BenSelect:Admin:CoveragesPending:Overview
Contents
Subscribing to Events Notifications
HR Admin users can choose to subscribe to Admin Events notifications. This includes any coverages that are pending review for underwriting approval. Simply click Subscribe to Events Notifications to receive updates via email on a daily basis.
Changes Pending: Handling EOIs
If an employee enrolls in a plan for an amount greater than the Guaranteed Issue limit, the additional coverage is subject to underwriting approval. Such coverages are marked as Changes Pending.
Before acting on any changes pending, an administrative user receives notice from a carrier that changes have been approved, declined, or may need to be updated for a different amount than originally specified.
To review the coverages requiring evidence of insurability, you may choose between two options:
- On the Welcome screen, select the Coverage Changes Pending link.
- Select Changes Pending from the Enrollment menu.
- Employee ID
- You may click the Employee ID to edit the coverage record.
- Last, First Name
- Displays the employee’s name information.
- SSN
- Social Security Number.
- Location
- Displays the location where the employee is enrolled.
- Plan
- Displays the name of the additional plan coverage.
- Select
- Check to select the plan, and then click Accept or Decline.
- Benefit
- Displays the amount of the guaranteed benefit; if this amount is zero, there is no current benefit.
- Benefit Pending
- Displays the amount of additional coverage desired, and it must be either accepted or declined.
- Cost
- Displays the basic cost.
- Cost Pending
- Displays the total cost to the employee for the additional coverage.
- Effective Date
- Displays the date when the employee originally applied for the additional coverage.
- Termination Date
- The end date for coverage.
You may select one or multiple changes. There are also options for "Select all on page" or "Select none on page".
Use the "Effective Date" option to set the date the coverage should be set as accepted or declined.
Approving Coverage
To accept pending coverage, select the coverages you wish to accept, enter an Effective Date, and press Accept. The Coverage Changes Pending screen refreshes to show only those with changes still in pending.
Withdrawing Coverage
The Withdraw button clears out a pended application if an EOI was never completed by an employee. This is used when an employee did not complete the EOI process within a reasonable or designated period of time.
Declining Coverage
To decline pending changes, select the coverages you wish to decline, enter an Effective Date, and press Decline. The Coverage Changes Pending screen refreshes to show only those with changes still in pending.
Approving a different amount than requested
In some cases, a carrier may come back approving an amount other than what the employee had elected. For example, the employee may have requested $500,000 in optional life, where $100,000 was the guaranteed issue, and the carrier does not decline coverage, but approves $250,000.
In this case the administrator can approve coverage on this page, and then use the Edit Coverage page to change the benefit amount and cost for the employee. Look up the employee under Enrollment->Employees, then click on the coverage under Coverage(Current), and follow instructions for Edit Coverage.
