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Administrator Guide
Last Updated: 2024-03-08
Steps: Set Up Automatic Benefit Eligibility Checks

Steps: Set Up Automatic Benefit Eligibility Checks

Set up Workday to check automatically if specific staffing, position, or compensation events have affected an employee's benefit coverage. If so, Workday sends a task to My Tasks to the role specified on the business process.
  1. Add the
    Change Benefit Elections
    business process as a step to business processes.
    Business Process
    Guidelines Regarding Placement
    Add Additional Job
    Add after the completion step.
    Change Job
    If you add the business process
    Propose Compensation
    , add after the
    Propose Compensation Change
    . Otherwise, add after the completion step.
    Change Organization Assignments for Worker
    Add after the completion step.
    Change Primary Address
    Add after the completion step.
    Edit Position
    Add after the
    Request Compensation Change
    and the completion step for the
    Edit Position
    steps.
    End Additional Job
    Add after the completion step.
    Hire
    Follows the
    Create Workday Account
    step, but doesn’t have to be immediately after. The best placement depends on condition rules associated with this action and the eligibility rules used to determine eligibility.
    Request Compensation Change
    Add after the completion step.
    Request Leave of Absence
    Add after the completion step.
    Request Return from Leave of Absence
    Add after the completion step.
    Termination
    Add after the completion step.
The
Change Benefit Elections
action runs the
Change Benefits for Life Event
business process. This business process uses the
If there is an effect on employee benefits?
condition rule to determine whether to create a benefit event. This condition rule determines:
  • Whether an employee's current elections have caused a gain or loss in the employee's benefit coverage.
    If Workday uses eligibility rules to determine if the employee has lost or gained benefit coverage. If yes, Workday creates a benefit event.
  • The default behavior.
    Workday checks the
    Defaulting Rules
    selected in the
    Coverage Rules
    tab on the
    Create Enrollment Event Rule
    task. If there’s a match, Workday creates a benefit event:
    • Default to
      Priority Coverage
      or
      Waive
    • Default to
      Waive
    Workday creates an event if you selected one of these options and there's a change in the employee's benefit coverage:
    • Default to Current Elections,
      Priority Coverage,
      or
      Waive
      .
    • Default to
      Current Elections or Waive
      .
  • What the employee can do.
    Workday checks the
    Allowed Benefit Plan Changes
    selected in the
    Coverage Rules
    tab on the
    Create Enrollment Event Rule
    task. If you selected one of these options, Workday creates a benefit event:
    • Can Select Any Plan
      - Select any plan included in the specified benefit coverage types, including the option to waive.
    • Current Plan Only
      - Change only the details of the benefit plans in which workers are currently enrolled. There's no option to waive. Can add or remove dependents.
    • Current Plan or Option to Decrease
      - (Only Spending or HSA) Decrease contributions or keep at the current level.
    • Current Plan or Option to Increase
      - (Only Spending or HSA) Increase contributions or keep at the current level.
    • Current Plan or Option to Waive
      - Change only the details of the currently enrolled benefit plans, including the option to waive. Can add or remove dependents.
    If you selected one of these options, Workday creates an event when the current benefit coverage has a change in amount or eligibility:
    • Only on Eligibility Change
      .
    • No changes allowed
      .
Workday finalizes the event 1 day after the termination date if benefit coverage has terminated or workers can't make any plan changes. Workday doesn't send a notification to the employee. To send a notification, add a condition rule to the business process.
As you add the
Change Benefit Elections
step to more business processes, review your enrollment event rules. Make sure all your benefit event types have defined rules. Workday combines events that occur on the same day.