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OneUSG Connect – Benefits Key Processes & Communication Toolkit

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1 OneUSG Connect – Benefits Key Processes & Communication Toolkit

2 Table of Contents Employee and Retiree Experience
OneUSG Connect – Benefits website OneUSG Connect – Benefit call center Key Business Processes New Hire/Newly Eligible Transfers/Rehires Retirement Plan Newly Eligible Enrollment QSC Dependent Verification Leave of Absences (LOA) Direct Billing and Payments Annual Enrollment Retiree Initial Enrollment Attain Medicare Eligibility Death of Retiree & Survivor Enrollment Power of Attorney/Legal Guardianship QMCSO Carrier & Vendor Files Carrier & Vendor Files Timing

3 Employee and Retiree Experience
OneUSG Connect - Benefits Website and Call Center

4 OneUSG Connect – Benefits website
Employees and retirees are able to: Review current benefits coverage Find doctors, hospitals or other healthcare providers in the plan’s network Keep track of healthcare expenses (including deductibles, coinsurance and copayments) Contact insurance carriers and other benefit resources Employees have the ability to: Make benefit changes due to a life status change (e.g., birth of a child, marriage)

5

6 OneUSG Connect -Benefits Call Center
Toll-free: USGBEN ( ) Representatives are available between 8 a.m. and 5 p.m. Eastern time, Monday through Friday Employees and retirees can call to: Receive answers about benefit plans Resolve technical issues Add or change beneficiary information Change benefits due to life events Retirees have the ability to: Update address information Provide their banking information for ACH direct debit payments

7 Key Business Processes

8 Process Flow: Newly Eligible
Processing Timing HR files are sent daily. (Hire action will flow on the HR file up to 30 days in advance) Enrollment events are triggered within 24 hours of receipt of employment data. Enrollment materials are sent within 24 hours of the event triggering. Confirmation materials will be sent within 24 hours of the event closing (elections complete or closing by default). Eligibility files will be sent to the carriers on the next carrier file. New payroll deductions will be sent on the next weekly payroll file. Employee is hired or moved into an eligible benefits status. USG HR/Payroll department sends employment data to Alight via the HR file. If employee determined benefits-eligible, Alight triggers the Newly Eligible enrollment event and kit.1 Employee receives the enrollment information via and mail. Employee can enroll in benefits through the OneUSG Connect – Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).2 Alight processes the enrollment event.3 Alight records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation . Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the employee. 1 New Hires will receive benefits depending on hire date. If hired on first of the month, all plans start as of that date. If hired after the first of the month, Basic Life/AD&D will start as of hired date and all other plans will start first of the following month, regardless of enrollment date. The enrollment event will remain open for the greater of 30 days from the enrollment notice print date or the benefits eligibility begin date. If dependents are added, then the Alight DVS verification process will begin; if EOI is required for election, Alight will trigger Online EOI form messages.

9 Communications: Newly Eligible
Enrollment Kit via mail will include: COBRA Rights Notice – Participant HIPAA Notice of Privacy Practices Creditable Coverage Disclosure Notice (if 65 or older) Enrollment Notice – Newly Eligible Enrollment Notice will be sent at initiation Confirmation Kit via mail will include: Confirmation of Benefits – Newly Eligible COBRA Rights Notice – Spouse (if spouse is added to COBRA-able plans) Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the employee) HC-5 Form (if the employee lives in Hawaii and declines Healthcare coverage) Confirmation of Benefits will be sent upon the event closing Sample Communications:

10 Process Flow: Transfers/Rehires
Employee is transferred from one institution to another. The current USG HR/Payroll department sends the termination data to Alight via the HR files. Alight processes the termination and updates the benefits and deductions. The new USG HR/Payroll department sends the rehire data for the new institution. If the employee is determined benefits-eligible, Alight updates the coverage and deductions based on prior elections. Alight processes the enrollment event.1 Alight records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation . Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the employee. 1 Rehires within 30 days are defaulted into prior coverage, effective the date of rehire. Benefits are effective through the end of the month with institution A. If the institution B rehire date crosses into the next month, benefits will be effective the hire date.

