FAQs: All About Employee Enrollment

faqs-all-about-enrollmentEnrollment usually only happens once a year, so we don’t expect you to remember everything. We’re here to keep things easy and simple. Brush up on these FAQs to see how we can help your company through the annual enrollment process.

Q:  If we need to send employee information, remind me how we can submit this?

We like giving you options. That’s why we have four different enrollment options. Choose which one works best for you and we will work alongside you to get employees signed up.

1- Manual enrollment (paper enrollment form)

2- Electronic EDI Enrollment (submitting an 834 HIPPA compliant file for upload)

3- Web Portal Administration (initial 834 file upload, manual group administration via portal)

4- Spreadsheet Enrollment (excel spreadsheet, emailed)

 

Q: What is the benefit of using the web portal?

If you prefer managing administration online, our web portal may be right for you. Not only can you pay invoices, but you can instantly add, change or cancel an employee’s membership. Here are some other great features our portal offers:

-View and pay invoices (EFT)

-Employee and dependent enrollment, reinstatement or termination

-Make changes to an employee’s plan

-Order ID cards, instantly print a temporary card

-Update an employee’s personal information

-Add or edit coordination of benefit (COB) information

 

Q: Who can change enrollment or eligibility information?

A: Depending on the type of information, both you (employers) and employees can add or request to change eligibility information. This can be done by logging into the web portal or filling out the Employee Change Form. All changes/updates must comply with eligibility guidelines.

Q: How long do new employees have to enroll?

A:  Your new employees and their dependents have 30 days to enroll from the time they are eligible to receive benefits. If the employee chooses not to enroll, they can wait until next year’s open enrollment or they may enroll within 30 days of a qualifying event. ID cards will be sent approximately 7 – 10 days from the time we process enrollment information.

Q: What is considered a qualifying event?

A: A qualifying event can be marriage, divorce or legal separation, birth of a child or adoption of a child, loss of employment, new employment, loss of other coverage or gaining coverage, or death of insured.

Q: When I add an employee, how long does it take for this change to go in effect?

A: Any added employees will be effective the first day of the month (after any applicable waiting periods).

Q: What about cancellations? How long do those take?

A: Cancellations are made at the end of the month.

As a reminder, Dental Select’s cancellation policy is as follows: When cancelling an employee, the effective date of change must be the final day of the last covered month. A member can be cancelled back to the 1st of the current month only when Dental Select receives the cancellation notice on or before the 15th of that month. If Dental Select receives the cancellation notice after the 15th of the month, member will be cancelled the last day of that month. As long as no claims have been processed, a member may be cancelled back two (2) months.

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