Processes
Courts put it on, courts take it off.
What is QMCSO?
Dependent and Event Verification
(except Domestic Partner Affidavit)
What is not required?
Medicare starts at this age.
What is 65?
Should be offered to all employee's attempting to make a change outside the plan rules.
What are Appeals?
Benefit that is effective first of the following month.
What is the HSA?
Who called, what the issue was, what info was provided, what are the next steps.
Can be future dated & will be effective first of the following month after the event date.
What are life events / QLEs?
Name, DOB, Address, SSN, location worked, retirement date
What is the information needed for retirees not in the system?
If >65 and showing 'Retiree Exchange' this is who their benefits are through.
What is the Alight Exchange?
Information will be sent to them 90 days prior to a retiree turning 65.
What is Via Benefits?
Put the participant's name in the case's subject line.
What is the process for creating cases for participants not in the system?
Provide the caller with the phone number of the life insurance provider, who they will also need to contact.
What is the death call process?
A form used to prove past or current group health coverage allowing individuals to avoid late enrollment penalties when signing up for Medicare Part B after age 65.
What is the L564?
The Retiree's ability to drop coverage at any time.
What is Retiree Disenrollment?
The 2026 Annual Split Family RMC amount sent to Via Benefits.
What is 3552?
Must be completed on consecutive days.
What are callbacks with resolutions?
What a RR must be enrolled into to be eligible for ITW supplemental plans.
What is Medicare Parts A & B?
What is Medicare Part D?
If on 'Retiree Exchange' and not enrolled with Alight, the retiree will lose this.
What is the HRA?
If a Retiree would like to drop coverage due to RMCs running out, we can run this event.
What is a Significant Increase in Cost event?
Must verify account holder's indicative data. Then, verify dependent's name & DOB or last 4 of SSN.
What is the 3rd party verification for a dependent?
Gain of Medicare, RR or SP passes or Eligible child turns 23
What are the reasons credits are reduced.
Active employees are usually offered this when they term their employment & many are offered retirement benefits, if eligible, too.
What is COBRA?
SCG, UI, UIL & NYSEG - All Non-Union ended this on 12/31/25.
What is MediB (Medicare Part B Reimbursement)?
Funds sent quarterly ($50 per month per enrolled member)
What is Med B payments from Fidelity?