Previous: Employee Profile: Employment

The employee profile is made up of information included in six general use tabs. The third being benefit coverage information.

EaseCentral updates the following automatically:

  • The NEW HIRE ENROLLMENT STATUS displays whether the employee has completed their new hire enrollment requirements. 
    • If the employee needs to re-enter their new hire enrollments, the Reset option can be used.
    • The next time the employee logs in, they are prompted to complete their new hire enrollment requirements. 
  • ENROLLMENT STATUS identifies whether an employee has not started, is in progress or has completed their enrollment based on Benefits > Progress

Broker or Company Administrator should enter the following if needed:

1.    BENEFIT COST FACTOR can be entered if the total rate or employer's contribution can be calculated based on a percentage or factor of the total rate or employer contribution. 

  • This field can be used if an employer's contribution varies based on an employee's FTE status or if the total rate varies based on a plan RAF factor. 

2.    If an employee's benefit effective date should be different than the effective date calculated by new hire waiting period, enter the actual benefit effective date in the BENEFIT ELIGIBLE DATE field. 

  • The BENEFIT ELIGIBLE DATE would be used in circumstances when employee statuses change from part-time to full-time or when an effective date override needs to occur. 

3.    UNLOCK ENROLLMENT DATE is used only if a company has locked down the site to employees who are not enrolling as a new hire or during open enrollment. 

  • Employees will not be able to make election changes due to a qualifying event on or after the date entered. 
  • Employee access can also be locked or unlocked for all employees by configuring the settings in the Benefits > Lock Enrollment

4.    If the carrier requires information about previous coverage, it can be collected during New Hire/Open Enrollment and is displayed here by marking PREVIOUS & CURRENT COVERAGE in Customize > Fields.

  • If not, company administrator can enter employee's Previous Coverage here. 
  • To view a report containing all employees' previous and concurrent coverage for a specific company, generate Reports > Available Reports > Previous/Concurrent Coverage.

5.    Employee or family member Medicare Coverage elections are handled the same way as previous coverage.

6.    Guarantee Issue Amounts are enforced based on plan rules.

  • If Guarantee Issue Amounts vary based on an employee's previous election status or separate open enrollment rules, the specific Guarantee Issue amount that applies to an employee at a point in time can be entered. 
  • For example, if the employee enrolled under Guarantee Issue as a new hire, and they are allowed to elect an additional $10,000 during open enrollment, the additional allowed amount can be entered into the Guarantee Issue Amounts field. 

 7.    If a plan uses an original effective date to calculate rates, enter their Original Effective Date for the appropriate Plan Type.

  • Voluntary Worksite benefits like Critical Illness plans may calculate employees’ costs based on their age at the time they initially enroll and that cost does not change as the employee ages. 
    • The plan always uses the employee’s age as of this Original Effective Date going forward. 
  • If normal waiting period rules doesn't apply this field should be left blank. 

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