Third party administration services - Benefits

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Third party administration services Helping your employees With compassion every step of the way Enrolment & Portal Guide

Transcript of Third party administration services - Benefits

Third party administration services

Helping your employees

With compassion every

step of the way

Enrolment & Portal Guide

© 2019 United HealthCare Services, Inc. All rights reserved.

Content

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• Enrolment Steps Slide 3-11

• Print e-Cards Slide 12

• View Base & Top-up Cover Slide 13

• Where to find Policy Benefit Detail Slide 14

• Home Page Slide 15

• Mid-term Inclusion Slide 16

• Claim Assistant Slide 17

• GPA Nomination Slide 18

• UTR Upload Slide 19

• 80D Certificate Slide 20

• Bank Account Details Slide 21

• Hospital Network Slide 22

• Document / Checklist Slide 23

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Login Page

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• Click here to access the UHCP Portal – SSO Link

© 2019 United HealthCare Services, Inc. All rights reserved.

Reset Password

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• May not be required with SSO Link

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Step 1 of Enrolment

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• This page displays your personal information

• You may upload your location here, everything else will be pre-populated

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Step 2 of Enrolment

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• You may share you alternate email ID and phone number if you wish, this information will

remain as backup information with us

• It is not mandatory to share this information. You may skip this page and click on next

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Step 3 of Enrolment

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• Your dependant data and top-up choices have been carried forward from last year

• You may choose to continue with the same choices or opt to make changes

• Understand your enrolment options and please make your choice accordingly

© 2019 United HealthCare Services, Inc. All rights reserved.

Step 4 of Enrolment

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• Should you opt to make changes, you may add or deactivate dependant family members on this

page and click next

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Step 5 of Enrolment

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• You may choose an appropriate Top-up cover on this page by ticking the right box

• You can view the premium by clicking on the ‘Employee Contribution for Premium’ link

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Payment of Top-up Premium

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• Your Top-up Cover will get activated only once you make the payment to the Insurer, the Account

Details of UIIC (Insurer) is available on the confirm enrolment page

• Premium to be paid is available on the confirm enrolment page

• Once you pay the premium you must update the UTR (Unique Transaction Record) on the

‘UTR Upload’ page, refer slide 19

• To edit your choices you may click on the edit button against the cover

• The system will not accept your choice unless you CONFIRM ENROLMENT

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Enrolment Confirmation

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• Once you confirm enrolment, you will see this screen with the summary of your choices and the

premium amount

• Once you click on ‘Show My PolicyWallet” you will be redirected to the policy

benefit page, where you can download e-cards, make claims, make GPA

nominations and a lot more

© 2019 United HealthCare Services, Inc. All rights reserved.

Print e-Cards

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• During the Open-window period, you will be able to make edits to the choices

• You will get an email communication on the window period for enrolment

• You can print your ID cards here, by clicking on the ID card icon next to the member name

© 2019 United HealthCare Services, Inc. All rights reserved.

Policy Documents, Base & Top-up Cover

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• You can view your dependant coverage on this page

• You can also view your base and top-up policy coverage on this page

• You can print your ID cards here (click on ID card icon next to the member name)

• You can also download policy related documents (FAQ, Guides, COVID help, policy document etc.)

by clicking on the download icon

© 2019 United HealthCare Services, Inc. All rights reserved.

Policy Benefit Details

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• This page gives you a view of the policy benefit details, both base and top-up policies

• It covers limits, special benefits, key exclusions and `non-medical expenses

© 2019 United HealthCare Services, Inc. All rights reserved.

Home Page

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• Clicking on the Health icon will take you to the health policy wallet

• The edit option allows you to make changes to your health coverage (dependant

addition/deletion and top-up cover) during the open window

• COVID 19 information and updates are available under the COVID 19 tab

• Understand how to use the left menu bar items in the upcoming slides

© 2019 United HealthCare Services, Inc. All rights reserved.

Mid-term Inclusion

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• Mid-term changes (spouse by marriage & babies by birth & adoption) may be added through

this page

• Adobe sends gifts for babies, kindly mention your contact address and phone number here so

that the information to send the baby gift may be passed on to appropriate team in Adobe

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Claim Assistant

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• Click on “Submit Claims” tab against the name of the member, in the below example the claim

is being made for the employee

• Once submit the claim you can you track the same by clicking on ‘Track Status’. The claim

status will also be shared via SMS and email

• Claim Guide Inserted

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Nomination Details - GPA

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• As part of the enrolment process you must add nominees to your Group Accident Policy

• Please choose the Group Accident plan, when it turns blue please make nominations

• You may use the Select Member tab to nominate dependants added onto the Health plan or

you may add other people

• Ensure that the sum of nominated % is equal to 100%

© 2019 United HealthCare Services, Inc. All rights reserved.

UTR Update – Top UP premium

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• On this page you must enter the UTR (Unique Transaction Record) details of the top-up

premium payment made by you to the Insurer (UIIC)

• Unless this information is shared, the Top-up cover can not be activated

© 2019 United HealthCare Services, Inc. All rights reserved.

80D Certificate Download

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• As soon as the Insurer issues endorsement against the Top-up policy bought by you, the

Insurer will be releasing the 80D certificates

• These certificates will be added under the ‘80D Certificate Download’ tab

• This may take up to 45-60 days from the start of the policy

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Bank Account Details

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• Please ensure to provide your Bank Account Details, when you make a claim, the

reimbursement amount will be transferred into this account directly by the Insurer

• It is mandatory to attach a copy of the cancelled cheque along with the bank account details

© 2019 United HealthCare Services, Inc. All rights reserved.

Hospital Network

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• You can search for network hospitals under the ‘Hospital Network’ tab

• GIPSA hospitals are tagged, GIPSA PPN is a special network of hospitals where the

Insurance company has negotiated better rates for various procedures

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Important Documents

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• Various claim related documents available on this page

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