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Type:
Bug
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Status: Production Complete
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Priority:
Medium
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Resolution: Done
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Affects Version/s: None
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Fix Version/s: None
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Component/s: None
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Labels:None
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Environment:Production
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Bug Type:Functional
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Bug Severity:Medium
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Module:BenAdmin - Enrollment
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Reported by:Client
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Item State:Production Complete
Hello,
Concern: During Open Enrollment, member Eric Elisabeth, requested $25k in Dependent VOL life for his wife. Per the Dependent life plan setup the entire $25k should show pending; however, the confirmation statement shows $5k applied $20k pending. Please review and tell us why the entire $25k is not pending. Please let us know how this can be corrected going forward.
- relates to
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WT-5420 El Camino Hospital OE 2017: Life Plan Coverage Increase
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- Production Complete
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WT-9635 WT -> Forced Contingency -> Spouse Child plans are not getting enrolled by the system with the minimum coverage amounts
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- Closed
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WT-9636 WT -> Spouse Child Enrollment Allowed -> EOI Rejection problem
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- Rejected
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Hi Jyoti Mayne,
We crossed checked this issue for this EE and found that,
1.On 4/25/2017 EE Eric Elisabeth enrolled into Dependent supplemental Life, his enrollment mode was : Open Enrollment
2.In plan design>>cost and coverages >> Gurantee issue amount for Open Enrollment mode >>*for spouse gurantee issue amount it is *“0” selected and for child gurantee issue amount is “5000”.
(Refer screen shot GI Amt.png)
3.Therefore as per open enrollment mode of an employee, he got “5000” gurantee issue amounts for his children’s.(which is correct as per behaviour of the system)
But as per plan design>> cost and coverages >> spouse gurantee issue amount>> the entire amount should go to pending. However it did not happen in case of spouse gurantee issue amount. This can be understood by reviewing employee view history that the spouse got coverage of “5000” which is not as per behavior of the system.
(Refer screen shot EE view history.jpg)
4.We also reviewed employer administration>>view history>> cost and coverages, offered amount, general plan design, etc to check if any changes were made before for this plan design, but we found nothing.
We need to check this one from back-end.
Request you to please look into this issue. Thank you!
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CC: Mandar Kulkarni, Vijay Siddha, Jaideep Vinchurkar