Health and Welfare Jeopardy

Eligibility

100

Examples of this dependent type include, natural born, adopted or placed for adoption, foster, and legal guardianship.

What is a child?

200

The first of the month following one full month of employment(not including the month of hire)

What is the effective date of benefits

300

-Exclusive, committed relationship that is expected to last indefinitely

-Live together

-Responsible for each other's welfare on continuing basis

-Not underage or related to each other in a way that would prohibit legal marriage

-Not be legally married to anyone else

-Not had another domestic partner in past 6 months (Except in case of death)

What is a Domestic Partner?

400

• Under age 65, unless enrolled in COBRA (or if age 65 or older, not eligible for Medicare)
• Had been tax dependent for previous tax year and must continue to be tax dependent for current tax year
• Lives with associate and considered member of associate's family
• Not eligible for and not have declined or deferred, coverage through associate or retiree health care program

What is other Adult Dependent?

500

• Alabama
• Colorado
• Georgia (if created before 01-Jan-1997)
• Idaho (if created before 01-Jan-1996)
• Iowa
• Kansas
• Montana
• Ohio (if created before 10-Oct-1991)
• Oklahoma
• Pennsylvania
• Rhode Island
• South Carolina
• Texas
• Utah
• Washington, DC

What are states recognizing Common Law Spouses?

Plan Basics

100

The dollar amount you pay each calendar year before the plan begins to pay for covered services.

What is an Annual Deductible?

200

The percentage you pay for covered services after you meet your annual deductible. 

What is Coinsurance?

300

The most you'll pay for covered medical services in a calendar year.

What is an Out-of-Pocket Maximum?

400

A set fee you pay for a doctor visit or a prescription.

What is a copay?

500

These only cover health care services received from in-network providers while you are in your service area except emergencies.  While outside your service area, care is covered through the national network.

What is an Accountable Care Organization(ACO)?

Spending Accounts

100

All unused funds will roll over year after year.

What is an HSA?

200

All unused funds that exceed $640 will be forfeited. Anything $640 or less will roll into the next plan year.

What is a HCFSA(Health Care Flexible Spending account?)

300

Used to pay for certain eligible dependent day care expenses for eligible dependents.

What is a DCFSA(dependent care flexible spending account?)

400

• Financed solely by employer
• Included as part of Consumer Directed medical plan for employees with PYCC under $250,000

What is an HRA?

500

• Offered to employees enrolled into High Deductible Consumer Directed plan and have employer and/or employee contributions to Health Savings Account (HSA)
• Used to pay for out-of-pocket dental and vision expenses incurred by self and/or qualified dependents

What is a LPFSA?

Wellness

100

A set of questions about your overall health.

What is a health Questionnaire?

200

Includes height, weight, waist measurement, blood pressure and cholesterol.

What is a Health Care Screening?

300

February 29, 2024

What is the deadline for Wellness activities for AE 2024?

400

The term used to describe the recovery of credit that was previously applied.

What is a clawback?

500

HM Inquiry -> Person Data Cmps Inq -> Participant Wellness CDH

The path to review an employee's wellness completion.

Fast paths

100

The event fast path to add or update dependent data.

What is CMPOI?

200

The event fast path for life event, marriage.

What is QSCMAR?

300

The event fast path for updating an address for a retiree.

What is SFSVAD?

400

The fast path to send forms, documents or communications.

What is CMFORM?

500

The event fast path to set up Direct Debit.

What is DBPMDD?