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| Section | Weight | Objectives |
|---|---|---|
| Benefits Configuration Basics | 20% | - Benefits Groups and Eligibility Profiles - Benefits Year Periods and Plan Types - Coverage and Rate Configuration |
| Reporting and Administration | 15% | - Common Administrative Tasks - View and Analyze Enrollment Results - Benefits Reports and Analytics |
| Delta and Recertification | 10% | - Delta Exam Eligibility - Cloud Recertification Policy |
| Data Extraction and Integration | 15% | - Transmit Data to Plan Carriers - Set Up Benefits Extracts - Maintain Court Orders |
| Open Enrollment Management | 20% | - Configure Enrollment Display - Manage Open Enrollment Period - Prepare for Open Enrollment |
| Benefits Plans and Programs | 20% | - Flex Credits Setup - Collapsing Rules Configuration - Create Benefit Plans and Programs |
1. Intervening life event backed out open event
A) Rate visibility issue
B) Termination life event configuration
C) Termination life event configuration
D) Reinstatement rule events
2. The company has the following two plans:
1. Life Insurance Plan with Option 1: Employee only and Option 2: Employee Plus Family
2. Medical Insurance Plan with Option 1: Employee only. Option 2: Employee Plus Spouse, and Option 3: Employee Plus Spouse Plus Child The company wants to automatically enroll salaried employees into Medical Insurance Option 3: Employee plus Spouse plus Child, if the employee has enrolled into Life Insurance Plan Option 2: Employee Plus family.
Which is the correct configuration for this scenario?
A) Configure the eligibility profile with parameter - Personal > Person Type > Employee and Employment tab > Salaried o. Hourly as Salaried" Related coverage > Eligible in another option in plan and attach this to both the plans.
B) Configure the eligibility profile with parameter Person Type > Employee and Employment tab > Salaried or Hourly as Salaried and attach this to both the plans.
C) Configure the eligibility profile with parameter- Employment tab > Salaried or Hourly as Salaried and attach this to both the plans.
D) Configure the eligibility profile with parameter - Person Type > Employee and Employment tab > Salaried or Hourly as Salaried. Related coverage > Eligible for another plan and attach this to both the plans..
3. Your customer wants to create a new XX BeWell Medical Plan for the upcoming plan year 2018. What two steps must you perform as an administrator to stop existing participant enrollments and prevent new enrollments?
A) Edit the new plan with session effective date as January of the current plan year 2017, and the status as Active.
B) Create the new plan with session effective date as January 1 of the current year 2017, and the status as Pending.
C) Edit the new plan with session effective date as January l of the upcoming plan year 7018, and the status as Pending.
D) Create the new plan with session effective date as January 1 of the current year 2017. and the status as Active,
E) Edit the new plan with session effective date as January 1 of the upcoming plan year 2018, and the status as Active.
4. Which statement about Waive options is true?
A) Waive options are used so that employees can explicitly decline enrollment opportunities for which they are otherwise eligible.
B) Waive options are used when employees do not get an enrollment opportunity because they do not qualify for the required eligibility criteria.
C) Waive options are options into which employees ate compulsorily enrolled in case they do not complete the requited action items like certification, entering date of birth, etc.
D) Waive options are options which do not require any dependent/beneficiary designation.
5. Given:
1. A benefits administrator entered a New Hire event on May 1, 2015. The life event originally occurred on January 1, 2015.
2. The Transfer event occurred on January 10, 20lb.
3. The Timeliness rule was configured for both life events to 90 days and the collapsing rule was also set When the participation evaluation process runs on May 5, 2015, the process does NOT evaluate the Marriage event or collapse any events.
Which two are reasons for this?
A) The Marriage event occurred before the Transfer event.
B) The process doesn't evaluate other events that occur later than the Marriage event until you decide what action to take for that event.
C) No collapsing rule was set.
D) The employee is not eligible for life events.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: B |
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