Question

XX Global Health Plan has mentioned options attached.

Option 1: XX Annual Health Insurance
Option 2: Monthly Health Insurance
The plan cycle starts every year from April 1 to March 31. An employee opted for this plan on 2015 and his employment service was terminated on Oct 25, 2015. Business wants to trigger the Termination life Event on the 12th of the termination month for the employee, irrespective of the actual termination date, for payroll reasons. Which is the correct configuration for the life event - Termination?
A) Configure Termination as life event under the Enrollment Tab of XX Global Health Plan with "Number of Days from the Event" as the enrollment period start date and the number field as 15.
B) Configure Termination as a Life Event under the Enrollment Tab of XX Global health Plan with "As of Event Date" as the enrollment period start date.
C) Configure Termination as a Life Event under the Enrollment Tab of XX Global Health Plan with "Mid of the month" as the enrollment period start date
D) Configure Termination as a Life Event under the Enrollment Tab of XX Global Health Plan with "Formula" as the enrollment period start date, attaching a customized Enrollment period start date type Formula.
E) Configure Termination as a Life Event under the Enrollment Tab of XX Global Health Plan with "Formula" as the enrollment period start date, attaching a customized Enrollment Opportunity type Formula.

Answer 1

The correct configuration for the termination life event is option D, which uses a formula to set the enrollment period start date, allowing for the life event to be triggered on the 12th of the termination month.

Step-by-step explanation:

The correct configuration for the life event - Termination, according to the scenario provided, would be option D.

Configure Termination as a Life Event under the Enrollment Tab of XX Global Health Plan with "Formula" as the enrollment period start date, attaching a customized Enrollment period start date type Formula.

This option allows the configuration to meet the business requirement of triggering the Termination life Event on the 12th of the termination month for payroll reasons, regardless of the actual termination date.

A formula can be tailored to ensure the enrollment period starts as needed by the business rules.

Options A, B, C, and E do not meet the specific requirement as they are either too rigid (setting the period to the 15th day from the event, or using the event date itself) or they do not correctly specify the starting point for the enrollment period given the requirement of the 12th of the termination month. In this case, option A would be incorrect since it sets the period to start 15 days after the event, not on the 12th.

Option B would not work because the trigger needs to happen on a specific day, not the actual event date. Option C incorrectly assumes mid-month as the starting point, and option E suggests the use of a formula for the enrollment opportunity type rather than the start date type.