Profile Content
2022 Client Profile (MMP)
Hot Topics
None
Client Communications
None
Important Facts
- Do NOT refer to HR
- View information in Client Contacts/Human Resources, review other resources and (if necessary) submit a case for research.
Client Overview
OE Information:
Open Enrollment Period: 11/01/2021 - 11/12/2021
Silent Window: None
Open Enrollment Blanket Appeals Allowed: Yes
Open Enrollment Blanket Appeals End Date: 12/15/2021
Enrollment Guide (MMP) - How To Navigate HR Role or Admin Event
Plan Year: 01/01/2022 - 12/31/2022
Enrollment Platform:
MM365+
Belong Portal:
No
Enrollment Type:
Passive except Spending Accounts
Enrollment Guide (MMP) - How To Complete a Passive Enrollment
Defaulted:
Basic Life/AD&D, Employer Paid Disability
Opt Out Credits:
No
Funding Strategy:
Defined Benefit
Mercer Contact Information:
Benefit Center Number:
Enrollment Site: www.mercermarketplace365plus.com
Single Sign On Intranet:
Note: Advise employees to use Intranet site to access MMP; if unable to access intranet advise of MMP site.
Company ID:
Client Since: 2018
Description of Client:
Benefit Decision Guide:
- 2022 OE Benefit Decision Guide (MMP)
- 2022 New Hire Benefit Decision Guide (MMP)
Bilingual Option:
No - Please utilize the Foreign Language Line 855-456-8896, Client Code 162
Number of Eligible Employees:
1740
SCL Name:
MoSoKMSupport@Mercer.com
Client Contacts
Employer Portal:
Human Resources, Court Orders, Employee Relations, Direct Bill Contact:
Instruct employees to submit a ticket in the People Services Portal.
Note: Do not refer EE to HR for other inquiries. If unable to resolve member inquiry, review resources and submit a case for research.
Written Rate Request:
Instruct employees to submit a ticket in the People Services Portal.
Address/Employee Personal Information Changes:
Contact: Workday accessed through OCTA
How To Guide - Member & Dependent Personal Information (MMP)
EAP:
Contact:
Phone Number:
Website:
401k:
Contact: Charles Schwab
Phone Number: 800-724-7526
Website: workplace.schwab.com
Worker’s Compensation:
Contact:
Phone Number:
Email:
Leaves:
Contact:
Phone Number:
Paid Time Off:
Time Off or Leave Policies can be found on the People Services portal.
Payroll Inquiries:
Send a research piece using the HR Issues Disposition.
ACA Information
1095
1095 FAQs (MMP)
Health Care Reform (HCR) FAQs (MMP)
Contact: Instruct employees to submit a ticket in the People Services Portal.
Look Back Eligible
Note: There are no Look Back Eligible Employees. Look Back Eligibility does not apply.
Acquisitions / Divestitures
Acquisitions:
None
Divestitures:
None
Carrier Plan Details
Core
Medical / Prescription (Rx)
MM365+ Carrier File Schedule (MMP)
How To Guide - Carrier File Schedule (MMP)
How To Address Benefit Related Inquiries (MMP) - Core Benefits
Medical/Prescription (Carved In):
Carrier Name: Cigna
Phone Number: 800-244-6224
Group Number: 3335033
Website: www.cigna.com
Cigna $900 Deductible w/copays - Embedded - Rx Coverage - Deductible does not apply, based on Co-pays
Cigna $1850 Deductible with HSA - True Family - Rx Coverage - Deductible has to be met, then based on Coinsurance
Cigna Local Plus $2850 Deductible with HSA - Embedded - Rx Coverage - Deductible has to be met, then based on Coinsurance (Note: Zip Code determines eligibility for this plan.)
