Plan Year Pre-Flight Checklist

Helpful Tips When Adding Information

  • For each section – click the SAVE button
    • Please remember to enter all information requested and click on the SAVE button before leaving each section of the data base to move forward or come back at a later time to complete the remainder of information and the benchmark report.
  • Please do not leave blanks
    • For example – if you do not have coinsurance or a copay, instead of leaving that box blank please add a zero “0”

Adding Your Plan Information

  • Tax ID Number 
    • If this is not provided you will not be able to move forward with entry and access to summary reporting
    • If you see an error, please reach out to the help desk for assistance
  • Renewal Dates must be entered for each type of coverage being offered
  • If you have union(s)
    • How many?
    • Are benefits bargained and subject to approval of union representatives?
    • Benefit level?
    • Employer/Employee contributions?
  • Are domestic partners eligible to be covered in addition to same sex marriages? 
  • Plan funding type by plan 
    • ASO/Self-funded
    • Level or Graded funding
    • Fully insured
    • Fully insured – participating contract
  • Please use carrier plan & network names
  • If you offer a High Deductible Health Plan (HDHP) is it a “Qualified” HDHP?
  • Do you offer an ‘opt out’ benefit? 
    • What is the monthly dollar value paid for those to waive coverage?
    • Which coverage(s) does this apply to?
  • Benefit plan details for each plan (Deductible, copays, in network/out of network, etc.)
  • Do you offer more than one plan option for that type of coverage?
    • Which plan is your ‘base plan’ – low level option and/or plan that is used to determine employer contribution levels
    • Do you offer an integrated pharmacy deductible and/or out of pocket maximum or are there different deductible/out of pocket maximums for Medical and Pharmacy benefits? 
  • Retirees: 
    • What lines of coverage are retirees eligible for when they leave?
    • Do you offer a Medicare Supplement and/or Medicare Advantage plan?
  • Know your numbers:
    • Total full time or full-time equivalent employee enrollment count
    • Enrollment by plan type and tier of coverage
    • Active employees
    • Retirees

  • NOTE: COBRA participants to be included for enrollment count for active employees

    • Who pays for what – by plan type and tier of coverage for both active employees and retirees
    • Employer contribution
    • Employee contribution
    • Total premium or premium equivalent/funding rate
  • Life and Disability 
    • Refers to employer group plan offerings only.
    • Any life/disability program offered through supplemental/worksite carrier options on a voluntary basis, even if payroll deducted, should not be included in this section.