Benefit Module Chapter 3 Flashcards
(112 cards)
All Benefit Plans share several common fields and attributes. Name 5
Benefit Provider
Benefit Plan Type - Health Care, Insurance, Retirement Savings
Coverage Type - Medical, Dental
Benefit Plan Name
Description
External Plan Description - URL
Group Policy Number
Participating Benefit Group
Worker Plan Eligibility (optional for all benefit plans. All employees in a benefit group might not be eligible for the plan. This eligibility rule provides the ability to filter out employees as ineligible for a specific plan).
Earnings and Deductions (pre and post tax cost)
There are three steps to setting up a benefit plan - Name them.
- Select the foundation component values that have already been created, such as provider and coverage type, Effective Date, Benefit Plan Type, Rate Type
- Select the common configuration options with the plan. Coverage Type, Benefit Plan Name, Benefit Group, Worker Plan Eligibility, Targets
- Set up and use the components that are unique to the benefit plan type. Individual Rates, Employee, Employer Cost, Provider ID, Classification
Health Care Benefit Plans have several unique configurable options including ….
Flat rate structure or calculated rates
The ability to specify a healthcare classification, require a primary physician id number, and include dependent eligibility rules
Benefit Plan - Flat or Calculated Rate - What is the difference?
As a healthcare plan is created the rate type needs to be selected. Flat rate- If a flat rate is entered, the rate information will be entered directly into the benefit plan page.
Calculated rate - Calculated rates are created separately using the ‘create health care rate’ task. Once it is created as a flat or calculated rate this cannot be changed on the plan.
Benefit Plan - Dependent Plan Eligibility
Optional for healthcare and insurance plans only. Applies eligibility rules to dependents ; both child and adult dependents.
Benefit Plan- Over-age Dependent Eligibility
Optional - Used in conjunction with the Fair Market Value per Dependent field. This allows you to set up the imputed income amount for dependents who are over-age in certain states but still qualify for coverage at a federal level.
Benefit Plan - Requires Provider ID checkbox
Select this box if an employee is required to enter a primary care physician’s provider ID as part of the enrollment process.
Auto Enroll checkbox
Select this checkbox to have eligible employees automatically enrolled in the benefit plan. On the enrollment pages, this election will default to Elect and will be ‘view only’. The enrollment cannot be changed.
High Deductible Health Plan checkbox
Select this checkbox if the plan is considered a high deductible health plan with the option of enrolling in a Health Savings Plan
Derive Coverage Targets checkbox
Select this checkbox if you wish to use derived coverage targets. It is not recommended to combine plans with and without derived targets in the same enrollment but it can be done.
Benefit Plan - Use individual rate checkbox
Select this checkbox if employee or employer cost can be overridden using the ‘Manage Individual Rate’ task. This is not available with the calculated rate health care plan.
Benefit Plan - Reset individual rates on Plan year begin
If individual rates need to be entered each year, instead of carrying forward, select this checkbox.
Three configuration options for the US affordable care act are ….
ACA Plan Funding Method, ACA Minimum Value coverage, ACA Minimum Essential Coverage
What does the dependent plan eligibility do?
It is used to establish dependent eligibility for health care and insurance benefit plans. It can be used for children and spouse. The fields available to use include age, full-time student, relationship or Workday ID.
What is a spousal surcharge?
The idea of a spousal surcharge comes from the need to identify employees who wish to cover their spouse for healthcare coverage, even though their spouse can enroll in their own coverage. Due to this double coverage option, if the spouse enrolls there would be an additional charge, or surcharge. This is only available as a flat rate value.
There is a checkbox in the dependent’s personal information that asks if the person is or could be enrolled elsewhere. If the checkbox is enabled and a date entered, the surcharge will be added to the employee’s health care cost. ‘Create Benefit Surcharge’ task - Now has tobacco use (2021)
Name the two types of Health Care rates.
- Flat 2. Calculated rates
When creating rates identify which healthcare coverage targets should be included.
Describe a Flat Health care rate
They are included in the structure of the benefit plan setup
Describe a Calculated rate
They are created outside the benefit plan and linked to the plan.
Workday enables you to define three types of health care rates. Name them.
- Based on flat amount - includes the ability to add demographic factors such as an employee’s age, tobacco use, length of service, and salary to vary the rate.
- Rates based on percentage of Salary - Can be used with demographic and includes the option of defining a minimum and maximum cost and rounding rules.
- Rates based on a percent of salary with flat amount - All the same options of percentage of salary with the addition of an added flat amount.
What does a rate band do?
These are used for healthcare rates and can include demographic factors such as age, salary, length of service as well as tobacco use.
In terms of a health care rate explain config options for dependents
Use employee or dependent age as of - Beginning of Plan year coverage begin coverage begin or plan year begin event date specific date salary
In terms of a health care rate explain config options for salary (salary source)
What compensation components will be used to define salary
Total base salary
Benefit Annualized rate or total base salary
Benefits annualized rate or compensation elements
Compensation elements
In terms of a health care rate explain config options for salary (calculate as of)
Defines salary as of a certain point in time
Beginning of Plan Year
Coverage Begin
Coverage Begin or Plan Year Begin - Used for new hire or newly enrolled
Event Date
Specific Date
Length of Service in months
Workday recommends creating a healthcare calculated rate over flat rates. Why?
This allows customers the flexibility to use a calculated rate in the future without requiring a new plan. Additionally healthcare calculated rates can be loaded using an EIB.