Enrollment Guide

This page describes the actions and data required to implement to Ideon's ICHRA solution.

The following information supports Ideon sending enrollments for Individual Coverage Health Reimbursement Arrangements.

What changes are needed to send ICHRA enrollments with Ideon?

• Notify Ideon that a given coverage_period is for ICHRA management

• Optionally: Notify Ideon that a given coverage_period is using the ICHRA payment solution

  • This allows us to begin the process of generating secure payments for a given group

• Create and provide a plan , with associated plan_identifier (hios id)

• Provide the expected policy_premium_amount , employee_contribution_amount and employer_contribution_amount which we provide on the carrier application, and reconcile with existing data to ensure accuracy at time of enrollment.

Each endpoint in the traditional workflow is used during this implementation, with limited information required at each step:

• a Group shell is created

• a Coverage Period is created to show the carrier_name and time period

• under a Coverage Period, each Plan option is created

• Subscribers and dependents are created

• Plans are associated with Subscribers by creating Qualifying Life Event objects

Required Information

Endpoint	Ideon Field	Usage & Mapping
POST coverage_periods/[id]/plans	plan_identifier	id is necessary to relate this QLE to a plan that was created. Each plan has a plan_identifier that indicates a description, the exact HIOS id for the plan, etc.
POST subscriber/[id]/qualifying_life_event	id	id is necessary to relate this QLE to a plan that was created. Each plan has a plan_identifier that indicates a description, the exact HIOS id for the plan, etc.
POST subscriber/[id]/qualifying_life_event	policy_premium_amount employee_contribution_amount employer_contribution_amount	These fields are required by supported ICHRA carriers. These refer to the total premium for the policy, the amount the employee will pay after subsidy, and the ICHRA subsidy amount (employee_contribution)
POST subscriber/[id]/qualifying_life_event	plan_quote_id	Future Enhancment. Discuss with Ideon whether you can provide this data, based on previous quotes made via IdeonQuote's API

Additional Documentation

For a full API specification, see https://app.swaggerhub.com/apis/VericredEnrollments/Enrollments/0.3.3#