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GaBreeze Webinar Business Rule Changes. SUMMER 2010. Session Purpose. Topics to Discuss Rehire Rule 16 th of the Month Rule for Terminations Terminations for Summer Paid BOE employees 16 th of the Month Rule for Status & Coverage Changes Dependent Information
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GaBreeze WebinarBusiness Rule Changes SUMMER 2010
Session Purpose • Topics to Discuss • Rehire Rule • 16th of the Month Rule for Terminations • Terminations for Summer Paid BOE employees • 16th of the Month Rule for Status & Coverage Changes • Dependent Information • Employees who Change Agencies • Employees who work for Multiple Agencies • Employees who Retire
Rehires • Rehire Rule • Employees who return within 30 days and within the same plan year • Considered a “rehire” • Coverage is reinstated with no changes • Employees who return after 30 days or in a new plan year • Considered a “new hire” • Receive Hewitt enrollment information and enroll as a new hire • May select different coverage
16th of the Month Rule for Terminations • Terminations before the 16th • Coverage ends the last day of that month (excluding STD & LTD) • Payroll deductions end effective the first of that month • Example: Termed June 1st; Coverage ends June 30th Terminations on or after the 16th • Coverage ends the last day of the following month (excluding STD & LTD) • Payroll deductions end effective the first of the following month • Example: Termed June 16th; Coverage ends July 31st
Terminations for Summer paid BOE employees • Coverage for employees will end based on the termination date entered by the benefit professional • Termination date of June 1st entered; Coverage ends June 30th • If an employee is receiving a paycheck through the end of August, the termination date should reflect this • Example: Employee’s last paycheck is August 31st; Termination date entered should be September 1st; Coverage will end September 30th
16th of the Month Rule (Status or Coverage Changes) • Status changes are driven by employment data • Leaves, Terminations, Retirement, etc. For Status Changes • Before the 16th of the Month • Coverage change/end effective the first day of the next month • (Example: Change on June 1st; Effective July 1st) • On or after the 16th of the Month • Coverage change/end effective the first day of the following month • (Example: Change on June 16th; Effective August 1st)
16th of the Month Rule (Status or Coverage Changes) • Qualified Status Changes are initiated by employees • Birth, Adoption, Marriage, Divorce, etc. For Qualified Status Changes • Effective the first of the month following the date the change is reported (regardless of actual QSC date) • Birth and adoption are effective on the actual date of the event • Employees report a QSC to GaBreeze • Supporting documentation issued to SPA • Within 30 days of the event to request changes
Dependent Information • Dependent Information on File • Employees must contact the GaBreeze Benefits Center to update dependent data • Dental and/or Vision carriers will not accept dependent information • Dependent coverage remains in place through 2010 for participants with missing dependent information • Employees will be required to updated dependent data when a QSC results in Benefit changes or enrollment • Dependent enrollment will be required for Plan Year 2011 for the upcoming Annual Enrollment
Changing Agencies (for Employees) • Employees who Change Agencies • Hewitt receives a termination notice from the former agency before receiving eligibility information from the new agency • GaBreeze will terminate coverage and mail COBRA notices • Once eligibility information is received, GaBreeze will remove COBRA data and coverage will continue with the new agency • Hewitt receives eligibility information from the new agency before receiving termination notice from the former agency • New agency status will be “Pending” until termination notice is received • Once termination notice is received, status will be updated and coverage will continue • Timely action of the Benefit Professional is critical to ensure continued coverage
Multiple Agencies (for Employees) • Employees who work for Multiple Agencies • The Primary Agency will be the employee’s first agency of employment by recorded hire date • New hire employees will not have a choice • Selection for current employees will remain the primary agency
Retirement • Employees who Retire • Benefit Professional enters a retirement status • Hewitt will mail a Confirmation Kit • Retiree Dental information and COBRA information (Vision and Health Care FSA) if currently enrolled • Retiree Dental is automatic; no enrollment form required • Retiree can enroll in COBRA Vision and/or Health Care FSA • Hewitt will direct bill participant and send any premium updates • Contact Hewitt to make option/coverage changes • The Confirmation Kit also includes phone numbers to the other vendors for switching coverage to an individual policy
Support Avenues (Benefit Professionals) • The SPA Team • Team will continue to be agencies’ first point of contact • Respond to questions about business rules, business processes • Support use of the Employer Web Site • Answer questions about Employer Web Site reporting • Work with Hewitt to resolve data issues 1-888-968-0490 or 1-404-656-2730 Monday – Friday, 8:00 am – 4:30 pm ET excluding holidays
Support Avenues (Employees/Participants) Benefits Call Center 1-877-3GBreez or 1-877-342-7339 Monday – Friday, 8:00 am – 5:00 pm ET excluding holidays Website www.GaBreeze.ga.gov Link on Team Georgia Flexible Benefits tab