Benefit Entry Rules and Terminations

Noe Ramos

Every week our benefits team has to search for benefit records that do not stop after the termination process completes.   I'm curious if this is normal for any organization to have to tend to benefit records at this detail every single week after terminations in order to make sure the benefit records all stop.  The biggest items on this list weekly are our LTD and STD benefits that we have future dated eligibility records created for all new hires.  I'm curious to know if anyone else has similar processes you have to work every week with ISD to clean up these records manually.

casey-kelley

Noe,

Unfortunately, the system does produce an error when the employee hires and terms prior to the start of the benefit. The error message reads something along the lines of "Stop Date cannot be prior to start date".  This is for Future Enrollment Records - not eligibility records as you stated in your post

This is a common problem for clients.  We built an IPA that does a check based on certain criteria and updates the enrollment record to Begin Date = Adjusted Hire Date and Stop Date = Adjusted Hire Date + 1 along with the reason code so the audit log represents the change accurately.

You could also add the logic to the Termination IPA rather than a separate IPA that is scheduled.

Casey Kelley