11 Important Notes: Transfers/Rehires
A midmonth transfer who starts at the new institution after the first of the month will have a gap in coverage. Transfers should not receive an enrollment window unless they are being offered a new benefit (ex. Moving to GA State they would be offered parking and transit FSA)

12 Examples of Timing: Transfers/Rehires
Last day institution A – 8/25 First day institution B – 9/4 Institution A covers through the end of August as with any termination. Institution B covers starting 9/4, with a gap in coverage for 9/1-3. Last day institution A – 8/10 First day institution B – 8/28 Institution B covers starting 9/1, first of following month. There is not gap since it didn’t cross a month.

13 Process Flow: Retirement Plan Newly Eligible Enrollment
Employee is hired or moved into an eligible benefits status. USG HR/Payroll department sends employment data to Alight via the HR file. If employee determined benefits-eligible, Alight triggers the Retirement Plan Newly Eligible enrollment event and . Employee receives the enrollment information via . Employee can enroll in benefits through the OneUSG Connect – Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).1 Alight processes the enrollment event. Alight records the employee’s elections and sends to Payroll via the Benefits Enrollment File.2 Employee works with Institution Practitioner to complete any additional information needed. Institution Practitioner sends eligibility files to the carriers. Processing Timing HR Files are sent daily. Enrollment events are triggered within 24 hours of receipt of employment data. Enrollment materials are sent within 24 hours of the event triggering. Reminder will be sent if no election made after 45 days. Payroll calculates the deductions and applies on the next paycheck. 1 Non-exempt employees default immediately into TRS. For exempt employees, the enrollment event will pend for 60 days from the date of hire. If the ORP option is elected, a TRS Opt-out form will be sent. If the Vested ERS Member option is elected, a Vested ERS Member form will be sent. If the TRS option is elected, no form will be sent.

14 Communications: Retirement Plan Newly Eligible Enrollment
Enrollment – sent at initiation Reminder Enrollment – sent at 45 days if no election made Confirmation Kit via mail will include: TRS Opt-out Form (if participant is enrolled in ORP option) Vested ERS Member Form (if participant is enrolled in Vested ERS Member option) Sample Communication:

15 Process Flow: QSC – Non-COBRA Qualifying
Employee reports QSC through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits. Alight processes the QSC event.1 Alight records the employee’s elections, updates payroll deductions or direct billing, and sends the confirmation kit and confirmation .2 Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the employee. Confirmation Kit via mail will include: Confirmation of Benefits – QSC COBRA Rights Notice – Spouse (if spouse is added to COBRA plans) COBRA Rights Notice – QMCSO Dependent (if QMCSO child is added to COBRA plans) HC5 Form (if the employee lives in Hawaii and declines Healthcare coverage) Processing Timing QSC events must be reported within 30 days of the life event. Communication statements will be sent within 24 hours of the event closing. Eligibility files will be sent to the carriers on the next carrier file. New payroll deductions will be sent on the next weekly payroll file. If dependents are added, then the Alight DVS verification process will begin; if EOI is required for election, Alight will trigger Online EOI form messages. Coverage that is updated between the 1st-15th of the month will have premiums applied for the whole month. If coverage is updated after the 15th of the month, then premiums will be updated as of first of the following month. This will be seen on the deductions file and financial reconciliation.

16 Process Flow: Qualified Status Change – COBRA Qualifying
Employee reports QSC through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits. Alight processes the QSC event.1 Alight records the employee’s elections, updates payroll deductions or direct billing, and sends the confirmation kit and confirmation .2 Dependents will begin the COBRA Initial Enrollment process (if applicable). Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the employee. Processing Timing QSC events must be reported within 30 days of the life event. Communication statements will be sent within 24 hours of the event closing. Eligibility files will be sent to the carriers on the next carrier file. New payroll deductions will be sent on the next weekly payroll If dependents are added, then the Alight DVS verification process will begin; if EOI is required for election, Alight will trigger Online EOI form messages. Coverage that is ending due to a COBRA Qualifying QSC will be effective the end of the month from the life event, with deductions/premiums being updated as of first of the following month.

