BN - Cancel Coverage Job Aid
Cancel Coverage Job Aid is a master list of all enrollment codes and reasons related to cancelling coverage for SGH and other benefits.
This procedure will cover how to correctly use enrollment codes/reasons to cancel coverage, which drives the ETF Health Interface. Therefore, accuracy and consistency are important in maintaining this information.
- HRS screens should be updated whenever a new Health Insurance Application ET-2301 form is submitted by employee.
Cancel Coverage - Health Data Entry Steps1. Receive application from employee (within # of days defined by Event Table)
2. Review and Update Employee Information through HR - Maintain Employee Data - Biographical Details.
3. Review and Update Benefits Personal Data through BN - Benefits Personal Data.
5. BN - Update Event Status / Review Existing Events
6. Add an ADM Event to add dependent to any and all applicable plans BN - Adding Events to the BAS Activity Table.
a. Use ADM Event Date defined in Event Table
b. For other plan type Event Dates please refer to Effective/Event Dates UWSA Life Event/Employment Changes charts
7. Process the ADM Event BN - Processing an ADM Event for Health Insurance.
8. Review cancellation on "Enroll in Benefits" for all applicable plan types:
A. BN - Review Health Benefits Enrollments
B. BN - Review Life and AD/D Benefits Enrollments
C. BN - Review Disability Benefit Enrollments
D. BN - Review Spending Account Enrollments
9. Distribute forms according to Benefit Application and Form Distribution Chart
Cancel Coverage Detailed Event Table
| Enrollment Code / Event
|| Receive Forms Within
|| ADM Event Date|
| Death of Subscriber
||Employee has passed away
|| No application needed. Please contact UWSC immediately to notify of death.
||N/A|| Process Death Event in OnDemand|
Single - end of calendar month for which death occurred. (System default)
Family – through the last day of the month for which the premiums was deducted. (Not optional. UWSC will manually correct coverage end date.)
Death of Employee Resources
|Retirement||Employee retires from UW
|| No application needed
||N/A|| Process Retire Event in OnDemand|
| Termination of Employment
||Employee terminates employment with UW|| No application needed
||N/A||Process Term Event in OnDemand |
Transfer to State Agency Reference
Transfer to/from State Authority Reference
Optional Plans Provided at Other State Agencies
|Due to Leave of Absence|| Employee is on LOA and wishes to cancel coverage||1. ETF Health Insurance Application|| 30 days of LOA|| First of the month following receipt of application|
Leave of Absence Reference
|Eligible for Other Coverage|| Employee is eligible for other coverage|| 1. ETF Health Insurance Application. |
2. Copy of medical ID card or letter from health plan indicating effective date of other coverage.
| 30 days of other eligible coverage||First of the month following receipt of application|
|Post Tax Deductions||Employee is in a post-tax position and may cancel at anytime. || 1. ETF Health Insurance Application||Anytime|| First of the month following receipt of application|
|Premium Increase|| Employee's FTE has decreased (at least by 5%) and therefore, insurance premiums have increased. ||1. ETF Health Insurance Application|| 30 days of premium increase||First of the month following receipt of application|
|Less Than Half Time Employment||Employee is going to part-time employment.||1. ETF Health Insurance Application|| 30 days of part-time employment||First of the month following receipt of application|
|Lapse of Coverage|| For UWSC Use||1. No application needed||N/A|| First of the month following the end of the last coverage month for which premiums were paid|
|Benefits Billing Non-Payment|| For UWSC Use||1. No application needed||N/A||First of the month following the end of the last coverage month for which premiums were paid|
| Disability Approval - (Non-ICI)||Employee's disability is approved. Coverage is continued as an annuitant without lapse upon approval of a disability benefit.|| 1. No application needed||N/A|| First of the month following receipt of application.|
| Due to Spouse-to-Spouse Transfer||Cancellation is allowed due to status change under the plan language (contract) or HIPPA qualifying event if premiums are deducted pre-tax.||1. ETF Health Insurance Application|| 30 days of qualifying event|| First of the month following receipt of application, in coordination with the enrollment of coverage with the spouse.|
| It's Your Choice|| Coverage end date is December 31.||1. ETF Health Insurance Application|| Open Enrollment Period||1/120XX|
*Please note for UW Madison departments, please forward those applications needing additional processing to Madison Benefit Services (OHR).
The information provided here is meant to be a quick snapshot of policy and process as they are related to the events listed to assist you in keying in applications. For more specific information, you may reference the Department of Employee Trust Fund’s Health Insurance Administration Manual.
Related Policies, Job Aids and Forms
- Document 19496 is unavailable at this time.
- BN - Add Dependent Job Aid
- Document 17190 is unavailable at this time.
- Document 17267 is unavailable at this time.
- BN - Adding Events to the BAS Activity Table
- BN - Processing an ADM Event for Health Insurance