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How to Carry Forward Plan Enrollment Coverage Requirements When Processing a Subsequent Life Event (Doc ID 745886.1)

Last updated on JUNE 10, 2021

Applies to:

Oracle Advanced Benefits - Version 11.5.10.2 and later
Information in this document applies to any platform.

Goal

Scenario:

Customer is attempting to set up a certification requirement for the first time during the Open enrollment life event for existing plans.

The certification requirement has been setup for the Open life event at:
Plan Enrollment Requirements form > General tab > Plan tab > Coverage alternate region > Coverage Restrictions button > Life Event Reason button > Life Event = Open.

When the Open life event is processed, the interim coverage is assigned and the enrollment is suspended until the certification is provided, as expected.

However, when a subsequent life event occurs and is processed, the interim coverage and the required certification/action item are wiped out. 
Only the suspended enrollment remains and the Suspended indication is gone.


Why is the requirement not carrying forward the enrollment requirements when the subsequent life event is processed and the certification has still not been provided?

 

Solution

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In this Document
Goal
Solution
References

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