17 Communications: Qualified Status Change – COBRA Qualifying
COBRA Enrollment Kit for the dependent(s) losing coverage will include: COBRA Information Notice COBRA Enrollment Notice Confirmation Kit via mail will include: Confirmation of Benefits – QSC COBRA Rights Notice – QMCSO Dependent (if QMCSO child is added to COBRA plans) HC5 Form (if the employee lives in Hawaii and declines Healthcare coverage) Sample Communications:

18 Process Flow: Dependent Verification
Employee adds a dependent to coverage and begins verification process through the DVS Portal (via Single Sign On). DVS sends the verification request letter via next day air mail to the employee.1 Employee can submit documents via fax, mail, or online. DVS reviews the documentation. If approved, process ends. If denied or documentation not received, Alight drops the dependent from coverage and updates payroll deductions effective first of the following month, and sends the drop notification. Alight sends updated eligibility files to the carriers if dependent is removed from coverage. Processing Timing Process initiated immediately following enrollment event when a new dependent is added to coverage. If documentation is not received by day 45, a reminder letter is sent by DVS team and 15 day grace period begins. Documentation is reviewed by the 60 day deadline. If coverage is changed, it will be reported to the carriers on the next carrier file. If deductions change, they will be reported to payroll on the next payroll file. 1 Participant has up to 60 days to provide valid documentation or dependents will be removed from coverage prospectively, 1st of the following month.

19 Timeline: Dependent Verification
Timing Summary: The standard verification window is a total of 60 calendar days for verification with a 6-business-day quality review period; The 60-day window includes a 45-day initial verification period with a 15-day grace period Document Review Process Notes: The standard turnaround for documentation review is generally 3 business days Foreign documentation may be submitted without translation Once documentation is reviewed, a status change letter is initiated informing the participant Valid Dependents: Spouse Children - Biological, Step, Disabled, Adopted, Foster and Court awarded custody

20 Timeline: Dependent Verification for Unverified Dependents
Timing Event/Action What's Communicated Day 1 Verification Request Notice Deadline List of Dependents Day 11 Reminder #1 Link to DVS portal Day 21 Reminder Notice (mail) Restates dates List of Dependents Day 31 Reminder #2 Day 45 Communicated Deadline N/A Day 46 Coverage Termination Notice Communicates the Coverage end date Provides the 15 day grace period deadline Day 60 Silent extension end date Day 67 Final Results Letter End of the verification process Option to Appeal

21 Communications: Dependent Verification
Sample Letter Description Sample Verification Letter Reminder Letter Status Change Letter Final Results Letter Termination Letter

22 Process Flow: Unpaid Leave of Absences
Processing Timing Process initiated immediately following receipt of the LOA status change When an employee begins unpaid LOA after the first of the month, the institution should collect premiums for the current month. Alight will begin billing the following month. When an employee returns to work mid- month, Alight will bill for that month and the institution will pick back up the first full month back. Direct billing effect date is the first day of the month following the change The HR Data File is received with the LOA Status and loaded into the Alight Database. Alight processes the Leave of Absence event. The change in status will update deductions and initiate direct billing. Alight records the employee’s election changes (if applicable), updates payroll deductions or direct billing, and sends the confirmation kit and confirmation .1 Alight sends eligibility files to the carriers. Confirmation Kit via mail will include: Confirmation of Benefits – Going on Leave Sample Communication: 1. Employee’s are only allowed to change from coverage to no coverage.

