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How Does One Handle Surcharge Where an Employee Enrolls Spouse With Access to Their Own Health Plan (Doc ID 2336933.1)

Last updated on JULY 18, 2022

Applies to:

Oracle Advanced Benefits - Version 12.1 HRMS RUP9 and later
Information in this document applies to any platform.


How to apply a surcharge where an employee enrolls a spouse and that spouse could have access to their own health plan coverage from the spouse's employer.

Employers with health plans offer coverage to their employees and their employee's families where the employee and their spouse each have access to health plans and the employee chooses to enroll their spouse in family coverage, the spouse's employer likely either has a plan waive recorded or there is no enrollment. The employer providing the coverage wants to collect a surcharge for allowing the spouse to enroll. This is due to their perspective that if the spouse took coverage with the spouse employer, the employer offering the coverage could avoid some cost.


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