Navigating the CHAMP PlanTM Enrollment Process

Enrolling in the CHAMP Plan is a pivotal step towards unlocking a world of comprehensive employee benefits and financial savings. However, like any significant endeavor, it requires careful planning, coordination, and adherence to timelines. In this article, we will explore the intricacies of the CHAMP Plan enrollment process, from initial surveys to implementation timelines, ensuring a smooth transition for both employers and employees.

Enrollment & Implementation Survey

The journey begins with the Enrollment & Implementation Survey, a comprehensive questionnaire tailored to gather essential information from the client. This survey serves as a roadmap, outlining the enrollment process, communication strategies during open enrollment, and any specific requirements unique to the client's organization. Once completed, the survey sets the stage for seamless collaboration between the CHAMP Enrollment Team and the client.

Final Census and RFC Submission

Upon agreement to proceed with the CHAMP Plan, the submission of the Final Census and Request for Coverage (RFC) becomes imperative. The Final Census and RFC serve as the backbone of enrollment, providing crucial details about the employee population and organizational structure. It is paramount that all fields are accurately completed to ensure a successful enrollment and payroll implementation. Notably, groups with fewer than 10 employees or less than 50 employees may require additional attention from agents to facilitate enrollment effectively.

TPA and Payroll Call

Following the submission of necessary documentation, a pivotal TPA and Payroll Call is convened, marking a significant milestone in the enrollment process. During this call, the Third Party Administrator (TPA) engages directly with the client's payroll department to initiate report setup and integration. Agents play a vital role in this phase, ensuring alignment between client expectations and the CHAMP Plan's administrative processes. By attending these meetings, agents gain invaluable insights into the plan's administration, equipping them to accurately communicate its intricacies to clients.

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Timelines

Timelines serve as the guiding framework for enrollment and implementation, ensuring adherence to deadlines and smooth execution of processes. Key milestones include the submission of final documentation by the 15th of the month preceding enrollment, enrollment activities conducted in the first two weeks of the month, and payroll setup completed in the latter half of the month. Benefits commence following the first payroll with CHAMP deductions, marking the culmination of the enrollment journey.

Example Timeline

To illustrate the timeline in action, consider the following example:

- All required items are submitted to Champion Health on June 8th.

- The enrollment logistics call takes place on June 10th.

- Enrollment runs from July 4th to July 15th.

- Benefits go live in August following the first payroll with CHAMP deductions.

Policy Adherence and Exception Management

Adherence to timelines is paramount, driven by vendor requirements and operational efficiency. Exceptions to the policy are rare, as timelines are carefully calibrated to accommodate vendor needs, payroll system intricacies, and file feed functionality. In the event of complex billing requirements, clear indication on the RFC facilitates seamless processing and ensures accurate billing breakdowns.

In conclusion, the CHAMP Plan enrollment process is a meticulously orchestrated journey, guided by surveys, documentation, collaboration, and adherence to timelines. By navigating this process with diligence and precision, employers and employees alike can embark on a transformative path towards enhanced benefits and financial well-being.