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Use this form to certify that an employee’s partner is eligible to participate in the health plan as a dependent spouse. This is the form an employee fills out to show their interest in being enrolled in the company's group health benefit plan. A member signs this form to authorize Allied National to have access to their health documents. This form authorizes Allied National to subtract payments from an employer's checking account. Employers need to fill out this spreadsheet listing each employee who is electing coverage. A sample of the report sent to employers showing information such as claims paid and employee participation. Here's a list of the current compliance requirements for employers. This COBRA Guide is intended to assist employers with managing their COBRA obligations as the plan administrator (as defined by ERISA). The Premium Only Plan (POP) offers employers and their employees great tax benefits. An employer can offer a tax-favored option to employees and at the same time lower the employer's payroll taxes. Download the Allied National Premium Only Plan Enrollment Data Sheet and Application. Here are the appeal forms a member needs if they are interested in filing a claim appeal. Click here for information about Pivot Health Short Term Medical. |
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I just hired a new employee. What do I need to do right away for them?
Have your employee complete an enrollment card on the date of hire. We will process the enrollment card promptly, but not bill for the new employee’s coverage until they become effective.
What if my new employee doesn’t want coverage?
Waivers must be completed for all eligible employees and/or dependents not enrolling for coverage.
Can coverage continue after an employee is terminated?
The continuation of coverage provisions under COBRA requires employers over 20 lives to offer covered employees and dependents continuation of their group health care coverage for a specified period of time if coverage is terminated due to certain qualifying events. In no event will the COBRA continuation period extend beyond 36 months.
Can I access my account information online?
Yes. Anyone who has been authorized as an administrator by you and who is listed on the authorization form may have access to the administration side of the Self-Service Portal. The authorization form is available by clicking here.
What will happen if my payment is delayed?
You are given a 31-day grace period in which to pay your billing, however there are several things that may happen if you delay your payment, such as affecting your employees' access to medical care or delaying payment to providers until your account is brought current.
What if my coverage lapses?
Please contact Allied National immediately at 800-825-7531 if you receive a lapse notice. We will review any options you may have to retain your coverage.
When can I make changes to my group’s benefits or coverage?
Changes, additions or deletions can be done during an employee’s waiting period on any monthly due date provided we receive a written request prior to the requested effective date. Changes are subject to underwriting approval.
For changes to coinsurance, supplemental accident or occupational (24-hour) coverage, changes only can be done at renewal. How can I get more information about my responsibilities as an employer?
Check out our Employer Guide.
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Our Employer Benefit Adviser newsletter is designed exclusively for our Funding Advantage employer clients and keeps you informed with the latest updates, compliance news and valuable insights to help you stay ahead.
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