23 Process Flow: Direct Billing and Payments
Billing Notices are produced monthly on the 10th of the month, except for the first Billing Notice for newly billed participants, which is produced weekly. The Billing Notice covers the period from the premium effective date through the end of the month in which the participants have been billed. Note: initial bills will be for the current month and the upcoming month’s coverage. Billing Notices are produced around the 10th of the month for the next month’s coverage. Notices will be mailed within five business days after the tenth of the month. Payments are due on the first day of the month following the production of the Billing Notice, with a 30 day grace period, during which payment can be received before coverage is cancelled. The Billing Notice informs participants how they can enroll in direct debit to pay future bills. Automatic direct debit withdraws are processed on the first business day of the month, when bills are due. The deadline to enter banking information for automatic direct debit withdraws (ACH) without getting a bill is the 9th of the month. Sample Communication:

24 Example of Timing: Direct Billing and Payments
September October November Sept. 1st Sept. 5th Sept. 10th Sept. 15th Oct. 1st Oct. 9th Oct. 10th Oct. 15th Nov. 1st Employee retires Retirement status to OneUSG Connect – Benefits on HR file Initial bill created for Sept. & Oct. premiums Initial bill is mailed Payment due date Deadline for banking info for direct debit (ACH) payment for Nov billing If no banking info for direct debit provided by deadline, bill created for Nov. premiums All Nov. bills have been mailed

25 Process Flow: Annual Enrollment – Active Employee
Processing Timing Annual Enrollment will be system-triggered on a pre-determined date each year. Enrollment materials will be sent on a pre- determined date. Confirmation s will be sent upon election. A paper Confirmation statement will be sent after the AE window has closed on a pre- determined date. Eligibility files will be sent to the carriers by a pre-determined date. Payroll deductions for the upcoming year will be sent on a pre- determined date. Alight begins Annual Enrollment and calculates the employee’s options/prices and initiates default coverage and triggers the AE enrollment kit. Employee receives the enrollment information via and mail. Employee can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).1 Alight processes the enrollment event.2 Alight records the employee’s elections, calculates payroll deductions, and sends the confirmation kit and confirmation . Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the employee. 1 The enrollment event will pend for two weeks as designated by the USO. If dependents are added, then the Alight DVS verification process will begin; if EOI is required for election, Alight will trigger Online EOI form messages.

26 Communications: Annual Enrollment – Active Employee
Enrollment Kit via mail will include: HIPAA Notice of Privacy Practices Enrollment Worksheet – Passive Annual Enrollment Annual Enrollment Summary Guide Enrollment Notice will be sent at initiation Confirmation Kit via mail will include: Confirmation of Benefits COBRA Rights Notice – Spouse (if spouse is added to COBRA-able plans) Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the employee) Creditable Coverage Disclosure Notice (if 65 or older) HC-5 Form (if the employee lives in Hawaii and declines Healthcare coverage) Confirmation of Benefits will be sent upon election Sample Communication:

27 Process Flow: Annual Enrollment – COBRA Participant
Alight begins Annual Enrollment and calculates the participant’s options/prices and initiates default coverage and triggers the AE enrollment kit. Participant receives the enrollment information via mail. Participant can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).1 Alight processes the enrollment event. Alight records the participant’s elections, updates direct billing, and sends the confirmation kit and confirmation . Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the participant. Processing Timing Annual Enrollment will be system-triggered on a pre-determined date each year. Enrollment materials will be sent on a pre- determined date. Confirmation s will be sent upon election. A paper Confirmation statement will be sent after the AE window has closed on a pre- determined date. Eligibility files will be sent to the carriers by a pre-determined date. 1 The enrollment event will pend for two weeks as designated by the USO.

