Participant | Participant Central | Plans | Policy Holder Qualifying Events

Qualifying events are certain events that result in the right to continue benefit coverage under COBRA. An employee, spouse, and/or dependent child who loses coverage as a result of a qualifying event becomes a Qualified Beneficiary. Employment Termination, Reduction of Hours, Retirement, etc. are some examples of Qualifying Events. To access Policy Holder Qualifying Events, follow … Read More >>

Participant | Participant Central | Plans | Qualifying Events

Qualifying events are certain events that result in the right to continue benefit coverage under COBRA. An employee, spouse, and/or dependent child who loses coverage as a result of a qualifying event becomes a Qualified Beneficiary. Employment Termination, Reduction of Hours, Retirement, etc. are some examples of Qualifying Events. To access Qualifying Events, Go to Participant. … Read More >>

Participant | Participant Central | Plans | Dependent Qualifying Events

Qualifying events are certain events that result in the right to continue benefit coverage under COBRA. An employee, spouse, and/or dependent child who loses coverage as a result of a qualifying event becomes a Qualified Beneficiary. Employment Termination, Reduction of Hours, Retirement, etc. are some examples of Qualifying Events. To access Dependent Qualifying Events, follow the … Read More >>

Processing | Process Approvals | Remittances

The Process Approvals | Remittances interface allows users to approve or decline Premium Receipts or Premium Fees that require manual approval. Premium Receipts or Premium Fees processed through Manual Remittance Schedule or On-Demand Remittance will appear in the Process Approvals | Remittances UI. Items processed through the Automatic Remittance Schedule will not appear in this interface. * Required fields appear in Red To access Remittances: Remittances When the user selects Remittances as the Process Type , the … Read More >>

Processing | File Fulfillment | Premium Billing Notification

Summit generates a variety of PDF documents throughout the day, including reimbursements, remittances, premium billing event communications, receipt requests, and more. To manage these documents, Summit provides TPA users with a centralized interface where they can review, pause, or remove Premium Billing Communications before they are processed. From this interface, TPA users can: These actions can be performed before the … Read More >>

Processing | File Fulfillment | ACH Files

 * Required fields appear in Red The system can produce ACH files that are made available to TPAs on the File Fulfillment page. These files can be manually downloaded and sent to the TPA’s bank for processing and participant reimbursement. The objective of DataPath File Fulfillment is to provide TPAs with a way to utilize DataPath’s banking partner for the automated processing of ACH … Read More >>