Uploaded image for project: 'WORKTERRA'
  1. WORKTERRA
  2. WT-13092

CHMC - Sun Life Supplemental Life coverages terminated after salary update

    Details

    • Type: Support Activity
    • Status: Closed
    • Priority: Critical
    • Resolution: Unresolved
    • Affects Version/s: None
    • Fix Version/s: None
    • Component/s: BenAdmin
    • Labels:
      None
    • Support Task Type:
      Configuration
    • Environment:
      Production
    • Reported by:
      EDI
    • Company:
      CHMC
    • Module:
      BenAdmin - Enrollment
    • Issue Importance:
      Must Have
    • Severity:
      Simple
    • Provider & Benefits:
      Sun Life Financial-LTD, Sun Life Financial-Optional Life - Child, Sun Life Financial-Optional Life - Employee, Sun Life Financial-Optional Life - Spouse, (3)
      Sun Life Financial-STD, Sun Life Financial-Voluntary LTD, Sun Life Financial-Voluntary STD
    • Reported by Customer:
      Kelly Kyle at CHMC

      Description

      client: Prime Healthcare
      *facility: CHMC
      import template: Salary_Change_Ongoing
      import date: 10/17/17
      example affected: Helen Manzano and Janis Ozaki

      Hi Development Team,

      We did a salary update/load back in 10/17/17 around open enrollment and after the salary loaded into WT, some employees supplemental life coverages were terminated afterwards. The employees listed above were reported with the terminated coverages. There may be more out there with the same issue. So far this is the only facility from Prime Healthcare with the issue. You can find the original salary file used during the load from following location:

      Y:\1.CLIENT\Prime Healthcare\0. OPEN ENROLLMENT\OE 2018\14. SALARY UPDATES\CHMC.txt

      The employees coverages were supposed to roll over to 2018. Normally a salary increase or update should have increased the amounts instead of terminating the coverages. The CE already checked the plan/rule settings and couldn't find anything that is triggering the termination. Can you check in the back end to see if there's something causing the issue? I have attached screenshots of the payroll and enrollment history for review.

      Client needs resolution soon if possible before the next payroll file. Let me know if you need additional info from me.

      Thank you,

      Alex

      Amber Love-Jones Amit Thorve Vinayak Kulkarni

        Attachments

        1. CHMC Affected EE List.xlsx
          32 kB
        2. payroll update.jpg
          payroll update.jpg
          69 kB
        3. payroll update2.jpg
          payroll update2.jpg
          77 kB
        4. term coverages.jpg
          term coverages.jpg
          38 kB
        5. term coverages2.jpg
          term coverages2.jpg
          25 kB
        6. term coverages3.jpg
          term coverages3.jpg
          53 kB

          Activity

          Hide
          shailendra.honrao Shailendra Honrao (Inactive) added a comment -

          Hi Jaideep Vinchurkar,

          Salary of EE 'Helen Manzano' updated/increased on 10/17/2017, due to which election got terminated with 12/31/2017.
          But it seems that import was failed on 10/17/2017 hence new election effective from 01/01/2018 was not get allocated to EE as per salary change.
          Could you check this from import side?

          Thanks,
          Shailendra Honrao

          Cc: Jyoti Mayne

          Show
          shailendra.honrao Shailendra Honrao (Inactive) added a comment - Hi Jaideep Vinchurkar , Salary of EE 'Helen Manzano' updated/increased on 10/17/2017, due to which election got terminated with 12/31/2017. But it seems that import was failed on 10/17/2017 hence new election effective from 01/01/2018 was not get allocated to EE as per salary change. Could you check this from import side? Thanks, Shailendra Honrao Cc: Jyoti Mayne
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Hello Shailendra Honrao and Jaideep Vinchurkar,

          Please provide an update. The client would like these terminations to be reinstated a.s.a.p., before the next payroll file is generated. Please note that management has been alerted on this item.

          Thank you.

