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Fusion Benefits - Plan or Option Sequence Restrictions

3411248Jul 12 2017

Hello,

I am trying to setup certification for a plan. The coverage amounts are multiples of salary, starting from 1X, going up to 4X, with increments of 1X. The requirement is that for any participant, if coverage jumps more than one level, application should ask for certification. The interim coverage should be the level immediately preceding the level sought.

I setup interim and suspended enrollment rules as well as the plan or option sequence restrictions. Right now, if there is a jump from 1X to 3X, the interim is 1X instead of the required 2X. Is there any way to know where I am going wrong?

Interim Rule: Current - minimum; new - minimum

Unsuspend Enrollment Rule: Recalculate with completed date and enrollment start

Unsuspend Rate Rule: Recalculate with completed date and enrollment start

I am unable to find a better interim rule. Should I use a formula?

Minimum Sequence Number: 10

Maximum Sequence Number: 20

Maximum Sequence Number with Certification: 40

Maximum Sequence Number Increase: 10

Maximum Sequence Number Increase with Certification: 30

Best regards,

Venkat

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Locked on Aug 9 2017
Added on Jul 12 2017
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