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No interim for Employee + Family option when new dependent is added

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in Benefits 17 comments

Summary: When employee is already in Employee + Family option and adds a new child, the enrollment gets suspended with no interim


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The interim rule at PTIP is 'Current - same; new - default' and Unsuspend enrollment rule is 'Use existing enrollment start date'. At PTIP dependent designation level, ' Dependent Requires Certification' is set to required for new entry of new dependent..


This works when the employee elects a different option. However, when the employee is already enrolled in an option and just adding a new dependent under coverage , the enrolled itself is getting suspended without interim. So there will be a discontinuation of enrollment until the document is verified.

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