Health Insurance 101
Small group health insurance is generally referring to companies with up to ____ full-time employees.
50
This dictates when a new employee's benefits become effective.
Waiting Period
A company who does not offer benefits and wants Gusto to be their broker goes through this process.
New Plans Sales, New Plans
The system in which customer benefits information is stored
Hippo
What Gusto platform do we use to investigate other benefits team's workflows?
Salesforce (SFDC)
The four metal tiers
Bronze, Silver, Gold & Platinum
This determines how much of an employee's premium is paid by the company
Contribution Scheme
A company who has benefits but wants Gusto to be their broker goes through this process
Broker of Record Transfer, BoR, Benefit Transfer
In SFDC, an advisor would work out of ______
Opportunities
In a situation where an employee needed an insurance ID Card, _______ would need to call the carrier
The Employee
This type of plan does not cover out of state employees
HMO
Provide the effective date of this employee's health insurance
Hire date: 10/12
Waiting Period: First of month following hire
11/1
This role at Gusto handles the implementation of benefits including setting up Open Enrollment
Onboarding Advocate, OA
In SFDC, an Onboarding Advocate would work out of _________
Orders
The SBC gives an overview of what a benefit plan's coverage looks like. What does SBC stand for?
Summary of Benefits and Coverage
The type of life insurance that Gusto offers
Basic Life Insurance
Provide the type of contribution scheme.
Employer pays 50% of the bronze plan and employees make up the difference for more expensive plans
Fixed Percentage of a Base Plan
A time during new plans or renewal when employees can enroll in or make changes to their benefits
Open Enrollment
You'll find contribution schemes under this tab in hippo
Policies
Who are our two preferred brokers in our BYB program?
Sequoia & OneDigital
The five ancillary benefits that Gusto offers
(excluding TAdAs)
Dental, Vision, Life, Short-term Disability, and Long-term Disability
This type of contribution scheme allows employers to contribute one amount to all benefits, trickling down from medical to dental to vision
Waterfall Contribution Scheme
A company going through renewal is prompted to fill out a survey _____ days before their plan year is over
90 days
In SFDC, someone on the Member Services team would work out of __________.
Cases
If a company is going through a 10/1 OE and a new hire has benefits effective 12/1, does the EE go through OE or an NHE? Why?
NHE because they won't be eligible for benefits until 12/1.