CAFS
this qualifying event happens when there is a status change in employment
What is Reduced Hours?
Wex generates a termination notice the day after the coverage ends with this letter type.
Social Security Disability Extensions must be reviewed and responded to within this many days from when UMR receives to meet Federal Guidelines.
What is 14 days
This is done when UMR receives a signed Benefits Continuation Plan Enrollment Form back from a qualified beneficiary
What is a Reinstatement.
This database is used for tracking incoming Work Orders that are received.
What is the Workorder Database
True or False- If you are notified of the 100% subsidy after the COBRA Election Notice has been mailed a new COBRA Election Notice must be entered.
True
A written request from qualified beneficiary is considered this type of termination.
What is a Manual Termination?
The COBRA period will be extended an additional blank months for an approved SSI Disability Extension for the disabled qualified beneficiary and non-disabled qualified beneficiaries.
11 Months.
If a payment is received without an enrollment form, payment is considered “intent to enroll”. Which section of the procedures should be followed?
What is Incomplete Enrollment Form
SAE Change, CSC Change, and FAM Change are examples of this type of change.
What is UMR Internal Contact Change.
These qualifying events allow for coverage for up to 36 months.
What is Death, Ineligible Dependent, and Divorce/Seperation?
the difference between the premium due and the premiums collected is know as this.
What is a Variance
This letter is needed to begin the SSI extension request.
What is Notice of Award Letter( Award Letter).
If the dependent is a domestic partner, check CCID under the this tab to see if COBRA can be elected by a domestic partner.
What is the Plan Info Tab
The WO CA team has been advised to start this type of checklist for any work order with an account structure attached that doesn’t specify there being a new class, location, plan, etc.
What is an Account Structure Undetermined Checklist?
The monthly contribution amount or annual election amount should be provided when processing this type of CAF.
What is a Flex CAF?
Wex generates a termination notice on which day following the 30-day grace period for which premium is due.
What is the 7th calendar day
This system is used to push the SSI extension to SSI 1st reviewers.
Onbase.
DO NOT reinstate the coverage until a complete payment under this threshold is received.
What is 10% or $10 for initial payment.
Finalized work orders can be viewed using this site.
What is the UMR Work order site.
a court order that is issued by the court in accordance with applicable federal and state laws, requiring the parent to provide either monetary support for the purchase of health insurance, or to enroll the child (ren) for coverage under his or her employee health care plan
What is QMSCO?
These 2 terminations are considered system generated termination reasons.
What is Payment Grace Period Expired (Fail to Pay) and End of Coverage (End of COBRA)
This notice will automatically generate and print in the nightly print group when the Extension is completed in Wex.
What is a Disability Extension Notice
In cases of dependents being added at the time of reinstatement the current date will have to be used in this field.
What is Election Postmark Date.
True or False- a COBRA Cancellation work order can be started without a finalized work order from the UMR Work Order Database.
False.