Configuring Critical Illness Plan (Age-Banded and Tiered)

This article includes a walkthrough of how to create a rate-based Critical Illness option for employees, with details on creating the coverage line, associating a plan, adding rates, building and connecting a deduction, and configuring rules, if applicable.

Adding a Coverage Line

To add a coverage line for Critical Illness:

1. Navigate to Namely Payroll.

2. Click Enrollment Setup.

3. Click Coverage Line > Add.

See below for an example of the coverage line setup for ​a​ typical Age-Banded/Tiered Critical Illness Plan: 

 

Adding the Carrier (if applicable)

If this is the first time you will be offering a plan from this carrier, you will need to add a new carrier for your Critical Illness coverage:

1. Click Enrollment Setup > Carrier > Add.

2. Use the dropdown menu to select the carrier.

3. Enter in a custom Carrier Name.

4. Click Save.

 

Creating Plans

To create a Critical Illness plan:

1. After your coverage line has been created, click Plan > Add Plan.

2. Enter the required fields:

• Plan Name

• Start Date

• Child Over Age

• Student Limiting Age

• Premium Adjust Months

3. If the Critical Illness plan has a different waiting period than the class eligibility, use Override Wait Period.

See below for an example of a typical Age-Banded/Tiered Critical Illness Plan setup:

 

Adding Rates

To add rates once the plan has been created:

1. Use the Coverage Line dropdown to select Accident Coverage.

2. Click Edit Rate next to your newly created plan > Add Plan Rates.

3. Fill out the necessary Plan Levels from the dropdown selections.

4. Add in the Rate (total premium), Monthly EE Contribution, and Per Pay Period Amount > Save.

See below for an example of a typical rate setup:

 

Creating a Deduction

To create a deduction and attach it to the newly created Critical Illness plan:

1. In Namely Payroll, click Company > Deductions > Add.

2. Enter the following fields:

• Deduction Type

• Deduction Code

• Deduction Name

• Start Date

• Paid By

See below for an example of a typical Critical Illness deduction:

Note: in order to attach the deduction to the plan immediately, the start date must be before the current date, or it will not appear in the next steps.

To connect the deduction to the plan itself:

1. After the deduction has been created, go back to Enrollment Setup > Plan.

2. Choose Critical Illness from the Coverage Line dropdown menu.

3. Attach the deduction by using the dropdown selection from the Deduction field on the plan.

4. Click Save Changes.

 

Adding Rules (if applicable)

Most Critical Illness plans require enrollment in a medical plan. Some only require a general enrollment in a medical plan of your choosing while others will require enrollment in a plan sponsored by the employer. 

If the employee is required to be enrolled in plan sponsored by the employer, submit a case in the Help Community. A rule will be added on the backend by a service consultant to tie the Medical coverage line to the Critical Illness coverage line.