Complete COBRA Process

  • COBRA FSA Functionality & COBRA Spending Accounts.
  • COBRA events will only consider potential qualified beneficiaries as set up in the system.
  • Flexible beneficiary set up.
  • Functionality for “Loss of dependent status” based on Age limits, marital or military status, or financial independence.
  • Plan Specific “Loss of dependent status.”
  • A person can lose his/her dependent status for one plan but not another.
  • Can have a loss of dependent status for two different plans on different dates.
  • COBRA Letter is restricted to only those health plans and options which a qualified beneficiary was covered under before the COBRA qualifying event.
  • Enrolled vs. eligible.
  • Health FSA offered on the COBRA enrollment form until the end of the current plan year vs. the end of the COBRA continuation period.
  • Ability to include Domestic partners and domestic children as dependents in the COBRA health plan.
  • Letter Generation – run batch mode.
  • Ability to delete dependents not affected by “Divorce” and “Legal Separation” Events.
  • The system creates entries for possible COBRA dependents for all qualified beneficiaries, regardless of whether or not these dependents have COBRA rights of their own (Domestic Partners).
  • The system offers health FSAs for enrollment periods overlapping the interval between the loss of regular FSA coverage and the end of the plan year in which the COBRA qualifying event occurred.
  • End of FSA Plan Year.
  • The system links the updates of COBRA records of additional COBRA-qualified beneficiary types and their possible COBRA dependents when processing COBRA enrollments and terminations.
  • Using the COBRA data transfer interface includes health FSA elections of qualified employees and dependents-Transaction.

Advanced Benefits Analytics with Elastic Search & Kibana

The Employee Benefits Analytics from Benefits Reimagined has revitalized and broadened the concept of wellness and employee well-being. It offers employers a framework and valuable data to implement significant organizational changes.

  • Advanced Employee Benefits analytics helps you discover where there are any loopholes in your benefits offerings.
  • Contribution modeling on benchmarking.
  • Comparing your benefit plans and costs to those of your competitors.
  • Enhance engagement in your health plan.
  • Determine the right strategy for you based on costs and your population.
  • Customers can find in-depth analyses of their current and past plan costs, workforce demographics, plan design, or multiple factors.
  • Analytics also helps employees and administrators connect with market benchmarking data, which helps in better decision-making.
  • The objective is to make every decision and strategy based on what your data is telling you.

Note: APIs for SAC and DWC (seamless integration with Benefits Reimagined) help you bring related data from outside Benefits Reimagined, such as SuccessFactors, Payroll, and many other systems.

 

The easy-to-use Elastic search and Kibana interface allow developers and Business end users to query data, create catchy charts, and visualize the results via different chart types.

Advantages: Kibana features as an ideal tool:

 

  • For searching, viewing, and visualizing data
  • For analyzing the data through charts, tables, histograms, or maps.
  • Which has centralized access to built-in solutions developed on Elastic Stack.
  • It has dozens of data exploration, visualization, monitoring, and management features.
  • Provides dashboard view with all visual elements accessible in any browser.
  • Real-time analytical view into large volumes of data.
  • As the official interface of Elasticsearch, Kibana is the most effective interface for discovering data insights.
  • There is no load on the transactional database.
  • Data security applied to index data applies to visualizations as well.
  • The seamless interface between the Benefits Reimagined app and Kiban.

Benefits Reconciliation using AI Services

  • Benefit invoice reconciliation is a monthly review of benefits vendor invoices against deductions from your company’s payroll deductions to understand if there are any discrepancies.
  • By implementing Invoice Reconciliation processes, companies can achieve significant cost reductions by reducing the need for human labor, increasing automation rate, and higher accuracy by leveraging the latest machine learning algorithms and increasing processing speed and operational efficiency.
  • Benefits Reconciliation and Invoice consolidation processing typically consists of the following four steps:
    • Classifying: When Vendor invoices arrive, the system understands what type of document it is and decides the next course of action.
    • Extracting: Extracts Employee Benefits relevant information.
    • Enriching: Extracted information with additional Benefits Data is posted back to Benefits Reimagined for further processing.
    • Reconciliation: Benefits Reimagined also extracts Employee deductions from the customer Payroll and can reconcile all three (What is on Benefits Reimagined Enrolled app, vendor invoice, and Payroll deductions) based on custom rules.

Benefits Decision Support System

Benefits Reimagined’s Benefits Decision Support tool is an AI-powered feature that helps employees make benefits decisions by providing personalized recommendations and educational information. This tool considers factors like an employee’s age, job role, family status, salary, healthcare needs, and location to create a list of benefits that are best suited for them.

Decision support systems (DSS) can help businesses in many ways, including:

  • Making workflow more efficient: By reducing the time it takes to make crucial decisions, DSS can streamline processes and help businesses accomplish more tasks in a shift.
  • Improving planning and management: DSS can help improve planning and increase management success.
  • Determining potential outcomes: DSS can help professionals understand the potential effects of their decisions.
  • Automating managerial processes: DSS can automate monotonous managerial processes, freeing up managers to spend more time on decision-making.
  • Improving interpersonal communication: DSS can improve communication within an organization.

Benefits Reimagined’s DSS can be categorized based on their primary sources of information, including Data-driven DSS, Model-driven DSS, Communication-driven and group DSS, Knowledge-driven DSS, and Document-driven DSS.

Benefits Document Center

Numerous studies have suggested the valuable time an employee spends searching for information, checking for the required documentation, and retrieving already submitted documents inside their benefits Application.

Our DMS solution keeps track of all necessary documentation requirements for the employee. Following are some of the highlights of our solution:

  • Offering a one-stop-shop cloud solution to customers. Provides Document Management capabilities on the SAP Business Technology Platform.
  • Exposing APIs for consistent consumption for applications through CMIS standard interface.
  • Abstracting the complexities of the underlying CMIS-compliant repositories and consistently exposing the features for all the consuming business applications.
  • Supporting customer’s Journey by offering connectivity and unified integration to various CMIS compliant Document repository stores, which might consist of Benefits Reimagined, 3rdparty, or SuccessFactors.
  • Delivering a ready-to-use embeddable standard unified FIORI User Interface for consistent user experience. This UI would also facilitate the cross-system sharing scenarios.

Affordable Care Act Reporting (ACA)

Master Data for ACA Reporting

Before processing employee data for ACA reporting, you must maintain master data in a specific Portlet screen.

Configuring for ACA Reporting

To enable the new functions for ACA reporting, you can make several configuration settings in the system.

Generating Forms

The ACA reporting solution allows you to generate the following forms:

Form 1094-B (Transmittal of Health Coverage Information Returns)

Form 1094-C (Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns)

Form 1095-B (Health Coverage)

Form 1095-C (Employer-Provided Health Insurance Offer and Coverage)

Checking Results and Updating Database Records

The ACA reporting solution provides a report that allows checking database data, updating the status of database records, and setting other data for submission.

Database Record Status

The system stores the data of ACA reporting in various database tables, which are updated by the different reports for ACA. For each record, a status is assigned, which indicates the status of the database record within the workflow process.

Submission Status

The IRS submission status enables the system to behave appropriately according to the IRS response to each record. This field is used in the table, which keeps track of the XML files generated for each Run ID.