Carrier Name: Kaiser
|
Region |
Phone Number |
Group Number |
|---|---|---|
|
CA |
800-464-4000 or 800-788-0616 (Spanish) |
NCAL: 606057, SCAL: 234177 |
|
CO |
Mountain CO: 844-837-6884, Northern CO: 844-201-5824, Southern CO 888-681-7878 |
35954 |
|
GA |
888-865-5813 |
10381 |
|
MAS |
Mid Atlantic (DC, VA, MD) 800-777-7902 |
26750 |
|
NW |
(OR, WA regional) 800-813-2000 |
26016 |
|
WA |
(ID, WA) 888-901-4636 |
26016 |
|
HI |
|
50058 |
Kaiser $900 Deductible w/copays - Embedded - Rx Coverage: Deductible does not apply, based on Co-pay
Kaiser $1,850 Deductible with HSA - True Family - Rx Coverage: Deductible has to be met, then based on Coinsurance
Kaiser $2,850 Deductible with HSA - Embedded - Rx Coverage: Deductible has to be met, then based on Coinsurance/Co-pay
Kaiser Hawaii Gold Be Fit - Embedded - Rx Coverage - Deductible does not apply, based on Co-pay/Coinsurance.
How To Address Benefit Related Inquiries (MMP) - How To Locate a Provider
Advocacy Services
Carrier Name: 365 HUB
Phone Number: 866-385-8032; 8:00 AM-Midnight EST
Note: If member calls in needing a second opinion please transfer directly to Advance Medical: 866-634-5897.
Website:mercermarketplace.com
How To Address Benefit Related Inquiries (MMP) - 365 HUB
Dental
Carrier Name: Cigna
Phone Number: 800-244-6224
Group Number: 3335033
Website: www.cigna.com
Cigna Basic Plus Dental
Cigna Enhanced Dental with Orthodontia $1500 (Child only)
Cigna Basic DHMO
Vision
Carrier Name: VSP
Phone Number: 800-877-7195
Group Number: 12289284
Website: www.vsp.com
VSP Materials Only
VSP Enhanced Vision
Individual Solution
Carrier Name: GetInsured / Short Term Medical
Phone Number: 800-713-2859
Website: www.insurance.mercermarketplace.com
Note: Benefits offered through GetInsured may be subject to an Annual Enrollment window, refer to GetInsured for more information.
How To Address Benefit Related Inquiries (MMP) - GetInsured
Life / Disability
How To Address Benefit Related Inquiries (MMP) - Voluntary Benefits
Disability
Carrier Name: New York Life
Phone Number: 800-362-4462
Group Number: LK962977 - LTD, SH961979 - STD
Website: www.myNYLGBS.com
New York Life LTD - Employer Paid (66.67% up to $20,000 Monthly Max) FT/PT 15 + hours weekly
New York Life STD - Employer Paid (66.67% up to No Weekly Max) FT/PT 15 + hours weekly
STD Pre-Ex/Maternity Guidelines: None
Basic & Voluntary Life/AD&D
Carrier Name: New York Life
Phone Number: 800-362-4462
Group Number: FLX964224 - AD&D, OK965833 - Term Life
Website: www.myNYKGBS.com
New York Life Basic Life/AD&D
Guarantee Issue Amount: 1x Salary
Minimum: $10,000
Maximum: $1,000,000
New York Life Supplemental Life
Employee
Guarantee Issue Amount: Lesser of 3X Annual Compensation or $300,000
Minimum: 1x Salary
Maximum: Lesser of 5X Annual Compensation or $1,000,000
Spouse (All eligible employees) - (Employee Supplemental Life Election is required)
Guarantee Issue Amount: $50,000
Minimum: $10,000
Maximum: $250,000 not to exceed 50% of Employee Supplemental Life
Spouse (Grandfathered Spouse Life $300,000)
Guarantee Issue Amount: $300,000
Minimum: $300,000
Maximum: $300,000
Spouse (Grandfathered Spouse Life $500,000)
Guarantee Issue Amount: $500,000
Minimum: $500,000
Maximum: $500,000
Child
Minimum: $5,000
Maximum: $10,000
New York Life Supplemental AD&D
Employee/Family
Guarantee Issue Amount: All
Minimum: 1x Salary
Maximum: $1,000,000
Permanent Life
Not Offered
Voluntary Benefits
How To Address Benefit Related Inquiries (MMP) - Voluntary Benefits
Supplemental Medical
Carrier Name: Cigna
Phone Number: 800-754-3207
Group Number: 20693
Website: www.cigna.com
Cigna Accident
Cigna Critical Illness
- Employee: $10,000 or $20,000
- Spouse and Child: coverage will be 50% of selected Employee Coverage amount(s)
Cigna Hospital Indemnity
Auto / Home
Carrier Name: Farmers GroupSelect
Phone Number: 800-438-6381
