on-line enrollment and eligibility management system
DESCRIPTION
Outsource One ’s Web One version 5.5. On-Line Enrollment and Eligibility Management System. Outsource One ’s On-Line Solution. Enrollment Administrator Features Billing EDI Administrative Services. Outsource One , Inc. Founded in 1988 Located in downtown Minneapolis, MN. - PowerPoint PPT PresentationTRANSCRIPT
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On-Line Enrollment and Eligibility
Management System
On-Line Enrollment and Eligibility
Management System
OutsourceOne’s WebOne
version 5.5
OutsourceOne’s WebOne
version 5.5
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OutsourceOne’s On-Line Solution
• Enrollment
• Administrator Features
• Billing
• EDI
• Administrative Services
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OutsourceOne, Inc.
Founded in 1988Located in downtown Minneapolis, MN.Comprehensive Experience in Benefits Administration Svcs.National PresenceWe Do The Work!
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On-Line Enrollment
Employee
Broker
Enroller
Employer
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OutsourceOne’s On-Line Solution
• Enrollment
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Welcome to WebOne!
• Single sign-on portal for employees and HR
• Clean, easy to comprehend format
Welcome to WebOne!
• Single sign-on portal for employees and HR
• Clean, easy to comprehend format
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Participants log onto WebOne in the same way as administrators – First time participants are required to create their own User ID and Password.
Participants log onto WebOne in the same way as administrators – First time participants are required to create their own User ID and Password.
Participants must acknowledge a disclaimer regarding the use of on-line elections in enrollment before continuing
Participants must acknowledge a disclaimer regarding the use of on-line elections in enrollment before continuing
New users create their own user ID and password
New users create their own user ID and password
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Rules set by the administrator determine which enrollment options each participant sees when they log on, from New Hire to Open Enrollment to Marketplace (voluntary products) only.
Rules set by the administrator determine which enrollment options each participant sees when they log on, from New Hire to Open Enrollment to Marketplace (voluntary products) only.
Employees or participants can log on at any time and use the navigation tabs to view their profile or benefit elections
Employees or participants can log on at any time and use the navigation tabs to view their profile or benefit elections
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There are two enrollment processes for administrators to choose from—a traditional process with no assistance, and WebOne’s new Benefit Planner. In the Benefit Planner, participants answer questions about how they anticipate using the coverage in the coming year, and WebOne will provide a comparison of fixed and out of pocket costs for each of their plan options.
There are two enrollment processes for administrators to choose from—a traditional process with no assistance, and WebOne’s new Benefit Planner. In the Benefit Planner, participants answer questions about how they anticipate using the coverage in the coming year, and WebOne will provide a comparison of fixed and out of pocket costs for each of their plan options.
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The first step is to review and add home address, dependents, and beneficiary information so that the participant can assign different dependents and beneficiaries to different plans.
The first step is to review and add home address, dependents, and beneficiary information so that the participant can assign different dependents and beneficiaries to different plans.
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My Benefit Planner has predictive tools for modeling health and life benefits,as well as allocation of FSA and HRA funds. All are available within the enrollment wizard, allowing participants to become active partners in their benefit plan choices.
My Benefit Planner has predictive tools for modeling health and life benefits,as well as allocation of FSA and HRA funds. All are available within the enrollment wizard, allowing participants to become active partners in their benefit plan choices.
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The process starts with participants choosing the eligibility level and dependents they wish to cover.
The process starts with participants choosing the eligibility level and dependents they wish to cover.
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Participants answer a short series of questions about benefit plan use and WebOne provides them with a comparison of their options. Benefit comparisons can be done for medical, dental, vision, and life plans.
Participants answer a short series of questions about benefit plan use and WebOne provides them with a comparison of their options. Benefit comparisons can be done for medical, dental, vision, and life plans.
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The comparison shows out of pocket and premium costs, as well as any HRA amounts.
The comparison shows out of pocket and premium costs, as well as any HRA amounts.
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WebOne tracks the out of pocket amounts estimated by the participant’s answers and can create an automatic FSA election.
WebOne tracks the out of pocket amounts estimated by the participant’s answers and can create an automatic FSA election.
Other participant tools assist in determining life insurance needs and flexible spending account elections.
Other participant tools assist in determining life insurance needs and flexible spending account elections.
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If an employer chooses to offer the OutsourceOne suite of voluntary products, the products to be offered can be chosen by the administrator and appear as part of the employer’s enrollment.
If an employer chooses to offer the OutsourceOne suite of voluntary products, the products to be offered can be chosen by the administrator and appear as part of the employer’s enrollment.
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Pop up boxes are available during the enrollment process to provide benefit or enrollment assistance.
Pop up boxes are available during the enrollment process to provide benefit or enrollment assistance.
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An enrollment summary gives participants an opportunity to review their elections before enrolling.
An enrollment summary gives participants an opportunity to review their elections before enrolling.