28 Communications: Annual Enrollment – COBRA Participant
Enrollment Kit via mail will include: HIPAA Notice of Privacy Practices COBRA Annual Enrollment Notice Confirmation Kit via mail will include: COBRA Confirmation of Benefits COBRA Termination Notice (if all COBRA coverage is dropped) Summary of Benefits and Coverage (if dependent is added to Healthcare coverage and has a separate address from the participant) Confirmation of Benefits will be sent upon election

29 Process Flow: Annual Enrollment – Retirees/Survivors
Processing Timing Annual Enrollment will be system-triggered on a pre-determined date each year. Enrollment materials will be sent on a pre- determined date. Confirmation s will be sent upon election. A paper Confirmation statement will be sent after the AE window has closed on a pre- determined date. Eligibility files will be sent to the carriers by a pre-determined date. Alight begins Annual Enrollment and calculates the retiree’s/survivor’s options/prices and initiates default coverage and triggers the AE enrollment kit. Retiree/Survivor receives the enrollment information via mail. Retiree/Survivor can enroll in benefits through the OneUSG Connect - Benefits Call Center or online at OneUSG Connect - Benefits (via Single Sign On from the HR Portal).1 Alight processes the enrollment event. Alight records the retiree’s/survivor’s elections, updates direct billing, and sends the confirmation kit and confirmation . Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the retiree/survivor. 1 The enrollment event will pend for two weeks as designated by the USO.

30 Communications: Annual Enrollment – Retirees/Survivors
Enrollment Kit via mail will include: HIPAA Notice of Privacy Practices Enrollment Worksheet – Passive Annual Enrollment Annual Enrollment Summary Guide Summary of Benefits and Coverage Confirmation Kit via mail will include: Confirmation of Benefits Summary of Benefits and Coverage (if dependent is added to Pre-65 Retiree Healthcare coverage and has a separate address from the retiree/survivor) Confirmation of Benefits will be sent upon election

31 Process Flow: Retiree Initial Enrollment
Processing Timing HR Files are sent daily. Enrollment events are triggered within 24 hours of receipt of employment data. The event will close and process within 24 hours of event trigger. Confirmation materials sent within 24 hours of the event closing. Eligibility files will be sent to the carriers on the next carrier file. An initial bill will be generated the following Sunday, or on the 10th of the month (depending on timing of enrollment). Employee retires USG HR/Payroll department sends employment data to Alight via the HR file. Alight ends active coverage and payroll deductions, and begins retiree coverage and direct billing, and sends the confirmation kit. Employee receives the enrollment confirmation materials via mail.1 Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the retiree. Confirmation Kit via mail will include: Confirmation of Benefits – Retirement 1 The employee will be allowed to make limited changes, such as dropping coverage or dropping dependents, within 30 days of the confirmation statement. They will contact the OneUSG Connect - Benefits Call Center to make changes.

32 Process Flow: Attain Medicare Eligibility – Active Employee or Spouse of Active Employee
Alight identifies employee’s/spouse’s 65th birthday milestone. Alight updates employee’s/spouse’s account with a Medicare Eligible indicator of Y as of the Medicare Eligible begin date. If employee is enrolled in the HSA, Alight will send an HSA Enrollment letter. Processing Timing The birthday milestone event is automatically initiated 120 days in advance of employee/spouse turning age 65. Sample Communications:

33 Process Flow: Attain Medicare Eligibility – Retiree or Spouse of Retiree
Retiree/Spouse initiates enrollment in Retiree Exchange.1 Alight identifies retiree’s/spouse’s 65th birthday milestone. Alight updates retiree's/spouse’s account with a Medicare Eligible indicator of Y as of the Medicare Eligible begin date. Alight processes the enrollment event to update the Pre-65 Healthcare plan’s coverage depending on remaining covered family members. Alight updates direct billing deductions, and sends the confirmation kit.2 Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the retiree/spouse. Confirmation Kit via mail will include: Confirmation of Benefits – Medicare Processing Timing The birthday milestone event is automatically initiated 120 days in advance of retiree/spouse turning age 65. Confirmation materials will be sent within 24 hours of the event closing. Eligibility files will be sent to the carriers on the next carrier file. 1 The Medicare enrollment process is initiated approximately 13 months prior to the retiree/spouse’s 65th birthdate and will be separate from Alight TBA. The coverage and coverage tier will be defaulted based on requirements. The coverage update is effective the 1st of the month in which the retiree turns 65 or the 1st of the prior month if the birthdate falls on the 1st day of the month.

