Setting up plan groups

Use the Plan Group page to set up benefit plan categories (such as medical, pharmacy, dental, and vision) from which employees choose a particular benefit plan. During open enrollment, the benefit plans associated with a plan group are displayed on one page so the employee can select which one to enroll in.

Benefit plans are assigned to plan groups when benefit elections are set up.

Each plan group specifies whether:

• Employees must submit a waiver of coverage if they elect not to enroll in a plan.
• An employee can enroll in more than one plan in the plan group.
• Eligibility in a plan depends on the employee being enrolled in a different plan group.

To add or change a benefit plan group

1. On the Administrator menu, select Benefit Setup > Plan Group.

   The table on the Plan Group page shows all plan groups set up for your benefit plans.

   • To add a plan group, click New.
   • To edit a plan group, click (the Edit icon) in the row of the plan group you want to change.

   Note: If you want to delete a plan group, click (the Delete icon) and confirm that you want to delete it. However, you cannot delete a plan group if it has a benefit plan assigned to it or if it is referenced by a benefit election.

2. On the Plan Group detail page, enter or change information about the plan group. Details...

   Items on the Plan Group detail page

    

   Item	Description
   Plan Group Description	(Required) Type text (up to 30 characters) to describe this plan group (such as Medical, Pharmacy, Supplemental Life). The description displays on the employee's benefit plan pages during enrollment.
   Required Group	If eligibility for this plan group depends on enrollment in another plan group, select that required plan group. For example, the Supplemental Life insurance plan group is only available to employees enrolled in the Employer Life insurance plan group. Otherwise, select None. Note: During enrollment, an employee who is not eligible for a required group still sees the original plan group for which the required plan group was set. When they try to enroll in the original plan group, they receive an error on their Benefit Checklist. For example, if plan group 1 requires enrollment in plan group 2 and an employee is only eligible for plan group 1, the system still makes plan group 1 available to the employee. Make sure the employee has eligibility in both the required plan group and the original plan so they do not receive the error.
   Waiver Required	Select this check box if employees who elect not to enroll in a plan that is part of the group are required to submit a waiver of coverage. If there is only one plan in the plan group and you want to let the employee opt out of the plan, you must require a waiver of coverage for the plan group. However, if there is only one plan in the plan group and you require the employee to enroll in the plan (such as an employer-provided plan), do not select the Waiver Required check box. When the employee enrolls, this plan is already selected for them.
   Multiple Plan Enrollments	Select this check box if employees are able to select more than one plan from the group. Example: A plan group has both a Health Care and Dependent Care flexible spending account. Select this check box so that employees can enroll in either or both of these plans. Note: When employees select more than one plan in the group, the dependents and beneficiaries they select for one plan apply to all plans they select in the group. Make sure your employees are aware of this; (see Plan Group Enrollment Page Text below). If you want to let the employee select separate dependents and beneficiaries for each plan, you must create a separate plan group for each plan.
   Links and Attachments	You can have employee enrollment pages include one or two links to information about the plan group. For Reference, select the link to the additional information. (The reference list contains all the file links and web links that were already been set up.) When you select the Reference: The Description displays the description of the selected link. The Type displays whether this is a file link or a web link. Example: The link could go to a description of your company's benefit plans, the Benefits Handbook, or the medical provider network's website.
   Plan Group Enrollment Page Text	Enter text you want displayed to the employee on their Benefits page as they make their selections for plans in this plan group. Be sure to include significant information and instructions so they know how to make their enrollment selections.

3. Click Save.