Cobra/State cont.
What program allows 20 or less ees to enroll in this coverage.
State cont.
True/False Does the OA submit Group applications to the carrier?
False
What is the first and last step in the BO flow?
OE Prep and Fulfilled.
Which program has a pill in Hippo?
Cobra
Does Gusto submit payments to the carrier?
Noppers
Name a reason why a BO might show in blocked status.
SOS, uncontrollable PI, JIRA, unresponsive ER, customer esco, etc.
What program requires you to sign up 60 before Renewal?
Cobra
What is the definition of a heath insurance carrier?
A health insurance carrier is the company who 'carries' the health insurance plan and creates a network of providers.
Name an order type.
Name 3 states that administers state cont. with the carrier.
CA, WA, WV, OR, NH, MS, ME, KY, KS, GA
What is the only carrier that covers Hawaii Employees?
UHC.
What is the definition of an order status and name an example.
Which team should be working on the benefit order.
OE PREP, OE, Verficiatin/Part. Ready for sub prep, sub prep, RFC, Pending conf, Approved, Fulfilled.
Which program has a different length of eligibility?
State cont. (varies per state)
What 4 states allow 100 FTE?
CO, NY, CA, VT
What is the appropriate status if we are Waiting for the ER to confirm if they want to proceed with 100% contribution when the carrier requires 100% enrollment
Ready for OE prep.