FAQ: Benefit Groups

The number of benefit groups you define depends on many factors. Examples:

Open enrollment processes by benefit group. Many organizations initiate and process open enrollment at different times for different groups of workers. Create separate groups to maintain the correct timing of your enrollment events.
If you apply different insurance or health care rates to different categories of workers, create a separate benefit group for each category.
When you define insurance or health care plans in Workday, you can specify different rates for each benefit group that is eligible for the plan.
In Workday, all benefit reporting is by benefit group. Consider whether the definitions for your benefit group conflict with your reporting requirements. If necessary, either consolidate workers into fewer groups or create additional groups.
Rules and conditions of enrollment can vary for different groups of workers. Create separate benefit groups with unique enrollment event rules for each group if differences exist in:
Coverage begin and end dates.
Maximum coverage level or amount increases.
Waiting periods.
EOI requirements.

After defining an eligibility rule for a benefit group, you can test the rule using these audits and reports.

Benefit Eligibility Rules Audit
. Run this report to verify that the eligibility rule returns results.
Select
Benefit Group Eligibility Rule
View Eligible Workers
from the related actions menu of the eligibility rule for a group. View the list of workers who meet the selection criteria for the rule. If any workers are missing or don't belong in the group, modify the eligibility rule.
View Workers in Multiple Benefit Groups Audit
. Run this report to determine if workers belong to more than 1 benefit group. Verify that your employees belong to only 1 benefit group. If a worker belongs to more than 1 group, modify the selection criteria in your group eligibility rules.
When using the Benefit Job Rules, the results might not be accurate. You can run the
Benefit Group Audit
report to compare results.
Select
Benefits
View Benefit Eligibility
from the related actions menu of a benefit group. View a list of employees who meet the eligibility criteria for the group.
Workers Not Eligible for Benefits
. Run this report to identify workers who don't meet the eligibility criteria for the benefit group.

You don't need to assign workers to benefit groups manually. Workday automatically assigns workers to the correct groups based on the eligibility rules that control group membership.

To ensure loss of coverage for terminations and leaves of absence, configure the eligibility rule with this condition: only active employees can participate in the group. Otherwise, Workday doesn't discontinue benefit coverage for employees in the benefit group.