How do I enable participant eligibility override?

Administrators can manually override the eligibility results for a participant Enable Participant Eligibility Override check box. For example, you can override eligibility when there's special approval to continue coverage for dependents who exceed the plan age limits.

Exercise caution when you override eligibility or enrollment so that the enrollment record doesn't extend indefinitely, for example, when you terminate an employee. Ensure that you enter the through date when you override eligibility, and the coverage end date, when you override an enrollment record.

Here's how:

  1. Benefits Administration > Plan Configuration.
  2. In the Eligibility train stop, select the Enable participant eligibility override check box in the Configuration tab.
It's recommended to enable participant eligibility override at these levels:
  • Program

  • Plan type in program

  • Plan in program

  • Plan

  • Option in plan