          Amber

          Show
          alov Amber Love-Jones (Inactive) added a comment - Hello Shailendra Honrao and Jaideep Vinchurkar , Please provide an update. The client would like these terminations to be reinstated a.s.a.p., before the next payroll file is generated. Please note that management has been alerted on this item. Thank you. Amber
          Hide
          vinanti.yadav Vinanti Yadav (Inactive) added a comment -

          Hello Alex Nguyen & Amber Love-Jones,

          We are working on finding affected Employees and their Enrollments. We will share list with you once all data scanning is done.

          Thanks,
          Vinanti

          CC : Jyoti Mayne, Rohan Dhamorikar

          Show
          vinanti.yadav Vinanti Yadav (Inactive) added a comment - Hello Alex Nguyen & Amber Love-Jones , We are working on finding affected Employees and their Enrollments. We will share list with you once all data scanning is done. Thanks, Vinanti CC : Jyoti Mayne , Rohan Dhamorikar
          Hide
          alexn Alex Nguyen added a comment -

          Thank you Vinanti Yadav,

          We had an EDI discussion on this issue and may be caused by age band or the salary didn't load all the way through. Just wanted to point that out, because the two example employees affected share the same age around 56 yrs old. Another example is John Maxson, who is close to that age and coverage also terminated after the salary loaded.

          Alex

          Show
          alexn Alex Nguyen added a comment - Thank you Vinanti Yadav , We had an EDI discussion on this issue and may be caused by age band or the salary didn't load all the way through. Just wanted to point that out, because the two example employees affected share the same age around 56 yrs old. Another example is John Maxson, who is close to that age and coverage also terminated after the salary loaded. Alex
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Hello Vinanti Yadav,

          Will scanning be done for all facilities, or just CHMC?

          Also, please advise when the affected employees under CHMC will be updated. Client is urgently asking for an ETA.

          Thank you.

          Amber

          Alex Nguyen, Jyoti Mayne, Rohan Dhamorikar

          Show
          alov Amber Love-Jones (Inactive) added a comment - Hello Vinanti Yadav , Will scanning be done for all facilities, or just CHMC? Also, please advise when the affected employees under CHMC will be updated. Client is urgently asking for an ETA. Thank you. Amber Alex Nguyen , Jyoti Mayne , Rohan Dhamorikar
          Hide
          alexn Alex Nguyen added a comment -

          Hi Amber Love-Jones,

          Their next payroll file is due next week 1/25/18. If we need to re-enroll them manually we might have to go in that direction. Running the change/term report from 10/17/17-10/18/17 should help with the manual process. It doesn't seem like the age band is the cause of it, because I tried it a day ago by opening a qualifying event as suggested by the team to see if the same plan is available for the employees. The plans are still available for them to select.

          It might have been the load didn't go all the way through. I'm not sure. Or may have timed out at some point during the load. Prime Healthcare and some facilities file load are known to take a long while to process especially there's so many records. Hopefully the enrollments can be reinstated in the backend.

          Alex

          Show
          alexn Alex Nguyen added a comment - Hi Amber Love-Jones , Their next payroll file is due next week 1/25/18. If we need to re-enroll them manually we might have to go in that direction. Running the change/term report from 10/17/17-10/18/17 should help with the manual process. It doesn't seem like the age band is the cause of it, because I tried it a day ago by opening a qualifying event as suggested by the team to see if the same plan is available for the employees. The plans are still available for them to select. It might have been the load didn't go all the way through. I'm not sure. Or may have timed out at some point during the load. Prime Healthcare and some facilities file load are known to take a long while to process especially there's so many records. Hopefully the enrollments can be reinstated in the backend. Alex
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Hello Alex Nguyen,

          If these employees need to be re-enrolled, please let me know. I can either do them all, or if there's hundreds of them, I can see if I can get CT to assist. These employees need to be updated before the next payroll file is sent to CHMC - Kelly Kyle from that facility was on our weekly call this week to express her displeasure and has involved upper management at Prime.

          Thank you!

