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Question/Topic
I found an LTD form in my employee's file, and it was not enrolled online. Therefore, the agency has never collected premiums from the employee. How should I handle this?
Answer/Article

 

If the coverage was applied for within 31-days of eligibility and the effective date is:

  • Within the last 3 months, the employing agency may key the correct eligibility and enrollment into the PAY1 system and collect back premiums from the employee. 
  • Older than 3 months, the employing agency should submit a request for adjustment through FUZE PersPay incident e-mail  (www.fuzeqna.com/perspay/consumer/question.asp) and provide documentation of the error or delay.

If the coverage was applied for beyond 31-days of eligibility and the signature date is:

  • Within 60 days of todays date, enroll the coverage into PAY1 (pend status) and forward a copy to Standard Insurance Company.
  • Older than 60 days, the employee must re-apply by completing a new form.  (Standard Insurance Company will not accept applications with dates older than 60 days).

 

Should an employee disagree with a denial or decision made about benefits offered through PEBB, refer to the Appeals Process for guidance.

 


Related Items
Life Insurance: Procedure Manual (ReliaStar)
LTD Long Term Disability Application Procedures
KBID 52
Date Modified 2/13/2009
Date Created 4/26/2007

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