Managing COBRA Benefit Plan and Dependent Information
This section describes how to manage COBRA benefit plan and dependent information.
Page Name |
Definition Name |
Usage |
---|---|---|
COBRA_PROG_PARTIC1 |
Change benefit program participation for Open Enrollment and Family Status Change events. |
|
COBRA Health Plan Enrollment |
COBRA_HEALTH1 |
View or update health plan elections and enroll dependents. |
COBRA_FSA |
View or update FSA enrollments. |
|
COBRA_DEP_BENEF1 |
Add or Update COBRA dependent/beneficiary information. |
|
Address |
COBRA_DEP_ADDR |
Enter or update COBRA dependent address information. |
Personal Profile |
COBRA_DEP_BENEF2 |
Enter or update COBRA dependent details. |
Use the Assign COBRA Benefit Program page (COBRA_PROG_PARTIC1) to change benefit program participation for Open Enrollment and Family Status Change events.
Navigation:
This example illustrates the fields and controls on the Assign COBRA Benefit Program page. You can find definitions for the fields and controls later on this page.
![Assign to Benefit Program page](img/i-cd7d26dn-68df.png)
Use the Health Plan Enrollment page (COBRA_HEALTH1) to view or update health plan elections and enroll dependents.
Navigation:
This example illustrates the fields and controls on the Health Plan Enrollment page. You can find definitions for the fields and controls later on this page.
![Health Benefits page](img/i-cd7d26dn-68b7.png)
Field or Control |
Description |
---|---|
Coverage Begin Date |
Automatically set to the date in the Review Event Summary page. |
Coverage Election |
Displays whether the COBRA health benefit record in view is currently elected or terminated. |
Coverage Code |
When you exit this field, the system calculates the monthly cost of the benefit. |
Health Provider ID |
Enter the name of the employee's doctor, an ID number, or any other information that the health provider may require. |
Previously Seen |
Indicate that the employee is a current patient of the indicated physician. This field becomes available when a health provider ID is entered. |
HIPAA Report Date (Emp) (Health Insurance Portability and Accountability Act report date [employee]) |
Displays the date that the employee's certificate of creditable health coverage was printed if health coverage was terminated. These certificates are guaranteed to employees by HIPAA of 1996; you can print them by running HIPAA reports. Note: The certificate of creditable coverage lists all group health coverage that an employee had for the 18 month period prior to the date on which coverage ended. |
Dependent/Beneficiaries
Field or Control |
Description |
---|---|
ID |
Select a dependent ID to add available beneficiaries to the selected COBRA plan. |
Health Provider ID |
Enter the name of the dependent's doctor, an ID number, or any other information that the health provider may require. |
Previously Seen |
Select to indicate that the dependent is a current patient of the indicated physician. This check box becomes available when a health provider ID is entered. |
Use the COBRA FSA Plan Enrollment (flexible spending account benefits) page (COBRA_FSA) to view or update FSA enrollments.
Navigation:
This example illustrates the fields and controls on the COBRA FSA Plan Enrollment page. You can find definitions for the fields and controls later on this page.
![FSA Benefits page](img/i-cd7d26dn-692e.png)
Use the Coverage Election field to view and change whether the displayed COBRA FSA plan is elected or terminated.
Use the Name page (COBRA_DEP_BENEF1) to add or Update COBRA dependent/beneficiary information.
Navigation:
This example illustrates the fields and controls on the Name page. You can find definitions for the fields and controls later on this page.
![Name page](img/i-cd7d26dn-68ad.png)