          Alex

          Show
          alov Amber Love-Jones (Inactive) added a comment - Hello Alex Nguyen , If these employees need to be re-enrolled, please let me know. I can either do them all, or if there's hundreds of them, I can see if I can get CT to assist. These employees need to be updated before the next payroll file is sent to CHMC - Kelly Kyle from that facility was on our weekly call this week to express her displeasure and has involved upper management at Prime. Thank you! Alex
          Hide
          suraj.sokasane Suraj Sokasane (Inactive) added a comment -

          Hi Alex Nguyen,

          Below is our analysis for the root cause:
          Enrollments have "Coverage" which tell about the members and coverage amount of that enrollment. During the Eligibility routine (Salary Change routine to be specific) after the Import on 10/17/2017, coverage was inserted in wrong format for Employee : JOSEPH GARCIA.

          In Salary change Routine, Enrollments with coverage based on old salary are terminated and new enrollments with coverage based on new enrollments are inserted. This is a step by step process. Due to the wrong coverage as mentioned above for an Employee, a batch of employee had failure in completing the Salary change routine. So old enrollments were terminated but process stopped before inserting new ones.

          So, the employees from that batch including the examples given by you have terminated enrollments.

          Show
          suraj.sokasane Suraj Sokasane (Inactive) added a comment - Hi Alex Nguyen , Below is our analysis for the root cause: Enrollments have "Coverage" which tell about the members and coverage amount of that enrollment. During the Eligibility routine (Salary Change routine to be specific) after the Import on 10/17/2017, coverage was inserted in wrong format for Employee : JOSEPH GARCIA. In Salary change Routine, Enrollments with coverage based on old salary are terminated and new enrollments with coverage based on new enrollments are inserted. This is a step by step process. Due to the wrong coverage as mentioned above for an Employee, a batch of employee had failure in completing the Salary change routine. So old enrollments were terminated but process stopped before inserting new ones. So, the employees from that batch including the examples given by you have terminated enrollments.
          Hide
          jyoti.mayne Jyoti Mayne added a comment - - edited

          Hi Amber Love-Jones,

          We have scanned all employes on CHMC only, as salary import was failed on this company for few EEs.

          PFA list of impacted employees CHMC Affected EE List.xlsx. We have corrected data on CHMC for HSPL on production. We have given access rights of this HSPL company to username 'alove' and 'AlexNg'.

          As there are around 291 employees, we request you to go through coverage listed in attached sheet for confirmation.

          After your approval, we will do same correction on live company on Monday 1/22 IST.

          Password will be share in separate mail.

          Cc: Alex Nguyen, Satya, Rohan J Khandave, Jyoti Mayne

          Show
          jyoti.mayne Jyoti Mayne added a comment - - edited Hi Amber Love-Jones , We have scanned all employes on CHMC only, as salary import was failed on this company for few EEs. PFA list of impacted employees CHMC Affected EE List.xlsx . We have corrected data on CHMC for HSPL on production. We have given access rights of this HSPL company to username 'alove' and 'AlexNg'. As there are around 291 employees, we request you to go through coverage listed in attached sheet for confirmation. After your approval, we will do same correction on live company on Monday 1/22 IST. Password will be share in separate mail. Cc: Alex Nguyen , Satya , Rohan J Khandave , Jyoti Mayne
          Hide
          alexn Alex Nguyen added a comment -

          Thank you Suraj Sokasane and Jyoti Mayne for the detail explanation. We will also have client review and confirm, before giving the approval for the update.

          Alex

          Show
          alexn Alex Nguyen added a comment - Thank you Suraj Sokasane and Jyoti Mayne for the detail explanation. We will also have client review and confirm, before giving the approval for the update. Alex
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Hello Jyoti Mayne,

          Based on the attachment, please make all corrections for CHMC by Monday 1/22.

          Thank you.

