BN - New Hire HSA/HDHP Enrollment Process Map

GENERAL DESCRIPTION:

Follow this procedure for new UW employee enrollment in High Deductible Health Plans (HDHP) and accompanying Health Savings Account (HSA).

PROCESS CONSIDERATIONS:

https://kb.wisc.edu/images/group61/shared/9.2_Warning_Sign.png  Warning!  If an employee is changing their HSA election, follow the steps outlined under Procedure Steps: Entering an HSA Election Change.


You may click on the links below to navigate directly to a section:


PROCESS OVERVIEW:

New Hire HSA/HDHP Enrollment



PAPER APPLICATION PROCESSING STEPS:

1.  Determine if the employee has turned in an HDHP application and an HSA Application. 

  • A WED report will capture HDHP/HSA discrepancies and affected institutions will be notified by the UW Service Center. Institutions will need to follow up with the employee to make sure an HSA application is completed and received timely.  Verify that the employee signs page 5 of the HSA application as this can be missed.
2.  Determine if the employee is eligible for the HDHP option of the State Group Health insurance plan.  All of the following must be true: 
  • Employee is eligible for the State Group Health insurance plan AND
  • Employee is not eligible for the Graduate Assistant/Short-Term Academic Staff benefits program AND
  • Employee is not enrolled in Medicare, TRICARE, or other health insurance AND
  • Employee is not a dependent of another person for tax purposes AND
  • Employee or any covered dependents are not currently enrolled in the Flexible Spending Account (FSA) Medical plan, or another family member's FSA Medical plan.
3.  If the employee has submitted paper applications, enter the HDHP and HSA enrollment following BN - Enrolling, Changing, or Canceling Coverage Using On Demand Event Maintenance  and write the Effective Date of the HDHP/HSA at the top of the HSA application.  NOTE:  Best practice is enter elections in HRS for the HDHP and the HSA at the same time when you have both applications in hand.

4.  File the original HDHP application in employee’s file and send a copy of the application to the UW Service Center.

5.  Verify the enrollments after you have completed HRS entry by following: BN - Review Benefit Enrollments .


PROCEDURE STEPS:  ENTERING AN HSA ELECTION CHANGE


1.  Add an FSA Event to the BAS Activity Table following:  BN - Adding Events to the BAS Activity Table .

2.  Navigate to:  Benefits > Manage Automated Enrollment > Events > On Demand Event Maintenance.

3.  Schedule and Prepare the Event
Upd. Schedule Prepare
4.  Click the Election Entry button
9.2 Election Entry
5.  Please fill in the Enrollment Code, Enrollment Reason and App Received Date appropriately. Please see BN - Enrollment Code and Enrollment Reason Job Aid for more information.
9.2 Enroll Code Reason
6.  Scroll down to Plan Type 67 and use the magnifying glass to locate the HSA plan that corresponds to the employee's HDHP election.
9.2 Option Code
7.  Enter the new annual HSA election from their enrollment form.
  •   If this is a 9 month employee with an override, you will need to calculate the new override by taking the new annual pledge and dividing that by the number of payrolls remaining in the year minus the summer months of June, July, and August.
8.  Click the calculate button to calculate the Per Pay Period amount.

9.2 Annual Pledge

9.  Scroll to the bottom of the page and click the OK button to return to the On Demand screen.

10.  Click the Validate/Finalize button.
9.2 Validate Finalize

Note:  The UW Service Center will calculate and enter the Employer contribution for the HSA. The employee will receive the Employer contribution prorated throughout the remainder of the year.
  • Single HDHP: $750/year, prorated at $62.50/month 
    • Example: Coverage starts 3/1 (March through December coverage= 10 months * $62.50/mo)
  • Family HDHP: $1500/year, prorated at $125/month
    • Example: Coverage starts 3/1 (March through December coverage= 10 months * $125/mo)
  • FTE < 1044 Hours: When the employee’s FTE is less than 1044 hours (50%), they will only receive ½ of the ER Contribution, prorated.
    • Example: Employee is 40%, so is only eligible for ½ of the employer contribution. Employee will receive $375/year for Single HDHP plan, or $750/year for Family HDHP plan, pro-rated ($31.25/month for Single HDHP plan, or $62.50/month for Family HDHP plan).
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ADDITIONAL RESOURCES

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