Events

A guide to using different events and how they relate to the existing event types in your system.

Platform systems can already have an enumeration of values that they consider to be "Change Events" or "Life Events".

Use the following definitions to help map existing values to the Ideon enum of values:

Ideon Event
Description

birth

Used when adding a newborn's coverage within 30 days.

Note: If adding a new dependent mid-year, during OE, or a few months after a birth, use the newly_eligible event.

cobra

For COBRA elections. Used in conjunction with the plan_elections.status to elect COBRA continuation after a termination.

Due to the nature of COBRA coverages, dependents can elect coverage without an active subscriber using this event type.

divorce

Used when a divorce event results in ending coverages for some or all non-employee covered members. Common use-case: This event can precede a COBRA event for the individual dependent.

initial_enrollment

An event type for the initial load of data to Ideon, or for sending Ideon historical elections that were the "initial" elections.

loss_of_coverage

Used when a dependent is added or removed to changes in other coverages that cannot be duplicated. This can be used if a member was previously covered under their own plan but is now moving to their subscriber's plan, etc.

marriage

This event type can be used to add dependent(s) to a given subscriber/elected family.

new_hire

Used when a new employee is hired and elects initial benefits. The event date must match that of the employee's employment_start_date

newly_eligible

Used as a general event type. This can be used when a member become eligible after a waiting period, or changes coverages for any other reason.

If another event code is not able to be resolved by your system, default to newly_eligible.

open_enrollment

This event type can be used for a new plan year's elections.

termination_of_employment

Used to indicate when an employee is no longer with the company and thus, terminates employment and supplies end_dates for all plan elections.

re_hire

If this cannot be detected, or the member was not managed in the same system during their previous employment, new_hire or newly_eligible can be used.

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