Covered California released several Job Aids or technical summaries related to ACA open enrollment for 2015. The guides cover a variety of different consumer situations from changing plans, making the initial binder payment, and the overall functionality of the CalHEERS online enrollment system. Some of the functions can only be performed by certain certified agents, counselors or service center representatives.
Tech guides and troubleshooting
From Covered California to Certified Insurance Agents and Certified Enrollment Counselors.
In preparation for Open Enrollment 2015, Covered California has updated the online application functionalities so that you will have a smoother experience when assisting consumers with renewals or applying for health coverage through Covered California.
This email package includes informative tools to help you assist consumers:
- Online Application Functionality Updates Talking Points
- Covered California Online Application Functionality Updates Job Aids
- Job Aid – Report a Change for 2014
- Job Aid – Change Plan
- Job Aid – Initial Consumer Premium Payment – Pay Now Button
- Job Aid – Apply for 2014
- Job Aid – Address Validation
- Job Aid – CalHEERS Global Header and Footer
Online Application Functionality Update
This document gives an overview of the changes to the online enrollment system for making changes, renewing a health plan or enrolling for the first time. It covers-
- Report a Change Function
- Changing Plans
- Plans accepting first payment through Covered California
- 2014 Special Enrollments
- Address Validation
- Website standardization of headers and footers
- Alternate Procedures addresses on-screen irregularities that might be displayed.
- New household member not showing
- Children allowed to enroll in separate plan error
- Only one income is displayed
- Incorrect expected health plan start dates or eligibility
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Report a Change 2014
Only certain certified individuals can Report a Change to a consumer’s account for 2014. Consumers can only report changes for 2015. Only Certified Insurance Agents, County Eligibility Workers and CC Service Center Representatives will be allowed to make changes for 2014 to the consumer’s account.
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Auto Enroll – Plan Change
For consumers who were automatically enrolled in their current plan but they want to switch to a different plan for 2015.
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Initial Consumer Premium Payment
Some carriers will accept the initial payment or binder payment through the Covered California CalHEERS enrollment program. This document reviews the Pay Now button on the website and how it works.
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Apply for 2014_2015
This document details the different landing pages for the consumer to either enroll for 2014 or 2015 during the open enrollment period.
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Zip codes can span different counties and thereby different regions. It’s important to select the proper county that the consumer resides within. It must be based on the residence and not the mailing address. The CalHEERS system will validate the address and return a message of either confirmation or that additional information is needed.
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Global header and footer
Covered California updated the online system so that the headers and footers are consistent across the different websites. They also added some more navigation options and additional help buttons to guide the consumer through the process.
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