Fixed-payment coverage is set up differently than more traditional forms of medical insurance. Because premium needs to be received before the effective date, it's important to understand how a new case is set up.
Successful enrollments happen when you and the group’s benefits specialist have a plan and work together to educate eligible workers on the opportunity being offered to them.
Establish the effective date of coverage, keeping in mind that most cases take 6-8 weeks to set up.
IDENTIFY ENROLLMENT LOGISTICS
1. Determine enrollment methods (online, paper, call center).
2. Order and distribute enrollment materials.
4. Continue enrolling the new hires throughout the policy year.
5. Revisit the plan design 90 days before the end of the policy year and see if any new benefits are available or if the group’s needs have changed.
Return all paperwork to Select Benefit Administrators (SBA) “in good order." This means everything is complete and ready to go. If SBA receives all necessary documents in good order, they guarantee a quicker set up turnaround time.
Here's what SBA needs in good order 10 business days before the requested effective date:
- Application or Participation Agreement completed and signed by policyholder and broker/agent.
- Plan Summary Matrix with notation of which plan(s) and rates the policyholder wants to offer.
- Select Benefits Enrollment Forms filled out by the employees electing coverage.
- Collected premium.
For questions about case submission or administration, contact SBA at 1-800-497-3699 or SYMSBA@symetra.com
, Monday through Friday, 6:30 a.m. to 5 p.m. CT.
Select Benefits insurance policies are not a replacement for a major medical policy or other comprehensive coverage. They are designed to provide benefits at a preselected, fixed-dollar amount. Coverage may be subject to exclusions, limitations, reductions, and termination of benefit provisions. Select Benefits policies are insured by Symetra Life Insurance Company located at 777 108th Avenue NE, Suite 1200, Bellevue, WA 98004, and are not available in all U.S. states or any U.S. territory.