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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Eligibility and Life Events | 25% | - Enrollment eligibility and restriction setup - Life event types, triggers and processing rules - Collapsing rules and event processing |
| Topic 2: Core Benefits Setup | 10% | - Carrier and third-party integration setup - Plan year and organizational structure configuration - Benefits Cloud architecture and components |
| Topic 3: Benefits Design and Configuration | 30% | - Rate definitions, contributions and calculations - Eligibility profiles and rule definition - Plan types, classifications, programs and options creation |
| Topic 4: Enrollment and Processing | 25% | - Enrollment rules, periods and default elections - Self-service enrollment configuration - Flex credits, cost sharing and coverage setup |
| Topic 5: Integration, Administration and Reporting | 10% | - Reporting, analytics and enrollment results - Benefits extracts, data transmission and billing - Integration with HR and Payroll modules |
An organization has a scheduled open period for Life Insurance plan from January 1st to the 31st. The important dates defined while configuring the scheduled open life event are:
1) Enrollment Period Start Date - January 1, 201/
2) Enrollment Period End Date - January 31, 2017
3) Assign Defaults Date - January 31, 2017
4) Assigned Life Event Date - January 15, 2017
5) Coverage Start Date - Latest of elections, event or notified
The batch process to assign the open life event was run effective December 28, 2016. An employee makes an election on January 22, 2017.
What is the coverage start date for this employee?
Correct Answer: C 🗳️
This is the configuration of a collapsing life event rule:
Life event = Marriage & Dependent
Operator = AND
Resulting Event Name = Dependent
Life Event Occurred Date = Earliest Life Event Occurred Date
Proximity Days = 0
You run the collapsing rule in the scenario:
1. Marriage event occurs on August 1, 2015.
2. Dependent event occurs on August 1, 2015.
What is the result?
Correct Answer: B 🗳️
Termination life event configuration
Correct Answer: B 🗳️
Given that premiums are calculated on a monthly basis in accordance with the most common business of benefit suppliers. What can you define so that participants who are covered by a plan for less than a full have no premium obligation?
Correct Answer: B 🗳️
Can be defined in spending options
Correct Answer: A 🗳️
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