Benefits Setup-Plans

This page enables you to create benefit plans for predefined plan categories - Health, Insurance, Flexible Spending, Savings and Health Savings.

To add new plan

Enter the following details

Benefits Definition Unit	The login organization unit is displayed.
Plan Code	Unique plan code to be given by user. Mandatory
Plan Name	Plan name, example – Delta Dental. Mandatory
Policy	Policy code. Mandatory
Provider	Select the provider or carrier from dropdown. Mandatory
Plan Category	Select the plan category from the dropdown. Mandatory
Plan Type	Select the plan type from dropdown. This is optional.

Enter the following details in the “Benefits Plan Details” section.

Original Plan Date	The original plan date in the system.
Plan From – To	The start and end date of the plan. These dates change as per the versions created. Example – Original plan date can be 01/01/2013, Plan from and To date for one version can be 01/01/2014 – 12/31/2014, another version from 01/01/2015 – 12/31/2015
HIPAA Type	Select the type of HIPAA type from dropdown.
Qualify for COBRA	From the dropdown, select “Yes” to indicate the plan qualifies for COBRA, else select “No”.
Broker	Select the broker from dropdown.
ERISA ID	Enter the ERISA code if any
Billing Cutoff	Billing cutoff is prepopulated as monthly.
Contact Person	Enter the name of the contact person.
Phone	Enter the phone number of the contact person.
Mobile	Enter the mobile number of the contact person.
Email ID	Enter or key in the email id of the contact person.
Plan Url	Enter or key in the URL of plan details if any.
Is this a high deductible plan and allow employee to enroll into HSA?	Indicates whether the plan is high deductible plan and allow employee to enroll into HSA or not.
Plan Brochure	Click icon to attach the plan brochure which you want to attach. The Upload File pop-up appears. Enter the File ID. Click Browse to search and attach the document. Click Upload to attach the document. Click Cancel.
Plan Conditions	Select the checkbox against the following plan conditions: Enable ESS – if you want the plan to be available on employee self service Life Event Driven – Example – Health, Flexible Spending are life event driven Pre Tax GrandFathered Plan Auto Enroll – this option can be checked for auto enroll plans like company life insurance for employee where employee need not elect manually. Contingency Allocation Applicable – this option can be chosen for child or spouse insurance plans, AD & D plans where dependent allocation is required.

Enter the following details in the “Waiting Period” section.

Waiting Period	Enter the waiting period in days.
Reference Period	Reference period is the condition based on which the waiting period is considered. It can be a specific date or employee joining date. Choose the value from dropdown or enter the date. It should not be both.

Enter the following details in the “Pay Component Mapping” section.

Employee Contribution	Select the pay element of the employee contribution from dropdown.
Employer Contribution	Select the pay element of the employer contribution from dropdown.

Click “Save” button to save the plan details. System gives a double confirmation dialogue box to check for your consent, please click ‘Ok’ to save or ‘Cancel’ to go back and edit.
If all the system checks pass through, you will see a message that the details are saved.
The hyperlinks at the bottom appear based on the plan category given. You could configure the plan premiums, coverage, limits depending on the plan category. The system assumes the plan configuration is complete only when all required details are given. Employees could only see the those plans which has all details on the self service.
For Health (Medical / Dental / Vision) – Click on hyperlinks “Define Rates” and “Work Life Events”
For Insurance (Life AD & D, spouse, child life) – Click on “Coverage Details” and “Age Band factor / GTL factor)
For Flexible Spending (FSA, Dependent FSA) – Click on “Define Limits” and “Work Life Events”
For Savings (401K) – Click on “Define Limits”
Health Savings – Click on “Define Limits” and “Work Life Events”

To edit an existing plan

Click “Edit” icon against the plan in “Benefits Admin Dashboard” screen by clicking on “” symbol.
Select the following details in the header.

Plan Name / Code	The plan name is preloaded. You could also choose a different plan from the dropdown.
Version	Select the required plan version which you want to edit. System defaults the latest version available.

The attributes that are displayed as existing in the system and cannot be modified – Status, policy, provider, plan category, plan type, original plan date.

The following details can be modified – Plan From – To, HIPAA Type, Qualify for COBRA, Broker, ERISA ID, Billing Cutoff, Contact Person name, phone, mobile, email ID, Plan URL, Plan brochure, Waiting period, pay element mapping for employee or employer contribution or both.

Click “Save” button to update the health benefit plan details.

To view an existing plan

Select the following details in the header.

Plan Name / Code	Select the plan name from dropdown.
Version	Select the required version.

The system displays the “Benefits Plan Details”, “Waiting Period” and “Pay Component Mapping”.
Click on the hyperlinks below to view the rates, premiums, coverage and limits for any plan.