Website: myautohome@farmers.com
Discount Mall
Perkspot - Not Offered
ID Theft
Carrier Name: Allstate Identity Protection
Phone Number: 800-789-2720
Group Number: 1841
Website: www.myaip.com/mercermarketpp
Plan Option: Allstate Identity Protection Pro Plus
Allstate Identity Protection
Legal
Carrier Name: MetLife Legal
Phone Number: 800-821-6400
Group Number: Plan Code- 990; Local Code- 0305
Website: www.legalplans.com
MetLife Legal
Pet Insurance
How To Address Benefit Related Inquiries (MMP) - Pet Insurance
Carrier Name: Nationwide
Phone Number: New Enrollments/Pre-Enrollment Questions 800-872-7387, Policyholder Customer Care 800-540-2016
Website: www.petinsurance.com
Nationwide Pet Insurance
Purchasing Power
Not Offered
Vacation Buy/Sell/Buy or Sell
Not Offered
COBRA / Portability
COBRA Eligible: Medical, Dental, Vision, Spending Accounts, 365 HUB
How To Guide - COBRA Benefits (MMP)
Portable: All voluntary products, excluding disability and spending accounts
COBRA:
WEX Health
Phone Number: 877-248-0510 Option 1 M-F 8:00 AM - 8:00 PM EST
Website: cobra.mercermarketplace.com
Note: If a Benefit Counselor needs to perform a warm transfer to WEX Health, they may call the below number. DO NOT provide this number to members.
COBRA Warm Transfer Number: 877-280-1394
Dependent Verification / QLE
Dependent Verification
Dependent Verification is required.
Note: Western Union prefers tax documents for a spouse, specifically those married over 12 months.
- 2022 Dependent Verification Form (MMP)
- 2022 Domestic Partner Affidavit (MMP)
Where to Send Documentation:
Document Center: Upload to platform
Mailing Address: Mercer Marketplace, P.O. Box PO Box 14501, Des Moines, IA 50306-3501
Timeframe to Submit:
60 days from benefit election date.
- 2022 Date Calculator (MMP)
Consequences of documents not received:
Dependents will be removed from coverage
Disabled Dependent Verification
Disabled Dependent Verification is handled by the client and/or carrier.
How To Navigate Enrollment Platform Navigation (MMP) - Uploading Documents to the Enrollment Platform
How To Address an Employee Checking on Dependent Verification (MMP)
Qualifying Life Events (QLE)
Documentation is not required at this time, client reserves the right to request documentation.
- 2022 Date Calculator (MMP)
How To Complete Qualifying Life Events (MMP)
Note: Western Union will allow enrollment into coverage using Loss of Other Coverage QLE for family members moving into the US. This will NOT require LOC documentation, but DV is still expected.
2022 Qualifying Life Event Chart - Day of Event (MMP)
Disputes / Appeals
Open Enrollment Blanket Appeals Allowed: Yes
Open Enrollment Blanket Appeals End Date: 12/15/2021
How To Process Appeals (MMP) - Open Enrollment Blanket Appeals
Note: Open Enrollment Blanket Appeals do not require client delivery approval and can be processed at time of call through the end date listed above. If after end date, follow process listed below.
Mercer Managed
Appeal requests must be submitted by the employee using the Enrollment Reconsideration Request Form. Employees can access the link to the form in Find Documents on the enrollment platform.
- The form has to be completed and submitted electronically by the employee.
- The form cannot be downloaded, printed and/or submitted any other way.
- Benefit Counselors are unable to email the form to the employee.
The review of an Enrollment Reconsideration Request will ordinarily be completed within 15 business days.
Client Delivery will open a case in OneForce using the "Appeal" disposition within 48 hours of receiving the form. DO NOT route a case to the Client Delivery team.
How To Process Appeals (MMP) - Mercer Managed Appeals
Effective Dates
- 2022 Date Calculator (MMP)
Enrollment Guide (MMP)
Note: Use calculator to provide the accurate deadline for member to enroll in benefits.
