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On-Line Enrollment and Eligibility Management System

Date post: 10-Jan-2016
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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 Presentation
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On-Line Enrollment and Eligibility Management System OutsourceOnes WebOne version 5.5
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Page 1: On-Line Enrollment and Eligibility Management System

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

Page 2: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• Enrollment

• Administrator Features

• Billing

• EDI

• Administrative Services

Page 3: On-Line Enrollment and Eligibility Management System

OutsourceOne, Inc.

Founded in 1988Located in downtown Minneapolis, MN.Comprehensive Experience in Benefits Administration Svcs.National PresenceWe Do The Work!

Page 4: On-Line Enrollment and Eligibility Management System

On-Line Enrollment

Employee

Broker

Enroller

Employer

Page 5: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• Enrollment

Page 6: On-Line Enrollment and Eligibility Management System

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

Page 7: On-Line Enrollment and Eligibility Management System

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

Page 8: On-Line Enrollment and Eligibility Management System

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

Page 9: On-Line Enrollment and Eligibility Management System

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.

Page 10: On-Line Enrollment and Eligibility Management System

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.

Page 11: On-Line Enrollment and Eligibility Management System

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.

Page 12: On-Line Enrollment and Eligibility Management System

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.

Page 13: On-Line Enrollment and Eligibility Management System

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.

Page 14: On-Line Enrollment and Eligibility Management System

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.

Page 15: On-Line Enrollment and Eligibility Management System

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.

Page 16: On-Line Enrollment and Eligibility Management System

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.

Page 17: On-Line Enrollment and Eligibility Management System

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.

Page 18: On-Line Enrollment and Eligibility Management System

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.

Page 19: On-Line Enrollment and Eligibility Management System

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.

Page 20: On-Line Enrollment and Eligibility Management System

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.

Page 21: On-Line Enrollment and Eligibility Management System

SPD’s and Plan Documents can be stored in the Knowledge Base

SPD’s and Plan Documents can be stored in the Knowledge Base

Page 22: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• Administrator Features

Page 23: On-Line Enrollment and Eligibility Management System

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

Page 24: On-Line Enrollment and Eligibility Management System

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

Page 25: On-Line Enrollment and Eligibility Management System

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.

Page 26: On-Line Enrollment and Eligibility Management System

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

Page 27: On-Line Enrollment and Eligibility Management System

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.

Page 28: On-Line Enrollment and Eligibility Management System

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

Page 29: On-Line Enrollment and Eligibility Management System

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.

Page 30: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• Billing

Page 31: On-Line Enrollment and Eligibility Management System

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

Page 32: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• EDI

Page 33: On-Line Enrollment and Eligibility Management System

Employee Information Exchange

Health CarrierHealth Carrier

Current HRMSCurrent HRMSOther VendorOther Vendor

Current PayrollCurrent Payroll

Page 34: On-Line Enrollment and Eligibility Management System

OutsourceOne’s On-Line Solution

• Administrative Services – COBRA/HIPAA, FSA, Employee Service Center

Page 35: On-Line Enrollment and Eligibility Management System

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

Page 36: On-Line Enrollment and Eligibility Management System

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

Page 37: On-Line Enrollment and Eligibility Management System

Single point of contactPersonalized greetingsWarm & caring assistanceInquiry response & managementRight answer first timeGuaranteed response - even in peaksFulfillment

Employee Service CenterEmployee BenefitsEmployee BenefitsEmployee BenefitsEmployee Benefits

Page 38: On-Line Enrollment and Eligibility Management System

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]


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