Coverage Periods

This page contains some common questions and answers about using and creating Coverage Periods.

groups/{id}/coverage_periods

How many Coverage Periods should we create for a given Group?

A. We would expect 1 coverage period per carrier / plan year combination.

If there are only a few months between start dates for certain carriers, we would still expect one coverage period,

This is especially the case if the plan end dates will be the same.

An Example group (GoodExample, Inc.) might offer the following benefits to their employees:

• Medical - 3 Options

  • Cigna 1500

  • Cigna 500

  • BCBS TX HDHP

• Dental - 3 Options

  • Cigna

  • Guardian

  • BCBS TX

• Vision - 3 Options

  • Cigna,

  • Guardian

  • Dearborn TX

We would expect:

one Group GoodExample, Inc.

with four Coverage Periods

• Cigna - 2 medical plans, 1 dental plan, 1 vision plan

• BCBS TX - 1 medical plan, 1 dental plan

• Dearborn - 1 vision plan

• Guardian - 1 dental plan, 1 vision plan

If there is more than one Carrier Group Number, how do we send all the policy numbers associated with a group?

A. If there are multiple policy numbers for a given group, we will only need one to gather that structure and apply the individual policy numbers on the outbound transmission to the carrier.

Essentially, picking a primary number and sending that one number is sufficient, and allows us to set up those many group numbers in our system.

What do I do if I create a Coverage Period in error?

A. If you use the Ideon Dashboard, create a customer ticket to have that coverage period "cancelled" i.e. removed from the workflow and archived.

Generally, if there is data in Production that you did not intend to send, contact Ideon to alert us and correct or remove that data. This ensures our Operations team is aware of the status and available to assist in the correction.