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26 February 2010

Enrollment Roster

Health insurance companies are facing increasing pressure to remain competitive in the market today. To have a competitive position goes beyond offering affordable health benefits packages - it also means to have better service, such as an efficient billing and enrollment process that provides a seamless experience for customers.

Most of billing and enrollment tasks associated with managing your health benefits plan is responsible for your health insurance carrier.

To understand the role you or your company's benefits administrator plays in maintaining a current enrollment roster is integral to establishing a positive cooperation with your insurance carrier. Carefully review your roster, make changes in time and understand your provider's retroactive change policy will help ensure accurate billing, and that your employees have access to services covered.

Review your membership / enrollment rosters.

Typically, your monthly health insurance invoice includes a membership or sign-up roster, which indicates the current number of covered employees and their dependents. Review this roster carefully and report any discrepancies.

Inform your provider of membership changes.

All year, it may be necessary to make changes to your company's enrollment roster - you have hired a new employee, an employee had a baby or someone left your company. Whether you add or remove persons reporting these changes in time, will help to ensure that they are reflected on your next monthly invoice.

Understand the importance of effective dates.

When you make a change to your company's membership rosters, it is important to state clearly the date on which that amendment shall enter into force. Furthermore, when adding an employee and / or a dependent, tell your health benefits company prior to the effective date. This allows your provider to complete the entire enrollment process and helps ensure that the new member has access to health services covered by his or her effective date.

Understand retroactive additions and terminations.

Retroactive additions and terminations membership changes announced after the effective date. Most health benefits, as companies have restrictions on how long employers have to make a retrospective change and also have a policy on what types of documents to be submitted with the request. The process of enrollment changes will vary from company to company - the above tips should only serve as a guide. Be sure you or the company's benefits administrator knows your health insurance carrier's specific policies. Know the process and how to navigate the system will help both companies - yours and your health insurance carrier - achieve the common goal of providing your employees with a positive and seamless health plan experience.

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