Send it off
We must approve a group name change.
What is Underwriting?
The SIC is used for this.
What is to identify what industry a company belongs to?
This Facets application is where the group's bill level and adjusted month is loaded.
What is the Billing/Cap info?
This aids specialist in coding the group prior to setting up in Facets.
What is the Benefit Change Checklist?
A specialist can complete a group name change received form the Group Maintenance mailbox if the request is written on company letterhead. True or False?
False
The 2 business areas that can add a Claims Pay Hold.
What is Business Engineering Team (BET) & Group Underwriting?
Dental only groups load this parish code.
What is 92?
The group's Billing is suspended in this Facets application.
What is Billing Entity Indicative?
This report is used to identify COBRA or CSTA contracts.
What is Group Member Listing Report?
When moving members from one subgroup to another, the old subgroup must be termed. True or False?
False
The group's eligibility code is loaded here.
What is Class/Plan Indicative description?
Prevents claims from paying on wrong benefits or incomplete configuration.
What is a Claims Pay Hold?
When a group has separate physical and mailing address, the physical address is stored here.
What is Group Notes?
This report identifies all current employees on a group.
Group Member Listing
If an Active Class for medical products includes embedded products, then the State Continuation class should include embedded products. True or False?
True
You receive a request to change group's address to another parish.
What is notify an account manager?
Where the prior eligibility code is noted in Facets for an Eligibility Code change.
What is Group Level Notes?
Once the Subgroup is termed, we check Billing Entity for this.
What is Final Bill?
Why a group product/plan benefit change requires you to run a Group Member Listing report.
What is to identify COBRA/CSTA members
When adding COBRA what product should not be added to the policy.
Life
We provide a group's eligibility code
What is Group Underwriting?
The Mass Plan Change can be done except for which of the following? Select one:
a. What is HMO to HMO
b. What is PPO to BLUE SAVER
c. What is PPO to HMO
d. What is Composite Rates to Age Rated
You will take this action if a group has multiple medical and pharmacy products.
What is add group level notes showing which medical and pharmacy go together?
Custom eligibility for a group would be found on this form.
What is Group Master Application (GMA)?
When adding Dental benefits, the dental effective date should be entered in this field.
*Policy Application - Current Field