Hello! If someone could help with this, I'd be eternally grateful. I have seen this posted previously with no answers, so I'm hoping someone now has info to supply.
I have insurance plans with the following parameters: for new hires there is no EOI for amounts to $100k. Amounts > $100k require EOI. This is simple to configure.
The problem is that this ONLY applies to NEW HIRES. It does not apply to initial enrollment. If the employee did not take the coverage during new hire, they MUST provide EOI no matter what the $ amount of coverage being requested when they enroll. So, for any other adjustment reason, they must provide EOI for ANY amount.
I tried using IT0378 adjustment reasons in combination with two different plans -a new hire plan with the parameters above and an "other" plan for all other adjustment reasons. The problem with this is that, obviously, they can enroll in BOTH plans. (different plan types so I can configure adjustment reasons)
Any ideas on what other approaches to take here?
Thanks in advance!