Concepts of CXA
What Ancillary benefits does Gusto offer?
Dental
Vision
Disabilty
Life
During which process does Open Enrollment Occur?
Benefit Renewal
New Plans Set Up
Which tab you find the Maestro Task List?
In Hippo, under NPR BOR tab
Which team processes selections?
Confirmation
What can cause a rate discrepancy? Name Three
Incorrect SIC Codes
Wrong zipcode or rating region
Number of enrollees
Composite VS Age Banded
Incorrect employee age
Incorrct plan enrollment
Extended OE comes to a close for a New Plan. The EE's havent enrolled or waived and the carrier doesnt require signatures. What do you do next?
Proceed with auto waive
How many stages are in the ideal order workflow?
9
A New Plan wants to add another medical plan during OE, which team would you ticket?
New Plan Sales
If someone or their child(preschool age or younger) needs frequent pediatrician visits, which Metal tier would that fall under?
Gold
How many days will Open Enrollment automatically extend if your group has hit the deadline?
3 days
Where do you go to pull a payroll journal?
Become payroll admin - reports - payroll journal
What do you do if an advisor is unresponsive for 48 hours?
Tag their PE
What is the general length of Continuation coverage in Ohio?
12 months
What would be the participation percentage for this group?
10 Eligible employees
3 with valid waivers
5 are enrolled
71%
Which rating structures does UHC Colorado support
Age banded AND Composite
You have a group that just started OE and the ER reaches out to you and is requesting someone to contact them about the rates that changed from the previous year. Use the Ticketing Decision Tool to determine.
Ticket to Team: Benefits Advising
Ticket Reason: Employer Requested Contact
Ticket Reason Detail: Rate Change