Show:
what goes where
Dates
Name the Form
When can I
Benefits
100
The inbox you send an employee application for processing
What is INBOX Member Processing
100
The last day a member has to send in their application for enrollment (pre ACA)
What is last day of the eligible effective month
100
The form a member completed to enroll
What is an Employee Enrollment Application
100
The times a member can enroll (3)
What is at renewal , 1st of the month following date of hire, due to a qualifying event
100
What is the Office Visit Copy on the KP HMO 30
What is $30
200
The Inbox you send an Employer Change Request for processing
What is INBOX Group Processing
200
The # of days a group has to notify Cal Choice of an employee termination
What is 30days
200
The form a member completes to update their address
What is an Employee Change Request Form
200
When a group can change their address
What is at any time
200
The date that determines what forms and benefits you quote
What is the groups Rate Efft Date
300
Where you send a worksheet request
What is to Dave Griffin and Amber Fulton
300
The eligible effective date for a person enrolling due to getting married on 6/5/14
What is 6/1/14
300
The form a group completes to add an additional contact
What is an Employer Change Request Form
300
When a group can add Voluntary vision
What is at renewal and any time once a year
300
The two types of plan you can self refer to a specialist without a referral?
What is a PPO and EOA
400
Where you send a member application for urgent processing in Cal choice system
What is INBOX Errors/Issues CC Member Processing Center
400
The eligible effective date of a member enrolling due to loss of coverage that occurred 5/30/14
What is 6/1/14
400
The form a member completes to make Renewal date changes
What is an Employee Change Request Form
400
When a group can change their waiting period
What is at renewal only
400
The copay for a Chiro visit
What is $15
500
Where you send requests to rush processing of a member in the carrier system
What is INBOX Urgent Enrollments
500
Eligible effective date for a member hired 5/1/14 under a group with a 90 day waiting period
What is 8/1/4 or 9/1/14
500
The form a group completes to add Buy Up Dental
What is the Buy up Dental Application
500
When a member can change plans
What is at Renewal only
500
The amount that must be met before a member is covered 100% for covered benefits
What is the out of pocket max