Entering a Legacy Qualified Beneficiary - Broker Version

Follow these steps to set up a legacy qualified beneficiary.
D
Written by Dawson
Updated 2 years ago

Once logged in, you will land on the home screen.

Home Screen: Under the Wizards tab, select Add a New QB Wizard from the Wizards drop-down menu. 

General Tab: Fill in all required fields.   

  1. Client Name - Enter the click name and click Search
  2. If applicable, choose the appropriate Division the employee was a member of.

  3. Enter the First and Last Name of the former employee. Please note, for a dependent qualifying event, please enter the dependent’s information on the General Tab. 
  4. Enter the Social Security Number and Phone Number of the former employee. Please note, for a dependent qualifying event, please enter the dependent’s information on the General Tab. 

  5. Enter the Primary Address of the former employee. a) Please note, for a dependent qualifying event, please enter the dependent’s information on the General Tab.

  6. Enter the Gender and Date of Birth of the employee. Leave the Tobacco Use, Employee Type, Payroll Type and Premium Coupon Type fields as Unknown, as shown below. Please note, for a dependent qualifying event, please enter the dependent’s information on the General Tab.

  7. Click Next to proceed to the Event Tab.

Event Tab:  Enter the Qualifying Event information.

  1. Click the radio button  to indicate if this is an employee or a dependent qualifying event. 
  2. Choose the Event Type, enter the Event Date and the Date of Hire/Enrollment Date. NOTE:  The Event type of Termination - Involuntary and Reduction of Hours options - Status Change will be used for the ARPA subsidy. 
  3. AEI Status - Set status to Eligible or Ineligible so the member can receive the COBRA Subsidy notice.
  4. Check the Legacy QB box 
    a. Member has elected:

    b. Member has not elected:

  5. Click the Next button

Plans Tab:

  1. Click the Green Add a Plan button to add the plans the former employee had at the time of the qualifying event.
  2. Start Date - if not automatically populated you will enter their COBRA start date.
  3. Select the Plan for the former employee from the drop down menu
  4. Select the Coverage Level from the drop-down menu
  5. Click the Insert button.
  6. Repeat this step for each additional plan.  
  7. Click the Next button to move to the Dependents Tab (if applicable). If no dependents, click Next to move to the Subsidies tab.

Dependents Tab

  1. Click the Add a Dependent button to add a dependent.

  2. Complete the required fields.
  3. Relationship
  4. First Name
  5. Last Name
  6. Dependents Social Security Number

  7. Start Date - This will be their first day of COBRA
  8. Once the Start Date box has been completed, the Available Dependent Plan(s) box will populate with the plans that the dependent can be added to. Please check the correct plans in the box:

  9. Complete the Demographics Box (both are required if you offer Age Based and/or Gender Based plans

  10. Click the Save button at the bottom of the page.
  11. You will see confirmation that the plan was added to the dependent as shown.

  12. Repeat the dependent steps for each additional dependent that needs to be entered into the system.   
  13. Click the Next button at the bottom of the page to move to the Subsidies Tab (if applicable).  Click Next again if there are no subsidies to be added.

Subsidies Tab:

If adding a “Percentage” subsidy, the participant will have to pay any remaining percentage of premiums each month.  If 100% subsidy is offered, the Employer/Client will also cover the 2% admin fee 

 Example:   

        a) ABC Company offers to cover 50% of the COBRA premiums for Medical 

        b) Premium for Medical is $1000.00 per month 

        c) COBRA Participant will receive a bill for $500.00 per month 

If adding a “Flat” subsidy, the participant will have to pay any remaining amount of premiums each month. 

Example:   

       a) ABC Company offers to cover $250.00 of the COBRA premiums for Medical 

       b) Premium for Medical is $1000.00 per month 

       c) COBRA Participant will receive a bill for $750.00 per month  

  1. Click the Add a Subsidy Schedule button to add a subsidy schedule. 


    a. Subsidies can be updated to reflect either Flat amounts that the client will be covering of the participant’s COBRA premiums.

    b. Percentage amounts that the client will be covering of the participant’s COBRA premiums.

  2. Complete the Subsidy Schedule Start, 
  3. Subsidy Schedule End, 
  4. Subsidy Schedule Amount Type, 
  5. Amount
  6. Insurance Type boxes.
  7. Click the Ok button.
  8. Repeat this step for each additional benefit subsidy that needs to be entered into the system. 
  9. Click the Next button at the bottom of the page to move to the Letter Inserts Tab (if applicable). Click Next again if there are no Letter Inserts to be added.

Letter Insert Tab

  1. If there is a specific letter insert that needs to be added you will click that box.

  2. Then click the Next button at the bottom of the page to move to the Letter Attachments Tab (if applicable).

Letter Attachments Tab

  1. Nothing is required for this tab

  2. Upon entry of the former employee’s information in the General Tab, Event Tab, Plans Tab, Dependents Tab and Subsidy Tab (if applicable), click the Finish button at the bottom of the page.
  3. Are you sure you want to save this?  Click Yes showing you are sure that you want to save the information. 

You have completed the process of entering a Legacy participant.  A Takeover Notice will generate overnight and be mailed out the next business after entry.

Did this answer your question?