Enrollment and Billing FAQs and Links…


FAQs


What do I need to know before I add a new hire?

A new hire must be enrolled within 30 days of date of hire.  Otherwise, the employee will not be able to enroll until your next open enrollment.

What do I need to know before I remove an employee who has terminated employment?

A termination must be processed within 30 days of the employee’s termination date.  Otherwise, the carrier will not allow the termination until the end of the month following a late termination request.

What do I need to know before I make enrollment changes due to a Qualifying Life Event (marriage, birth, divorce, loss of other coverage)?

This change must be completed within 30 days of the Qualifying Life Event.  Otherwise, the employee will not be able to make this change until your next open enrollment. You will need to include documentation (i.e. birth certificate, marriage license, loss of job letter from previous employer, expiration of COBRA coverage letter) of the Qualifying Life Event in order for the enrollment to be processed.

How do I process a new hire enrollment or qualifying event (i.e. birth, marriage, divorce) enrollment change ?

As a group administrator, you have a choice of how you process enrollment and benefit changes.   Generally speaking, online enrollments get processed faster than paper enrollments.  You can also email your enrollment paperwork to enrollment@capitolbenefits.com and our team will get it processed within one business day.  Please include your Employer Name in the subject line of the email.

Example Email Subject Line: ABC Company new hire enrollment form

All enrollment forms must be submitted as a Pdf document.  If you do not have a printer with a scanning function, you can also scan with your cell phone either via a scan app or iPhone Notes includes a scanning function.

What is the difference between working directly with the insurance companies for processing enrollment changes and using a third-party administrator (TPA)? 

One advantage that comes with using a third-party administrator is that you can input the enrollment information into their system and they can simultaneously send that information to multiple insurance companies at the same time, saving you from having to process the same enrollment in more than one system.   If you have multiple insurance companies handling your benefits, this is an effective, no cost solution.

Can my employees submit enrollment changes online for themselves?

Yes!  In most scenarios, we can provide an enrollment system that employees can use to process their own enrollment or submit enrollment change requests.   We can configure the system to notify you when this happens.


Billing and Enrollment Links


If you are using Kelly and Associates as a third-party administrator, please scroll down for Kelly enrollment instructions. 

 

For CareFirst, click here. (Click on “Login”)

If you are a New User, Click on Need a User Account and choose Register Now.  Please be sure to have your Carefirst Group ID number to complete the registration process.

 

For United Healthcare, click here.

Enrollment and Billing Instructions, click here.

(You must have Flash enabled on your computer)

 

For Kaiser Permanente, click here.

Billing, click here.

 

For DC Health Link, click here.  (Click on “Login”)

Enrollment Instructions, click here.

Billing Instructions, click here.

 

If you are using Kelly and Associates as a third-party administrator, click here.

Enrollment and Billing Instructions:  Go to “Resources” and “Tutorials” after logging in

Scroll through the available videos or type the name of the video in the Search box:

  • How to Add a New Hire or New Eligible Employee (1 min 45 sec)
  • How To Enroll a New Hire in Benefits (3 min 21 sec)
  • Make Plan Changes for Qualifying Life Events (2 min 54 sec)
  • How to Utilize you Online Billing (2 min 51 sec

 

If you use Kelly Payroll Services, your tutorial for enrollment instructions are titled:

  • How to Set Up and Employee in My KELLY Time—Part 1 (2 min and 48 sec) and Part 2 (2 min and 28 sec)
  • Under “Resources”, you can also select “Benefits Training Center” to sign up for a weekly training webinar.

 

For all other carriers, email your broker for instructions and login information.

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