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Administrator Guide
Last Updated: 2023-06-23
FAQ: How are coverage levels determined for evidence of insurability?

FAQ: How are coverage levels determined for evidence of insurability?

Normally, coverage levels are simply the coverage levels associated with a specific insurance plan. However, you might want the coverage levels in all benefit plans within a coverage type to be considered when determining changes in coverage levels. Selecting the
Include All Benefit Plans in Coverage Type for EOI
check box tells Workday to use all benefit plans.
Example: If you have a coverage type for Supplemental Health that has 3 benefit plans: Plan A, Plan B, and Plan C, coverage for these plans is:
Plan A
Plan B
Plan C
10,000
100,000
1 x Salary
25,000
200,000
2 x Salary
50,000
300,000
3 x Salary
75,000
400,000
4 x Salary
Other rules for the event are:
  • Maximum Levels of Change Allowed without EOI
    = 2
  • The
    Include All Benefit Plans in Coverage Type for EOI
    check box is selected
An employee with a salary of 40,000 USD currently electing 25,000 USD in Plan A elects 2X in Plan C. The employee must go through EOI because going from 25,000 USD to 2X (80,000 USD) is a change of 4 levels.
Workday considers the levels as:
  • 10,000
  • 25,000
  • 1X (40,000)
  • 50,000
  • 75,000
  • 2X (80,000)
  • 100,000
  • 3X (120,000)
  • 4X (160,000)
  • 200,000
  • 300,000
  • 400,000