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Administrator Guide
Last Updated: 2023-09-08
Reference: Benefits Capabilities

Reference: Benefits Capabilities

You can view high-level feature descriptions for the capabilities in this product area.

Affordable Care Act Management

Provides the ability to notify full-time employees of their minimum healthcare coverage and report to the Internal Revenue Service.

Configurable Benefit Plans

Supports creating and configuring health, insurance, and retirement benefit plans, and healthcare savings and spending accounts. The functionality provides the ability to:
  • Create and configure additional benefit plans that don’t fit other coverage categories.
  • Create various attributes to support managing benefit plans, including coverage targets, benefit providers, benefit credits, benefit surcharges, groups, and eligibility rules.

Dependents and Beneficiaries

Supports creating dependents and beneficiaries. The functionality provides the ability to:
  • Create multiple relationship types.
  • Designate a legal trust as a beneficiary.
  • Track a dependent verification status.
  • Create qualified domestic relations orders.

Management of Enrollment Events

Supports configuring multiple enrollment event types and associated rules. The functionality provides the ability to:
  • Enroll new hires in benefit plans, and end benefits upon termination or loss of eligibility.
  • Enroll for employee-initiated qualified life events and auto-generated events resulting from a staffing and eligibility change.
  • Define the benefit enrollment period for a specific type of benefit event, and restrict an employee’s ability to report the benefit event after the enrollment period has expired.
  • Enroll on desktop and Workday-native mobile apps.
  • Coordinate events to process potentially conflicting events while preserving existing enrollments.
  • Create and configure open enrollment workflows and periods.
  • Consolidate events when more than 1 benefit event is reported on the same day.
  • Support benefit plan waiting periods.
  • Support benefit coverage and deduction begin and end date rules.
  • Support rules for evidence of insurability processing that defines levels of change allowed, guaranteed issue limits, and defaulting rules for coverage pending approval.

Medicare

Supports creating and tracking Medicare benefits. The functionality provides the ability to:
  • Track coverage and enrollment information for employees, retirees, terminated workers, and dependents.
  • Support coordinating benefits based on coverage to determine the primary and secondary payer on medical expenses.

Tracking COBRA Eligibility

Provides the ability to:
  • Track employee and dependent eligibility.
  • Integrate with a third-party COBRA provider.

Wellness Administration

Provides the ability to enter wellness information and change retirement contributions.