Benefit Rule Management |
Clicking on the Benefit Rule Management icon displays the Benefit Rule Management page. For an authorized user, this function provides for the creation of a Benefit Rule and its assignment to a specific Benefit Group and Plan. The association between Rule, Group and Plan ensures that employees are only offered plans that they are eligible for. |
After Division Selection, the system displays a list of current rules for reference purposes. You may view, edit or delete a rule, and create new rules.
Click to display the Plan Group Selection page.
First, select the Plan to associate with the Rule. Note You can associate a rule with only one plan, and associate a plan with only one rule. Therefore, the system displays only plans without a rule assigned.
Enter a Rule Name for the new rule. |
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Select the group(s) to associate with the new rule and click to move your selection(s) to the right side of the page. Click to further refine the rule you created. |
Time PeriodIndicate whether or not there is a waiting period. |
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If Yes, specify how long. |
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Select from the drop-down "when" the employee is eligible for the plan.
Click to further refine the rule you created.
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AgeIndicate whether or not:
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(An Age Reduction Schedule reduces premiums as an employee's age changes.)
If Age does affect the premium, specify: |
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• On whose age the premium is based.
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• How changes in age affect rates.
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If an Age Reduction Schedule (future release– not yet implemented) is applicable, specify: |
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• The age at which it begins. • The reduced premium as a percentage of the original cost. After entering the data, click . In the example, the premium is 95% of the original upon reaching the age of 80. Click to further refine the rule you created. |
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Note You have an opportunity to further refine age criteria, such as different rates for different age ranges, using the Generate Rate Scenarios function in Benefit Billing Rates. |
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Good HealthIndicate whether or not:
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Click to further refine the rule you created.
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DependentsIndicate whether or not dependents are eligible for the plan. (future release– not yet implemented)
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If Yes, select the Dependent Type(s) to associate with the new rule and click to move your selection(s) to the right side of the page. |
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Also indicate if overage children are covered by the plan and the maximum ages.
Click to further refine the rule you created. |
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OtherIndicate whether or not EE and ER contributions vary based on other factors. |
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Note If there is a Plan Basis, it can be salary or volume, but not both.
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Volume BasedIf the Plan Basis is Volume Based and the Volume Basis Benefit is Flat: |
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If the Plan Basis is Volume Based and the Volume Basis Benefit is Percentage:
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If the Plan Basis is Volume Based and the Volume Basis Benefit is Rate Per Coverage Amount:
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Salary MultipleIf the Plan Basis is Salary Multiple:
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Click to further refine the rule you created.
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Note You have an opportunity to further refine salary criteria, such as different rates for different salary ranges, using the Generate Rate Scenarios function in Benefit Billing Rates.
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Open EnrollmentOpen Enrollment is generally considered the period when employees can make/change benefit choices for the coming benefit year.
Employees enrolled in a Plan that supports Open Enrollment can make changes if the Rule is set to . |
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When they can make those changes is determined by the administrator’s selection in the drop-down. |
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Click to review your selections for the Rule. Click to store your new Rule.
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To edit an existing Rule, click in the rule row to cycle through the criteria described above and make your changes. Click to undo any changes.
To delete a Rule, click in the rule row. The system will request confirmation.