Existing Plan Option Not Getting Into Interim And Suspend Mode After Adding A New Beneficiary (Doc ID 2317209.1)

Last updated on JULY 08, 2024

Applies to:

Symptoms

You have enabled  the “Dependent Certification Required” Fast Formula in the system to trigger a certification when there is a new dependent added to the existing plan option or to a new plan option. This is working as expected except for one scenario as stated below:

Scenario Number 1 (Working as expected):

A use case where an employee is previously in the “Emp+Spouse” plan option moves to the “Emp+Family” plan option and the certification is triggered for the new dependent added.
The old plan option (Emp+Spouse) is going into Interim mode and newly selected plan option (Emp+Family) is going into suspend mode till the required certificate is submitted in the system.

Scenario Number2 (NOT working as expected):

If the employee was previously enrolled into the “Emp+Family” plan option and if the employee now wants to add a new dependent to the existing plan option (i.e., Emp+Family) only then the required certification is getting triggered but it is not creating two records in the system - one a suspended and another for interim as it is doing in use case 1.
 

STEPS
The issue can be reproduced at will with the following steps:

1. Add a new dependent  to existing plan option – ( Emp & Child(ren))
2. Check View enrollments results> the plan does not go into interim and suspended

Cause

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