Benefit Cost based on Participation Date

[Former Member]

In the last couple of years we have added two new benefits plans for Accident Indemnity and Cancer Indemnity. Now the plan rates are changing but only for "new" participants. If the employee was already participating and is not making any changes then their cost is supposed to remain at the rate that existed when they enrolled. However any new/changed participants will be paying at the new rate.

Also for the Cancer plan the cost is based on age groupings, but the employee's cost is not supposed to change as they grow older, Their rate is set as of their age at a given date (July 1) for the year they enroll and again that rate remains in effect throughout the remainder of their employment as long as they don't make any changes (add dependents, etc.)

I can think of a few of ways to handle this - set the alternative cost amt on the infotype when the employee is enrolled, create a new "plan" every time the rate changes (but that doesn't take care of my "aging" problem) or attempt to use a user exit to calculate the cost.

I would appreciate any advice or other suggestions on how to handle these plans.

Thank you!

Gail Vogel

[former_member56076]

I posted a very similar question, also to set a fixed cost date for a cancer-type insurance plan. Did you ever come to a solution for your problem?

TIA

Yvonne

[sarah_debza]

Hi Gail,

I don't know if it would help, but as far as I know if the employee is not re-enrolled into the plan the rates change are not apply, the original rate at which the employee originally enroll to will always be used.

So actually you should not re-enroll the employee every year, as long as the cost rule/variant will still be in the system, even if they have been delimited, they should still be calculated in payroll.

Best regards

Sarah

[Former Member]

Sarah,

Thanks for your reply. However we have other health plans where the rate changes every year and we don't re-enroll employees and the new rate takes effect so I don't think your suggestion to not re-enroll employees would work. Unless there is a piece in configuraiton that I'm missing that makes what you suggest work like that?

Gail