          Amber

          Alex Nguyen, Satya, Rohan J Khandave

          Show
          alov Amber Love-Jones (Inactive) added a comment - Hello Jyoti Mayne , Based on the attachment, please make all corrections for CHMC by Monday 1/22. Thank you. Amber Alex Nguyen , Satya , Rohan J Khandave
          Hide
          alexn Alex Nguyen added a comment -

          Thank you Amber Love-Jones for completing the review. Jyoti Mayne and Suraj Sokasane how can we avoid this from happening again in the future? We want to prepare for it the next time another salary load is requested.

          Alex

          Show
          alexn Alex Nguyen added a comment - Thank you Amber Love-Jones for completing the review. Jyoti Mayne and Suraj Sokasane how can we avoid this from happening again in the future? We want to prepare for it the next time another salary load is requested. Alex
          Hide
          jyoti.mayne Jyoti Mayne added a comment -

          Hi Amber Love-Jones and Alex Nguyen,

          We have done mentioned corrections on live company.

          Cc: Rohan J Khandave

          Show
          jyoti.mayne Jyoti Mayne added a comment - Hi Amber Love-Jones and Alex Nguyen , We have done mentioned corrections on live company. Cc: Rohan J Khandave
          Hide
          suraj.sokasane Suraj Sokasane (Inactive) added a comment -

          Hi Alex Nguyen,

          Answering to your question "how can we avoid this from happening again in the future?"
          This is called as "Back-end Routine failure" after Import. We monitor this under WT-13017 on daily basis. Additionally, we get an email whenever back-end routine fails. So we do the corrections if required and re-execute the routines.

          Show
          suraj.sokasane Suraj Sokasane (Inactive) added a comment - Hi Alex Nguyen , Answering to your question " how can we avoid this from happening again in the future? " This is called as "Back-end Routine failure" after Import. We monitor this under WT-13017 on daily basis. Additionally, we get an email whenever back-end routine fails. So we do the corrections if required and re-execute the routines.
          Hide
          alexn Alex Nguyen added a comment -

          Thank you Suraj Sokasane for taking care of the issue. I will make note it.

          Alex

          Show
          alexn Alex Nguyen added a comment - Thank you Suraj Sokasane for taking care of the issue. I will make note it. Alex
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Thank you all for helping to resolve this.

          Amber

          Show
          alov Amber Love-Jones (Inactive) added a comment - Thank you all for helping to resolve this. Amber
          Hide
          alov Amber Love-Jones (Inactive) added a comment - - edited

          Hello,

          Please look at confirmation statement for ee Helen Manzano. There are no Employee costs showing for the Optional Life Plan. Was this something that should have been updated in WorkTerra along with the updates Dev made for the other 290 entries? Please see screenshot attached.

          Please advise a.s.a.p.

          Thank you.

          Amber

          Show
          alov Amber Love-Jones (Inactive) added a comment - - edited Hello, Please look at confirmation statement for ee Helen Manzano. There are no Employee costs showing for the Optional Life Plan. Was this something that should have been updated in WorkTerra along with the updates Dev made for the other 290 entries? Please see screenshot attached. Please advise a.s.a.p. Thank you. Amber
          Hide
          alov Amber Love-Jones (Inactive) added a comment -

          Hello,

          Just discovered that the employee actually waived the Voluntary Life benefit; this is separate from the STD and LTD benefits that she was to remain enrolled in that were taken care of previously on this ticket.

          My apologies.

          Amber

          Show
          alov Amber Love-Jones (Inactive) added a comment - Hello, Just discovered that the employee actually waived the Voluntary Life benefit; this is separate from the STD and LTD benefits that she was to remain enrolled in that were taken care of previously on this ticket. My apologies. Amber

            People

            Assignee:
            jyoti.mayne Jyoti Mayne
            Reporter:
            alexn Alex Nguyen
            Votes:
            0 Vote for this issue
            Watchers:
            6 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:

                Time Tracking

                Estimated:
                Original Estimate - Not Specified
                Not Specified
                Remaining:
                Remaining Estimate - 0h
                0h
                Logged:
                Time Spent - 36.25h
                36.25h