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| Section | Objectives |
|---|---|
| Topic 1: Benefits Billing and Court Orders | - Configure benefits billing - Manage benefit court orders |
| Topic 2: Administering Benefits | - Flex credits and coverage/rates management - Prepare and manage open enrollment - Manage enrollments & service center tasks - Common administrative tasks |
| Topic 3: Reporting on Benefits | - Extract and transmit data to plan carriers - Benefit reporting basics - Enrollment results and extracts |
| Topic 4: Configuring Benefits | - Configure life events - Enrollment display and configuration - Create benefit plans, programs, groups and eligibility profiles - Plan types and options configuration |
1. A benefits administrator can see these statuses of life events-
1. New Hire processed on 28-Apr-2016.
2. Marriage detected on 1-Jun-2016.
What do these statuses imply?
A) New Hire LE is complete and closed. Marriage LE is triggered because of the data change.
B) New Hire IF is complete and closed. Marriage LE is triggered and has made elections.
C) New Hire l-E is complete and closed. Marriage IE is triggered but has not yet made elections.
D) New Hire LE is complete but not closed. Marriage LE is triggered but has not yet made elections.
2. A single Life Event can have multiple uses. Which two statements about the usage of Life events are TRUE?
A) Life eventsaffect benefits processing for a participant.
B) The amount of deduction from employee pay check for enrollment is varied based on a life event.
C) Each occurrence of the life event causes participation evaluation processing to reconsider the person's eligibility for the object.
D) Each occurrence of the life event causes participation evaluation processing to reconsider the plan's availability for a program.
3. This is the configuration of a collapsing life event rule:
Life event =Marriage & Dependent
Operator = AND
Resulting Event Name = Dependent
Life Event Occurred Date = Earliest Life Event Occurred Date
Proximity Days = 0
You run the collapsing rule in the scenario:
1. Marriage event occurs on August 1, 2015.
2. Dependent event occurs on August 1, 2015.
What is the result?
A) The collapsing rule voids the Marriage event, evaluates the Dependent event, and assigns Its occurred date to August 1, ?015.
B) The collapsing rule runs the Dependent event, evaluates the Marriage event,and assigns its occurred date to August 1, 2015.
C) The collapsing rule voids the Dependent event, evaluates the Marriage event, and assigns Its occurred date to August 1. 2015.
D) The collapsing rule runs the Marriage event, evaluates the Dependent event, and assigns its occurred date to August 1, 2015.
4. Which three areas contain tasks to prepare for an open enrollment period?
A) Enrollment and My Information work areas
B) Evaluation and Reporting work areas
C) Person Management work area
D) Plan Configuration work area
E) Payroll Calculation work area
5. A Global Dental Plan has the following options attached to it:
Option 1: Employee Only
Option 2: Employee Plus Spouse
Option 3: Employee Plus Spouse Plus Children
The company wants an employee to select only one option which will be restricted for two years. After two
/ears the employee will get an opportunity to enroll into a new GlobalDental Plan. For example, an employee was hired on July 23, 2015 and enrolled into the plan. The employee cannot make a new selection until July 2i,
2017 as the plan is restricted.
How can you configure this scenario for the company?
A) Configure a New hire with the addition of child and Marriage life events to the Global Dental Plan with an enrollment period start date as of event date. Configure the limitation to minimum 2 years at all three option levels. Then configure a person selection formula type with the logic of creating an enrollment opportunity every 2 years.
B) Configure a New hire life event to the Global Dental Plan with an enrollment period start date as of event date. Then configure the limitation to minimum 2 years at the plan tab.
C) Configure a New hire with the addition of child and Marriage life events to the Global Dental plan with an period start date as of event data. Configure the limitation to minimum 2 years at all three option levels.
D) Configure a New hire with the addition of child and Marriage life events to the Global Dental Plan with an enrollment period1 date as Formula, Configure the limitation to minimum 2 years at the plan tab.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A,C | Question # 3 Answer: C | Question # 4 Answer: A,B,D | Question # 5 Answer: A |
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