Plan Details
The amount that must be made before the plan starts to pay.
What is the Deductible?
What is HMO?
Health Maintenance Organization
What tool would you use to verify what is the deadline for AE?
Callflow
A customer wants to know about 401k.
Transfer to Defined Contributions
Who is eligible for Premier's coverage?
Full-time employees and Part-time employees if they work at least 30 hrs per week.
A flat fee you pay for doctor visits.
Copay
What is PCP?
Primary Care Physician
Where can you see the comparison chart?
YBR/Upoint
Customer wants to report a death.
Transfer to LBS
What dependents can be covered?
Your spouse or domestic partner, your natural or adopted children, and children of domestic partner.
To receive the plan's highest level of benefits what provider do you need to go to?
In-Network Provider
What is POS?
Point of Service
What two places can you see plan rules?
PKT/SPD
Active customer needs to change his address.
Refer to HR.
At what age does a child age out of coverage?
26
This carve out plan is usually apart of your medical coverage.
Prescription
What is QDRO?
Qualified Domestic Relations Order
Where will you find how to run events?
Callflows
Customer receives information in the mail regarding dependent Audit.
Transfer to DVS
What must you have to change your coverage mid year?
QSC
What type of plan due you have to have to be eligible for HSA?
High deductible plan
What is QMCSO?
Qualified Medical Child Support Order
What tool shows all of the plans offered by the company?
SPD
Customer needs help with claim that was denied.
Refer to Advocacy/Carrier.
What plans does premier provide automatically?
Employee Life insurance and Long Term Disability