Waive Plans and Waive Options

You can provide waive plans and options so that your workers can explicitly decline enrollment opportunities for which they are otherwise eligible.

Consider the following aspects:

  • Advantages of including waive plans and options in plan configurations

  • Waive plan setup and use

  • Waive option setup and use

  • Waive plan and option configuration considerations

Advantages of Waive Plans and Options

You typically define a waive plan or option to:

  • Provide clear choices and avoid misunderstandings.

    • Example: You enroll workers automatically into a basic medical insurance plan unless the workers explicitly opt out of all medical insurance plans.

    • You can quickly address any medical coverage issues arising later because it is clear that the workers explicitly waived enrollment with knowledge of available alternatives.

  • Leverage reports for planning purposes.

    • You can use delivered reports to review enrollment results for workers who elect to waive plans and options.

    • Correlate demographic data with waive enrollments to help you discern benefits pricing and coverage issues with current offerings.

Waive Plan Setup and Use

Create a waive plan at the plan type level in the Plan Configuration work area using the Manage Benefit Plan Details task.

Make the selections shown in the following table:

Selection

Location

Select Waive as the plan function.

Plan Basic Details page

Select and add the waive plan to the correct plan type.

Plans and Plan Types section of the Program Basic Details page

When an eligible worker elects the waive plan, that worker declines enrollment in all plans associated with that plan type.

Waive Option Setup and Use

Create a waive option at the plan level in the Plan Configuration work area using the Manage Benefit Options task.

Make the selections shown in the following table:

Selection

Location

Select the Waive option check box.

Basic Details section

Select and add the waive option to the plan.

Options section of the Plan Basic Details page

When an eligible worker elects the waive option, that worker declines enrollment in all options within that plan.

Waive Plan and Option Configuration Considerations

If a plan type contains only one active plan, consider attaching a waive option to the plan instead of adding a waive plan to the plan type.

Note: Do not attach a waive plan or waive option to plan configurations where eligible workers must elect at least: