Use the link below to view the recorded webinar conducted by George Reese on Employee Navigator's Automated Cobra Administration product.
Below is a list of FAQs from the webinar.
What is the process for a company who is currently self-administering to move them to using another vendor? Go to the Home page for the client, select COBRA from the data feeds section, select “add a service” link and select the TPA/Product you wish to be included. The TPA will then receive notification and contact the company to walk through the conversion process.
What if a client is already an existing client of one of your approved TPA’s, how do they get use out of this product? Go to the Home page for the client, select COBRA from the data feeds section, select “add a service” link and select the TPA/Product you wish to be included. The TPA will then receive notification and contact the company to walk through the conversion process.
Where do I find the link to add COBRA services? Client HomeàData FeedsàCOBRA
How does the process work after the group has selected a TPA? Once the TPA has been selected in Employee Navigator via the COBRA feeds tab, the TPA will receive email notification and will be reaching out directly to the agency/client to get the process started.
What about brokers who are doing COBRA internally for their clients? We understand that some agencies are provided this service for their clients and are processing in house. In time, we will have the functionality to allow an agency to suppress the exchange services from being displayed at the client level.
We are a broker processing COBRA in-house for our clients. Is there a way that we can get setup as a TPA for our clients? We are currently gathering data and considering how this feature could be turned on for brokers to have access to the file generation process. We will update the support site as we make changes to the COBRA product. You can subscribe to the COBRA section in our support site and receive an email when we update an article with more information https://employeenavigator.zendesk.com/forums/21173499
Will each vendor be able to provide services in all states and will the TPA only do only COBRA or will the TPA also pick up information for mini-COBRA and State Continuation? You will need to contact the TPA directly to have them define their scope of capabilities.
How do I get another TPA added? Submit an email to firstname.lastname@example.org to express your interest in adding another TPA.
Who are the TPA’s you are currently working with? Visit our support site and review the article about our participating TPA’s and supported software. https://employeenavigator.zendesk.com/entries/78435759-Participating-TPA-s-and-Supported-Software
Cost & Billing
Are there any costs to the brokers to use this Employee Navigator product? This service is available to all our licensees. The TPA will bill separately for the actual management of COBRA services.
What are the fees for the COBRA administration? All fees for COBRA administration are contracted directly through the TPA and Employee Navigator is not a part of that process. You should work with the vendor directly to determine those fees and who will be paying the fees for the service.
When an employee is terminated in EENav, does the TPA get notified immediately or is there still a manual step? Once the agreed upon Go-live date has passed the QE or Initial Rights Notice life events that are processed in Employee Navigator will automatically be included in the file for the TPA. The TPA will come into Employee Navigator on their own schedule to pull events.
Does this service only cover COBRA QE or will it also handle Initial Rights Notice? This product has the functionality to handle COBRA QE and Initial Rights Notice reporting. Which reporting is sent to the TPA depends on the contract with the company.
If they elect COBRA will that feed back into EENav? No, Employee Navigator does not receive data back from the TPA. You will need to discuss with the TPA how enrollment and termination information should be handled for COBRA.
How can we see what QE’s have been submitted and when they were submitted? For phase 1 of this product release the visibility into this data is not available. You will want check in with your TPA to ensure that notices are transmitted. Employee Navigator will be working on an enhancement for this reporting feature so that in the future there will be more visibility into what has been reported to the TPA.
Will EENav maintain a record of the date notices were sent? No, the TPA is the record holder of this information and it will not be transferred back to Employee Navigator.
For more information on COBRA product, click here: https://employeenavigator.zendesk.com/forums/21173499-Cobra