Life
These are the 3 Life Claims Submission Methods
What is Web Submission, EDI Feed, or Paper?
This is our standard STD Pay Schedule
What is Mon-Sun?
This is the maximum number of characters (letters, number, etc.) a Claim Branch Short Name can have.
What is 40 characters?
This is the amount of customer contacts needed for On-Demand Services
What is 2 contacts?
This is the metrics for life claims processed within 5 days of receipt of all information necessary to process the claim.
What is 95%
Beneficiary Designations are able to be provided to Prudential at the time of claim by these contacts
Who are the customer, the TPA, or Prudential?
This is the STD Benefit Frequencies we offer.
What is Weekly, Biweekly, Semimonthly, and Monthly?
This team member joins out billing discussions call with the client.
What is the SET Partner?
This is the minimum threshold for EOI Self Connect
This is when performance guarantee expires.
These are the 3 different benefit rounding rules found in the GOT
What is the flat benefit, Multiply then Round to the next higher $1000 or Round then multiply to the next higher $1000?
These are the preferred method for obtaining claim payment details.
What is the ER Portal and Custom IT Reports
This is the section in the claims branch structure you add your MA PFL Claims Branch.
What is Absence?
This is the max number of face to face EAP sessions we offer
What is 10?
This is the STD Metric for initial decisions made within 10 business days of initial report.
What is 85%
These are the standard options for when coverage ends.
What is Date of Termination and End of Month Following Termination.
This is the benefit where we advise the client how much to pay on a claim.
What is ATP STD?
These are the three different billing premium payments sources we offer.
What is the ACH, Wire and Check?
This event allows enrollment due to marriage or a divorce.
What is a life event?
These are the 5 requirements for account implementation Operational Readiness.
What is account and reporting structure, billing setup, claims, employer portal reporting access, and evidence of Insurability?
The time frame an employee’s basic life coverage will continue for a Military Leave of Absence under our standard language.
What is the end of the month following the month in which the leave of absence begins?
This record keeping services includes Enrollment Services and Billing
What is Full Recordkeeping Services?
This is the claims branch for LTD for 100% contributory and benefits are not taxable Gross up Plan
What is 00001?
This is when furloughed employees are covered at the time of transition.
What is when they return to full time active work?
This is when Performance Guarantees are reviewed
What is Annually?