CARRIER
TRUE OR FALSE: Participants must allow carrier processing time to complete on the carriers end after elections have been completed or changes to benefits have been processed?
TRUE
TRUE OR FALSE: THE AMOUNT AN EMPLOYER PAYS PER PAY PERIOD TO BE APART OF A HEALTH PLAN
FALSE
IT'S EMPLOYEE THAT PAYS PER PAY PERIOD.
TRUE OR FALSE: All participants (active, retiree, MAPD enrollees, survivors) can waive medical, and elect dental?
TRUE
If enrolling in medical through a life event (QLE), the participant may waive dental at that time
YES OR NO: IS AN ADOPTION FOR A SOI ACTIVE EMPLOYEE CONSIDERED AN EMERGENCY UPDATE?
YES. Summary: An adoption is considered a Qualifying Change in Status (QLE) that allows an active SOI employee to add a newly acquired child (adopted child) and make corresponding changes to their health, dental, and other benefit coverages within 60 days of the adoption date.
What tab can you find Dependent information under in Ariel?
A. EMPLOYMENT PROFILE
B. PARTICIPANT PROFILE
C. COVERAGE
C. PARTICIPANT PROFILE
TRUE OR FALSE: Assist the caller using probing questions with the carrier to determine why they are unable to use their coverage. For example, the service or prescription may simply not be covered, or they may be using an expired ID card.
TRUE
YES OR NO: DOES THE PREMIUM COUNT TOWARDS THE EMPLOYEE'S DEDUCTIBLE?
NO. Employee's deductible for their health plan coverage.
Mary got married on 1/15/2024 she calls in on 2/1/2024 to ask to add her spouse to her coverage? Is this considered a life event?
YES.
YES OR NO: IF A SPOUSE OF A RETIRED SOI EMPLOYEE CALLS TO UPDATE THEIR ADDRESS IS THIS CONSIDERED AN EMERGENCY UPDATE?
NO. Updating an address for a spouse of a retired SOI employee is generally not considered an emergency. There are standard procedures and timeframes specified for retirees and their dependents to notify the appropriate retirement system/agency when changing their address. However, this update does not constitute an emergency situation based on the information provided.
ALL OF THESE ARE LOCATED IN ARIEL EXCEPT?
A. COVERAGE
B. RBS CO-PILOT
C. PARTICIPANT PROFILE
D. DEPENDENT
B. RBS CO-PILOT