) & 45BD

100
Members who work in NJ Newark & Hudson Waterfront fall under which Program type

What is... Program C

100
Name 3 COE Programs

What is... Bariatric/TJR/Maternity/MSK

100
DeltaCare will no longer exist for which health plan

Who is... Kaiser Tristate

100

Adding newborn to coverage

What is...Initiating enrollment

200

Form to be submitted if no SSD letter available

What is... Physician Attestation Statement (PAS)

200

For pensioners who live overseas, what 2 options do they have if they want to enroll for DD

What is... International Wire Transfer & Wise.com

200

WC coverage for Basic plan members

What is... 6months

200
When calling Empire what is the new password to provide

What is... 32BJHEALTH3

200
Correcting DOB/Gender with proof on file

What is... Create a case to MSR3s for correction

300

SSD letter must show a review of this # of years or more

What is... 3+ Review.

300

Members requesting counselor callback, MS must first leave a detailed message with what information

What is...member's name, ID#, callback# and reason for callback request
300

Proof of PT health benefits

What is...Non-CCL

300

Fertility benefits will be administered by who and effective when

Who is... Progyny effective 1/1/24


300

Member inquiring about eligibility, you searched by name/ssn and no information populates, you...

What is... Send a Member Not in V3 email

400
For LTD $250 recertification, member submit this from SS
What is...SS Earnings Report or PEBES


400

To qualify for 70 1/2 pension, member must be 70 1/2 by what date

What is... 12/31

400
QMSCO must be submitted to this dept. for review and upload

What is...DOE

400

For the new Anthem ID cards, INN Maximum Out of Pocket (MOOP) has increased to

What is... $7,088 | $14,175

400

Member states he stopped working but roster shows actively working, you should...

What is...Create a case to MSR3 for Roster update request
500
When approved for LTD, this is the only health benefit that stays in effect until member's 65th bday

What is... Life Insurance

500
Name the affidavit and reasons for pension to be suspended

Pension Check Verification -Uncashed check/Acct Closed

A&W - Presumed dead, did not return annual mailing

Invalid Address - We received returned 1099 from USPS

500
Days member has to submit Cobra Election form and to make their 1st payment

What is...60days for Election & 45 for initial payment

500
Small Health Plans: to view who administers the monetary disability benefits you must click on 

What is...Dynamics Alerts 

500

Member is on the OE Master list, he is requesting the Attestation form. You request one by...

What is...Sending an email to MSR2&3s using proper format. 

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