34 Process Flow: Death of Retiree & Survivor Enrollment
Beneficiary/Survivor or Institution Practitioner reports death to the OneUSG Connect - Benefits Call Center. Alight processes the death event ending retiree coverage and direct billing, and sends the life claim file.1 Alight Life Benefits Specialist contacts Survivor to offer condolences and general information. Alight sends eligibility files to the carriers reporting the coverage ending. Carriers send death benefit to Beneficiary (if applicable). If remaining dependents determined eligible for survivor benefits, Alight triggers the Survivor Auto Enrollment event.2 Alight updates coverage, begins direct billing, and sends the Confirmation Kit via mail. Alight sends eligibility files to the carriers. If applicable, the carrier sends ID cards to the survivor. Confirmation Kit via mail will include: Confirmation of Benefits – Survivor Processing Timing Death events are triggered within 24 hours of notification. Eligibility files will be sent to the carriers on the next carrier file. Survivor Enrollment events are processed immediately following the Death event. Confirmation materials will be sent within 24 hours of the event closing. 1 Life claims will only be processed if the Retiree has applicable life insurance. A new record-keeper survivor account will be automatically enrolled into the prior coverage from the deceased participant's account. If the survivor is of an active employee but the spouse is 65 or older, he/she is eligible for the HRA if he/she enrolls in the Exchange. HRA data will be setup on the survivor’s account.

35 Process Flow: Power of Attorney/Legal Guardianship
Employee or Agent/Guardian calls the OneUSG Connect - Benefits Call Center to request POA/Legal Guardianship rights. Alight answers questions about the process and/or receives legal paperwork. POA Administration team reviews and makes determination. If denied, employee or guardian receives notice of denial. If approved, Alight sends security code and notice of approval. Processing Timing The POA Administration Team tracks details and timing. They will review submissions based on employer and state law requirements to make a determination.

36 Communications: Power of Attorney/Legal Guardianship
Potential materials sent via mail include: POA P01—Power of Attorney Approval Notice (Agent) POA P02—Power of Attorney Approval Notice (Principal) POA P05—Power of Attorney Denial Notice (Agent) POA P06—Power of Attorney Denial Notice (Principal) POA P07—Power of Attorney Revocation Notice (Agent) POA P08—Power of Attorney Revocation Notice (Principal) POA P09—Power of Attorney Security Code Reset Notice (Agent) POA R01—Revocation of Power of Attorney GUA G01 - Guardianship Approval Notice (Guardian) GUA G02 - Guardianship Approval Notice (Ward) (aka Customer) GUA G04 - Guardianship Denial Notice (Guardian) GUA G05 - Guardianship Denial Notice (Ward) (aka Customer) GUA L02 - Legal Guardianship Security Code Reset Notice (Guardian) Sample Communication: GSK benefits Center document Alight

37 Process Flow: QMCSO A Qualified Medical Child Support Order is a court order that requires a parent to provide health care coverage for a dependent child. The court order generally requires the parent to provide a certain type of health care coverage (i.e., medical, dental, vision) until the dependent reaches a certain age regardless of the dependent's status in the employer plan. Documentation is submitted directly to the QMCSO Services via: Online: Fax: (Attn: University System of Georgia QMCSO) Mail: University System of GA QMCSO Team PO Box 1542 Lincolnshire, IL The documentation is reviewed to determine whether it is qualified or not qualified If qualified, the QMCSO dependent is added to the Health plan; If employee is not enrolled in coverage prior to QMCSO, they will be enrolled in default coverage (Comprehensive Care plan) Deductions are updated on the Alight system Alight sends eligibility files to the carriers. Processing Timing Documents are processed within 15 days once received QMCSOs can apply until the dependent reaches the plan's limiting age or until the employee no longer works for the employer.

38 Carrier & Vendor Files

39 Carrier & Vendor Files Timing


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