Note: Using the History Tab, locate the most recent Indicative Data change and use date file receive by Mercer if different than actual Hire Date/Event Date.
New Hire:
RESIDENT STATE: PR, OTHER, WA
Enrollment Window: 30 Days after Date of Hire
Effective Date: 1st of month following DOH
RESIDENT STATE: HI
Enrollment Window: 30 Days after Date of Hire
Effective Date: Medical, Dental, Vision, 365, HUB, FSA, Combination FSA, DCFSA: 28 Days following DOH
HSA: 1st of month following 28 days;
All Other Benefits: 1st of the Month following DOH
TRANSFER TO USA: Y
Enrollment Window: 30 Days after Date of Hire
Effective Date: HSA: 1st of month following DOH; All Other Benefits: Non-Standard
Non-Standard Note: *The effective date of coverage should match the adjusted service date that is passed on the demographic file from the client as this equals the date of transfer back to the US.
Status Change:
Newly Eligible:
RESIDENT STATE: PR, WA, OTHER
TRANSFER TO USA: N
Enrollment Window: 30 Days after Date of Event
Effective Date: 1st of month following Event Date
RESIDENT STATE: HI
TRANSFER TO USA: N
Enrollment Window: 30 Days after Date of Event
Effective Date: Medical, Dental Vision, 365 HUB, FSA, Combination FSA, DCFSA: 28 days following Event Date
All Other Benefits: 1st of month following Event Date
TRANSFER TO USA: Y
Enrollment Window: 30 Days after Date of Event
Effective Date: HSA: 1st of month following Event Date; All Other Benefits: As of Event Date
Ineligible:
Follow Cancellation Rules
Rehire:
If rehired within 31 days, benefits are reinstated
If rehired after 31 days, but within 91 days (13 weeks):
- Medical: benefits will be effective 1st of the following month
- All Other Benefits: treat as new hire
If rehired more than 91 days (13 weeks), treat as new hire
Termination/Cancellation:
Medical, Spending Accounts, 365 HUB, Supplemental Medical, Dental, Vision, Legal, ID Theft:
Effective Date: End of the month following event date
All Other Benefits:
Effective Date: Immediate as of event date
Note: Cancellation is applied when a member moves from being benefit eligible to ineligible for benefits.
Note: Refer to How To Address Benefit Related Inquiries (MMP) - Voluntary Benefits when an employee requests to cancel VB products outside of a QLE/Status Change.
Eligibility
Employee
To be eligible for all benefits, employees must meet ALL of the following requirements:
- Status = No - Not an Ex Pat, AND
- Location = All except Western Union transfers out of United States, AND
- One of the following:
- Division (Transfer Out of USA) = No - All other records, OR
- Custom Factor 1 (Transfer to USA) = Yes - Transfer In
Exceptions:
- To be eligible for Supplemental Medical, Basic and Supplemental Life/AD&D and Disability, must have Pay Type = 15 hours or more per week
- All employees are eligible for 365 HUB, Auto/Home, Pet Insurance and EAP
Note: Refer to Executive Status field to determine if employee has grandfathered spouse life..
Dependents
Employee must have coverage for Dependents to be eligible.
Spouse: (Same Sex and Opposite Sex)
Note: Spouse includes Common Law in applicable states (see DV form for state guidelines)
Ineligible: Basic Life/AD&D and Disability
Disabled Child/Disabled Step Child/Disabled Adopted Child/Disabled Legal Guardianship:
Ineligible: Basic Life/AD&D and Disability
Age Out: N/A, or upon loss of disabled status.
Note: Disabled parents are not eligible regardless of tax dependency.
Domestic Partner: (Same Sex and Opposite Sex)
Ineligible: Basic Life/AD&D and Disability
Child/Step Child/Adopted Child/Legal Guardianship:
Ineligible: Basic Life/AD&D and Disability
Age Out: Supplemental Medical: 26, As of Date of Birth; All Other Benefits: 26, End of Birth Month
Child of Domestic Partner: (Domestic Partner coverage IS NOT required)
Ineligible: Basic Life/AD&D and Disability
Age Out: Supplemental Medical: 26, As of Date of Birth; All Other Benefits: 26, End of Birth Month
Evidence of Insurability
Life:
Annual Enrollment: During this annual enrollment on MM365+, EOI is required for all late entrants as well as any existing participants that wish to increase their multiple of salary or increment even if the increase is under the Guaranteed Issue amount.
