How to Create Plans and Rates
How to create a plan and add plan rates.
Details
The instructions provided in this article only applies to certain plans. Please refer to the below for more information regarding the different Plan Setups:
Creating a New Plan
Namely creates your organization's plans during implementation. To access your plans, go to your benefits site in Payroll and click Plan in the left column.
To add a new plan:
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Click Add Plan.
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Enter the Plan Name.
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Enter the Enroll Plan Name to display to your employees.
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Note: The Enroll Plan Name typically matches what was entered as the Plan Name.
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Enter the plan’s Start Date.
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Select the Client Coverage Line from the dropdown menu.
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Enter the Policy Number (optional).
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Enter the Plan Type: Rate or Volume.*
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Enter the Volume Type (if applicable).*
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Enter the Plan Tier.*
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*Note: The Plan Type, Volume Type, and Plan Tier should match exactly what was entered under Coverage Line.
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Select whether the plan is Contributory (whether the employee contributes).
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Enter the Display Order (for multiple plans in a coverage line).
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Select Monthly for the Duration Type.
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Enter any desired Notes.
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Select a Client Carrier from the dropdown menu.
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Enter the Carrier URL.
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Select whether to use the Carrier URL.
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Enter a Child Over Age (age at which point a child dependent is no longer eligible).
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Enter a Student Limiting Age (age at which point a student dependent is no longer eligible)
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Complete additional eligibility rules
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Selectwhether you want to Override Wait Periods.
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Use the Wait Period dropdown to select when benefits should kick in.
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Enter the number of Wait Period Units when appropriate.
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Note: Override Waiting Period should only be selected if it differs from the waiting period set up at the class level.
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Select a Termination Period for benefits.
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Enter the number of Termination Period Units when appropriate.
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Complete any rounding rules or zip code mapping, including:
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Select Auto Calculate Premium.
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Enter 2 as a default value under Premium Adjust Months.
Note: This value may differ depending on the carrier.
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Click Save.
Adding Plan Rates
Once you’ve created a plan, you’ll need to add its rates. Namely will create your initial plan rates during implementation, but administrators can update them annually when they need to be changed.
Note: Depending on the type of plan, rate schedules and other setup requirements will differ.
To update your plan’s rates:
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Select Edit Rate next to the desired plan.
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To add a plan rate, select Add Plan Rate.
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To edit a plan rate, select Edit Plan Rate.
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Enter the rate Start Date.
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Select the Plan Level.
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Enter the total monthly Rate.
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Enter the Monthly Employee Contribution.
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Select the Pay Period.
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Note: Be sure to consider whether your pay is processed on a semi-monthly or bi-weekly basis.
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Enter the employee Pay Period Amount.
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Click Save.