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January 25, 2022

We always seek to process groups’ enrollment forms as quickly as possible so members receive their member ID cards prior to their effective date. During the recent open enrollment (OE) season, a number of groups’ submissions were delayed due to incomplete forms. Below are the items most frequently missed on enrollment forms and what you can do to prevent delaying processing.

• Incomplete applications: Make sure there are no blank fields and that class and plan selections are made. When there are no empty fields, be sure that the form is signed by an authorized group employee.
• Incorrect effective dates: Effective dates must be verified when a new member is enrolled during OE to determine whether the member is to be retroactively added for the current plan year. If they’re being added for the renewal date, properly check the OE box on the enrollment form.
• Incorrect probationary periods: When there’s a question about a group’s probationary period, you can verify it by checking their account in Producer Center or contacting your account representative. We also have a probationary period calculator we can send you.
• State continuation: You must provide confirmation of premium received for members going on state continuation. Without confirmation, we cannot enroll the member.
• Enrolling new groups: When submitting a new group spreadsheet, double-check that all the necessary information is included—especially birthdates and Social Security numbers—for all enrolling employees and dependents.
• Deductibles: For groups offering multiple plans with the same metallic name (e.g. Gold 2000, Gold 1500, etc.), please ensure each member identifies their chosen deductible.

• Gender identification: Each member must gender select either female or male. If an enrollee identifies as non-binary, they can write it on the form to be noted in our system. But either female or male must still be selected on the form.

Other ways you can help us prevent delays in groups’ enrollment processing:

• Legibility: Please make sure writing is neat and legible. If scanned, ensure that the form is clear and free of wrinkles and smudges that can reduce readability.
• Avoid duplicates: Please don’t send multiple forms each time a change or update is needed. Please contact your account representative instead.

• Go paperless: If you have access to our online enrollment system, please continue using it. Sending in paper applications will discontinue your access to online enrollment.

Taking these simple steps and ensuring completion of enrollment forms will enable us to process enrollment in 7 to 10 business days. Forms missing information take much longer, depending on what’s missing. We appreciate your attention to these details and look forward to serving you and our groups in 2022!

In accordance with the Consolidated Appropriations Act of 2021 (CAA), we began issuing new member ID cards showing deductibles and out-of-pocket maximums for all covered services to all members beginning with January 1, 2022, effective dates. Please remind your groups and their subscribers with dependents to expect separate member ID cards for each covered dependent. Up to five member ID cards can be mailed in one envelope, so subscribers with five or more covered dependents will receive multiple envelopes. Member ID numbers are not changing.

Providers can call 1 (800) 452-6333 to confirm coverage for members seeking care without their member ID card. Members in groups with an adult dental rider will receive separate dental ID cards.

Questions? Please contact your account representative.