Reinstatement Rules to Restore Participant Elections with Overridden Rates

Use reinstatement override rules to control how you want to restore elections with overridden rates when subsequently backing out and reprocessing the corresponding life event.

• Use the Manage Benefit Program Details and Manage Benefit Plan Details tasks in the Plan Configuration work area.

• Select the reinstatement override rules on the Life Event tab of the Enrollment page when you create or edit a program or plan.

Example:

1. You override the benefit rate value of a participant-elected offering during an open enrollment period using the Enrollment Override task in the Enrollment work area.

2. You back out the open event in the Enrollment work area.

3. You make configuration changes to the rate in the Plan Configuration work area.

4. You reprocess the open event in the Enrollment work area, which:

   • Restores the participant's elections

   • Applies the corresponding rates based on the selected reinstatement override rule

This topic describes the effects of selecting each of the following reinstatement override rules:

• Override the rates if no change

• Always use overridden rates

Restore Elections with Rates Overridden Before Reprocessing Life Event

To restore elections, you must use an override rule and the Reinstate if electability exists for the backed out result rule.

Override the Rates If No Change

Reinstate overridden rates only if the configuration of the rates remains the same between the dates when you backed out and reprocessed the life event.

Example: After a participant makes elections, you override the activity rate, back out the life event, and make changes to the rate configuration.

When you reprocess the life event, the rule:

• Restores the elections using the newly calculated rate, not the override value that you used for the rate

• Restores the elections with the override rate value if the rate configuration or value is unchanged

Always Use Overridden Rates

Reinstate overridden rates even if there are differences in the rate configurations between the dates when you backed out and reprocessed the life event.

Example: After a participant makes elections, you override the rate with a different value, back out the life event, and make changes to the rate configuration. When you reprocess the life event, this rule restores the elections using your override value even though the rate configuration changed.