New Hire: EOI is required for coverage amounts exceeding the Guaranteed Issue amount.
Life Event: EOI is required for all late entrants as well as any existing benefit increases to multiples or increments. A qualified life event does not provide an additional Guaranteed Issue opportunity for the employee. Newly eligible dependents due to QLE (i.e. spouse due to marriage) will follow “Newly Eligible” EOI rules.”
How To Navigate the Enrollment Platform (MMP) - How To Access EOI Form
ID Cards
Medical/RX
Cigna Medical/Prescription (Carved In): Yes
Website for Temporary ID Card: www.MyCigna.com
Kaiser Medical/Prescription (Carved In): Yes
Website for Temporary ID Card: www.KaiserPermanente.org
Note: Kaiser has the "Believe Me" policy, where members can go to the ER or Urgent Care and be seen right away without yet being active or having an ID Card.
Dental/Vision
If carrier sends out ID cards, they will only be received for initial enrollments or if they made changes to their plan. ID cards are not required to schedule appointments or to receive service.
Cigna Dental: Yes
Website for Temporary ID Card: www.MyCigna.com
How To Address Benefit Related Inquiries (MMP) - Member ID Card Inquiries
Retiree / Severance
Retiree:
Pre 65/Post 65:
This client does not offer retiree benefits
Refer Retirees to:
N/A
Severance:
None
Spending Accounts
Vendor Contacts
MM365+ Carrier File Schedule (MMP)
How To Guide - Carrier File Schedule (MMP)
How To Address Benefit Related Inquiries (MMP) - Spending Accounts
WEX Health:
Phone Number: 877-248-0510 Option 2 M-F 8:00 AM - 8:00 PM EST
Website: mercermarketplace.lh1ondemand.com
Note: If a Benefit Counselor needs to perform a warm transfer to WEX Health, they may call the below number. DO NOT provide this number to members.
Reimbursement Account Warm Transfer Number: 844-440-3900
Balance Transfers
Please refer to reimbursement specialist for Balance Transfer Inquiries.
Note: All spending accounts will utilize the same Debit Card. This card is a "Smart Card" and will determine which account to pull from for each purchase.
HRA
Not Offered
HSA
Eligible Medical Plans: $1850/$2850 Deductible
Employer Contribution: $500 EE only/$1000 EE + Family, Per Pay Period
Proration: Yes, contributed per paycheck
Min/Max: None/$3650 Individual, $7300 Family (Additional $1000 allowed for EE age 55+)
Rollover: Yes
Eligible Expenses: IRS Publication 502
Note: Western Union allows a one-time employee Lump Sum HSA contribution that is separate from the ongoing per paycheck contribution. One-time employee contributions are ONLY available for Annual Enrollment and apply for the first pay period of the year or first pay period of a New Hire's effective date.
FSA
Eligible Medical Plans: All
Employer Contribution: None
Proration: None
Min/Max: $60/$2850
Rollover: None
Grace Period: None
Run Out Period: 90 days
Eligible Expenses: IRS Publication 502
Combination FSA
Eligible Medical Plans: $1850/$2850 Deductible
Employer Contribution: None
Proration: None
Min/Max: $60/$2850
Rollover: None
Grace Period: None
Run Out Period: 90 days
IRS Statutory Deductible: Individual: $1400; Family: $2800
Eligible Expenses: IRS Publication 502
DCFSA
Employer Contribution: None
Proration: None
Min/Max: $60/$5,000
Rollover: None
Grace Period: None
Run Out Period: 90 days
Eligible Expenses: IRS Publication 503
Commuter Benefits
Not Offered
Surcharges
Spousal: Yes, Medical surcharge of $100 per month ($50 per pay period).
Note: Spousal questionnaire answer cannot be changed on the Member's MMP landing page.
Tobacco: Yes, Medical (EE only) and Critical Illness (EE & Spouse) $50 per month
Note: Tobacco questionnaire answers cannot be changed on the Member's MMP landing page.
COVID-19 Vaccine:
None
Training / Guides