Existing Plan Option Not Getting Into Interim And Suspend Mode After Adding A New Beneficiary
Last updated on NOVEMBER 06, 2017
Applies to:Oracle Advanced Benefits - Version 12.1.3 and later
Information in this document applies to any platform.
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.
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
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