Benefits Basics
What type of employee is always eligible for benefits?
What is full time employees?
What is the deadline for most QLEs?
What is 30 days?
True or false - a group can only offer vision to their employees while having Gusto be their broker
What is false? The group must offer medical in order to also offer vision.
What lines of coverage can the employee enroll in through Federal COBRA?
What is medical, dental and vision?
What are enroll employees in coverage, advise what plans will work well for them, end coverage for employees who leave the company, and send out continuation coverage?
A company eligible for small group health insurance has up to ___ full time employees
What is 50?
List the qualifying life events
What is marriage/divorce, birth of a child/adoption, gaining coverage elsewhere, turning 26, or losing other coverage?
Who will call the carrier if the employee is wondering if their insurance will cover a specific medication?
An employee was terminated on 3/19 and the company's termination policy is last day of employment. What is the employee's termination effective date?
What is 3/19?
White Rose Inc pays $200 per month towards their employee health insurance. What type of contribution scheme is this?
What is fixed amount?
List the types of metal tiers
What is bronze, silver, gold and platinum?
What is the renewals process and the new plans process?
What does the Benefits Services team handle?
What types of employees are eligible for Federal COBRA?
What are dismissed employees, dependents aging out of eligibility, divorcing spouses, dependents of a covered employee who passed away, dependents losing coverage because the covered employee become eligible for Medicare?
An ER did not receive their COBRA payment from their EE this month so they would like to cancel the EE's coverage. What should happen first?
What is the ER should reach out to Anuvi to confirm if they received the payment directly from the EE?
An employer is wondering why the carrier is calling them to inform them they are behind on payments - they think Gusto should be sending over the payments. How do we assist them?
True or false - a birth certificate is valid proof for a marriage QLE.
What is false? A marriage license is valid proof for a marriage QLE
List all that responsibilities of escalations and quality team?
True or false - the state continuation requirements for eligible employees vary by state to state.
What is true?
Employees have up to ___ days to enroll in Federal COBRA.
What is 60 days?
An employer changed their bank account information in Gusto and is wondering why their bank account information isn't updated with the carrier. How can we assist them?
What is directing them to the carrier to update their bank account information?
A company wants to change their waiting period in the middle of the plan year - which team should you direct them to?
What is no team because Gusto does not support mid year waiting period changes?
Who calls the carrier if the dependent should be enrolled in coverage but is not?
Who is the Benefits Services team? (or Gusto)
How many full time employees must a company have to be subject to Federal COBRA?
When would an employee be subject to the waiting period?
What is during a new hire enrollment and when they go from full time to part time?