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At the end of enrollment, participants are provided with a printable benefit summary page showing their elections.
At the end of enrollment, participants are provided with a printable benefit summary page showing their elections.
This form can be printed at the time of enrollment or at any other time throughout the year.
This form can be printed at the time of enrollment or at any other time throughout the year.
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Participants can enter WebOne at any time, from any Internet capable computer, to view personal information, Knowledge Base items, FSA claim information, or print a current benefit statement.
Participants can enter WebOne at any time, from any Internet capable computer, to view personal information, Knowledge Base items, FSA claim information, or print a current benefit statement.
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SPD’s and Plan Documents can be stored in the Knowledge Base
SPD’s and Plan Documents can be stored in the Knowledge Base
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OutsourceOne’s On-Line Solution
• Administrator Features
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Human Resources staff signs on with Administrator privileges and uses the Administration menus to navigate the site
Human Resources staff signs on with Administrator privileges and uses the Administration menus to navigate the site
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The ESS screen allows HR staff to configure WebOne’s functions and availability to employees
The ESS screen allows HR staff to configure WebOne’s functions and availability to employees
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Administrators have access to a large number of other functions, including a call log, change approval queues, 24/7 real time eligibility, COBRA, and FSA reports, and employee communication functions.
Administrators have access to a large number of other functions, including a call log, change approval queues, 24/7 real time eligibility, COBRA, and FSA reports, and employee communication functions.
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Administrators can search for participants from any screen, jump to other functions using the drop down menus, or access the links and documents in the Knowledge Base
Administrators can search for participants from any screen, jump to other functions using the drop down menus, or access the links and documents in the Knowledge Base
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A wide variety of standard, on-line, real time reports allow administrators to manage enrollment.
A wide variety of standard, on-line, real time reports allow administrators to manage enrollment.
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Other functions available to the administrator level user are views of participant benefits, reporting, and an optional messenger queue for instantaneous communication with participants during open enrollment
Other functions available to the administrator level user are views of participant benefits, reporting, and an optional messenger queue for instantaneous communication with participants during open enrollment
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COBRA Administration
FSA/HRA Administration
Employee Service Center
Health & Welfare(Consolidated Billing)
Secure FTPData Feeds to
Ancillary Vendors
Client HR Internet Access
to Data
Participant On-Line
Enrollment
Third Party Administrator
Internet Access to Data
Integrated Administrative Services
OutsourceOne’s WebOne Single Data Base, On-line
Enrollment Engine
The WebOne Model is a true rules based, integrated on-line total eligibility management system.
The WebOne Model is a true rules based, integrated on-line total eligibility management system.
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OutsourceOne’s On-Line Solution
• Billing
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Billing Process – Consolidated Billing to Client Employers
Consolidated billing gives client
employers detailed premium and plan
information by employee
Consolidated billing gives client
employers detailed premium and plan
information by employee
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OutsourceOne’s On-Line Solution
• EDI
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Employee Information Exchange
Health CarrierHealth Carrier
Current HRMSCurrent HRMSOther VendorOther Vendor
Current PayrollCurrent Payroll
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OutsourceOne’s On-Line Solution
• Administrative Services – COBRA/HIPAA, FSA, Employee Service Center
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COBRA/HIPAA Administration
Monthly ParticipantMonthly ParticipantReportingReporting
ImplementationImplementation& Set up& Set up
Vendor EligibilityVendor EligibilityManagementManagement
Dependent COBRADependent COBRAAdministrationAdministration
ParticipantParticipantPaymentPaymentCollectionCollection
Transfer of Transfer of ParticipantsParticipants
BeneficiaryBeneficiaryNotificationNotification
Election PeriodElection PeriodAdministrationAdministration
COBRACOBRAAdministrationAdministration
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FSA Administration
Claims ProcessingClaims Processing& Administration& Administration
Legislative SupportLegislative Support& Compliance& ComplianceLegislative SupportLegislative Support& Compliance& Compliance
Employer &Employer &ParticipantParticipantServicesServices
Employee/ParticipantEmployee/ParticipantCommunicationsCommunications
EnrollmentEnrollmentOptionsOptions
Management &Management &Participant ReportingParticipant Reporting
FSAFSAAdministrationAdministration
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Single point of contactPersonalized greetingsWarm & caring assistanceInquiry response & managementRight answer first timeGuaranteed response - even in peaksFulfillment
Employee Service CenterEmployee BenefitsEmployee BenefitsEmployee BenefitsEmployee Benefits
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WebOne—an integrated, affordable, easy to use
enrollment, eligibility, and administrative system.
For more information contact OutsourceOne by calling 1-612-338-
7940 or sending an e-mail to [email protected]
WebOne—an integrated, affordable, easy to use
enrollment, eligibility, and administrative system.
For more information contact OutsourceOne by calling 1-612-338-
7940 or sending an e-mail to [email protected]