如果您为雇员提供雇主赞助的保险,则应熟悉工作场所中使用的一些健康覆盖术语。公开注册是与保险福利有关的一个重要术语。什么是公开入学?
什么是公开入学?
Open enrollment is an annual period where individuals can enroll in, make changes to, or cancel their insurance plans. Open enrollment applies to employees who want to make changes to their employer-sponsored insurance as well as individuals who participate in the government’s市场健康计划。通常,不允许员工在公开注册之外更改其保险计划。
As an employer who offers insurance benefits, you are responsible for conveying benefit-related information to employees during open enrollment.
在开放式入学开始之前,将其通知您的员工。这样,员工可以为覆盖范围的变化做准备。而且,您必须告诉员工开放式入学率持续多长时间。让员工知道,在大多数情况下,他们无法在公开注册之外改变计划。
Tell employees about their insurance plan options for adding, changing, or removing coverage.
Discuss which employees are eligible for adding insurance benefits. Talk about single plans as well as family plans. Explain participation rules for employees’ spouses.
员工可以在健康保险公开注册期间切换计划。您可能会提供不同的免赔额,销售,承保范围和保费的健康计划。确保员工知道每个付款期为计划贡献多少需要多少。并且,解释员工在寻求医疗服务时可能需要支付的自付费用。
例如,员工可能可以选择在高扣除健康计划(HDHP)和传统的首选提供商组织(PPO)之间进行选择。您可以解释说,HDHP具有比PPO更高的免赔额和更便宜的保费,然后提供有关付款差异的详细信息。
如果员工想取消其保险计划,请告诉他们他们当前的保险何时结束。
What can employees change during open enrollment?
在公开注册期间,员工可以更改您提供的任何与保险相关的计划,包括健康,愿景,牙科,生活和残疾保险计划。他们还可以添加,更改或删除HSA(健康储蓄帐户) 和FSA(flexible spending account) plans.
通常,公开注册不适用于小型企业退休计划。员工可以在一年中的任何时候更改其小型企业退休计划。
什么时候开放招生?
开放登记大概会持续几周per year. For the most part, open enrollment takes place toward the end of the year, and the changes take place at the start of the following year.
从11月1日到12月15日,2019年健康保险市场的开放式入学期运行。作为雇主,您可以使用同一时期进行业务开放式入学或使用不同的时期。
您的保险提供商可能会设置开放式入学时间范围。与您的提供商交谈以获取有关您必须使用的公开注册期的更多信息。

员工可以在公开入学期之外做出改变吗?
在特定情况下,员工可以在公开注册期之外更改其保险计划。当员工有一个合格的生活事件,他们的添加,删除或取消保险的时间有限。
Examples of qualifying life events include when an employee gets married or divorced, has a baby, or loses coverage.
Unless an employee has a qualifying life event, they cannot make changes to their insurance plans outside of open enrollment.
公开注册和工资单
保险计划的更改可能会影响您的方式运行工资单。Insurance premiums are deductions you must withhold from an employee’s工资总额。
当员工添加,更改或删除承保范围时,您从工资中扣留的金额更改。保险供款的更改也可能会改变员工的应纳税额。
确保在公开注册期间向员工分发和收集福利入学表。您不仅需要注册表格来更改他们的计划,而且还需要这些表格来存储在记录中。
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