The Participant Enrollment Renewal section is used to update and renew enrollment elections for participants. It allows users to review multiple participant enrollment elections on a single screen, make necessary changes, and renew those elections for the upcoming plan year. Users can apply filters such as Employer, Division, Plan Type, Plan Name, and Status to narrow down the list of participants displayed. To … Read More >>
The user are able to perform rate changes for participant’s premium billing plans when the beginning coverage status is “Active” or “COBRA”. * Required fields appear in Red To access Rate Change, Rate Change in Active Coverage Status When the edit icon is clicked, the Coverage Detail modal of the selected PB Plan will appear as … Read More >>
Premium Billing Employer Invoicing provides monthly invoice reports specifically for PB employers. * Required fields appear in Red To access Employer Invoicing Premium Billing, Premium Billing In the Premium Billing tab, the system will allow the user to configure employer level invoicing for Premium Billing. NOTE: If this was configured at the TPA level, then these … Read More >>
TPAs use this system to manage the benefit plans of their employer clients, a service for which they charge those employers. A TPA will typically charge clients a life-count fee per active participant in the system, plus additional ancillary fees. * Required fields appear in Red To access Employer Invoicing CDH, CDH In this tab, the … Read More >>
A TPA’s revenue comes from being able to charge their employer clients a series of fees for administering their group benefits. They typically charge their clients a flat fee for every active participant in the system plus some additional ancillary fees. Summit’s invoicing module allows for TPAs to configure these fees within Summit, using the … Read More >>
The Employer Plan Renewal page allows users to quickly and easily create a new plan year for one or more employer plans simultaneously. Users can apply filters to narrow down the list of employers or plans they want to view and then make changes to individual plan details as needed. To access Employer Plan Renewal, Employer Plan … Read More >>
There are certain cases where a subsidy may apply to a participant’s billing. These subsidies can reduce or even eliminate a participant’s premium responsibility, fee amount responsibility, or even both. These subsidies are assigned to the participant’s premium billing coverages, and Summit will automatically adjust the participant’s past, current, and/or future billing according to the … Read More >>