Managing COBRA Benefit Plan and Dependent Information

This section describes how to manage COBRA benefit plan and dependent information.

Page Name

Definition Name

Usage

Assign COBRA Benefit Program Page

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 Plan Enrollment Page

COBRA_FSA

View or update FSA enrollments.

Name Page

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:

Benefits > Administer COBRA Benefits > Enroll in Benefits > Assign COBRA Benefit Program > Assign COBRA Benefit Program

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

Use the Health Plan Enrollment page (COBRA_HEALTH1) to view or update health plan elections and enroll dependents.

Navigation:

Benefits > Administer COBRA Benefits > Enroll in Benefits > Health Plan Enrollment > Health Plan Enrollment

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

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:

Benefits > Administer COBRA Benefits > Enroll in Benefits > COBRA FSA Plan Enrollment > COBRA FSA Plan Enrollment

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

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:

Benefits > Administer COBRA Benefits > Maintain COBRA Non-Employees > Modify COBRA Dependent > Name

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