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:
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_date
s 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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