Use the administration features of Standard and Advanced Benefits to manage your benefits programs.
Use the enrollment windows to process benefits participants into plans and options. You can view monthly premiums for a participant or a compensation object and make premium adjustments if required. Run the system extract batch process to compile enrollment records for transfer to third-party benefits administrators. When you need to update rates and premiums, you can use the Total Compensation Setup Wizard to update multiple rates simultaneously in the wizard or in a spreadsheet.
Advanced Benefits includes all the components of Standard Benefits plus features for pre-enrollment administration, processing default and automatic enrollments, recording expense reimbursements, and modeling benefits eligibility.
See: Advanced Benefits Administration: Overview
Use the implementation features of Standard and Advanced Benefits to set up your benefits programs.
See: Standard and Advanced Benefits Setup: Overview
See: Advanced Benefits Setup: Overview
Standard and Advanced Benefits administration share a number of common features:
Enrollment Management: Enroll participants in plans and options for which they are eligible. It includes enrollments entered by benefits administrators, as well as web-based self-service enrollments. The system provides the following enrollment forms:
Use the Non-Flex enrollment form for most programs that are not funded by flex credits.
Use the Savings Plan enrollment form for plans such as 401(k) plans in the U.S. and stock purchase plans.
Use the Miscellaneous Plan enrollment form for plans you define that are not part of a program.
Use the Flex enrollment form if you are an Advanced Benefits customer and you offer programs that you fund by flex credits.
Continuing Benefits Administration: For benefit plans your enterprise offers to terminated or retired employees, such as COBRA in the U.S., you can control continuing eligibility, enroll participants, and record continuing benefits payments.
Premium Calculation: Run the Premium Calculation process to determine monthly premiums. You can view and adjust premiums for a participant or a compensation object.
System Extract: The product's system extract features let you manage the extract, format, and delivery of benefits data to organizations such as third-party benefit administrators.
Your implementation team can set up Oracle HRMS so that employees and other eligible participants process their own enrollments using a web browser. You can configure SSHR so that an HR professional receives a workflow notification when a participant updates an enrollment.
You can also configure SSHR to allow your participants to search through a third party database of primary care providers.
You can assign programs and plans to reporting groups that you define, then generate reports to meet regulatory or other reporting needs. You can write your own reports, or select from reports delivered with Oracle HRMS.
Various predefined reports let you monitor the enrollment cycle during and after an election period, reconcile premiums, and, for Advanced Benefits, track life events.
See: Reports and Processes in Oracle HRMS
To broaden your understanding of Standard Benefits Administration, and administrative features common to both Standard and Advanced Benefits, see:
Running the Maintain Participant Eligibility Process (Standard Benefits)
Running the Eligibility and Enrollment List Report
Running the Benefits Enrollment and Confirmation Reports
Recalculate Participant Values Overview (Standard Benefits)
Running the Premium Reconciliation Process
Advanced Benefits enables benefits administration based on life events that occur to participants. You can generate enrollment actions, activity rate changes, and communications based on predefined life events or events you define.
In addition to the core features available with Standard Benefits, Advanced Benefits comprises several distinct features:
Participation Management: The system lets you trigger enrollments, activity rate changes, and communications based on the occurrence of a life event to a primary participant or dependent.
The Participation Process: This is the process you run from the concurrent manager to determine eligibility, electable benefit choices, and activity rates for your participants before you process enrollments.
View Participation Information: Based on the results of the Participation Process, you can view a participant's electable choices, active life events, and current elections.
Potential Life Events: The application creates a potential life event when the Participation Process detects a database change that you have defined as indicating the occurrence of a life event. You can manually create potential life events for a person and you can void and back-out life events.
What-if Eligibility: This feature lets you model eligibility, electable choices, and pricing information for a person based on a potential life event. Changes that you model do not effect a person's actual record.
Online Benefits Administration: This feature is useful for HR call centers. Using the Benefits Service Center, you can record a change to a person's HR record, evaluate the change for enrollment impact, and process an election online all from a centralized form. You control the application windows, reports, and processes available to your benefits administrators.
Communications: You send communications to inform employees and other individuals about benefits, enrollment periods, and other information that you need to communicate to a range of potential and former benefits participants.
Reimbursement Requests: If you define a flexible spending account plan or a plan that offers reimbursable goods and services, you can record a participant's reimbursement request as part of the process of managing expense reimbursements.
To learn more about Advanced Benefits Administration, see:
Running the Life Events Summary Report