Attachment 1 When to contact your health insurance company and when to contact DC Health Link – Example: Current Plan Year Open Enrollment Period for Upcoming Plan Year Start of new plan year 7/1/2016 (prior to 7/1/2016) (5/1/2016 6/30/2016) (7/1/2016 and forward) – renewal date Health Insurance Health Insurance DC Health Link Health Insurance DC Health Link Company Company Company Enrollment Eligibility questions Enrollment status Eligibility questions Enrollment status Eligibility questions Enrollment status Enrollment status Enrollment status Enrollment Changes Enrollment Changes Enrollment Changes Life changes Life change reporting Life change reporting Life change reporting Life change reporting Address/email update Address update Address/email update update Name, TIN, Last Name Name, TIN, Last Name Name, TIN, Last Name Name, TIN, Last Name changes changes changes changes Billing Invoice questions Invoice questions Invoice questions Payment Payment Payment Delinquency Delinquency Delinquency Cards/Plan Health insurance Health insurance Health insurance Information Benefit Booklet Benefit Booklet Benefit Booklet Benefit questions/issues Benefit questions/issues Benefit Network questions/issues Network questions/issues questions/issues Network questions/issues Claims Claims status Claims status Claims status Appeals for claims Appeals for claims Appeals for claims Brokers Commissions payment Commissions payment Training on DC Health Commissions payment Training on DC Health Link System Link System Client Client assignment/management assignment/management
Attachment 1 – When to contact your health insurance company and when to contact DC Health Link Example: 7/1/2016 renewal date Current Plan Year (prior to 7/1/2016) Open Enrollment Period for Upcoming Plan Year (5/1/2016 – 6/30/2016) Start of new plan year (7/1/2016 and forward) Health Insurance Company Health Insurance Company DC Health Link Health Insurance Company DC Health Link Enrollment Eligibility questions Enrollment status Enrollment Changes Enrollment status Eligibility questions Enrollment status Enrollment Changes Enrollment status Eligibility questions Enrollment status Enrollment Changes Life changes Life change reporting Address/email update Name, TIN, Last Name changes Life change reporting Address update Name, TIN, Last Name changes Life change reporting Address/email update Name, TIN, Last Name changes Life change reporting update Name, TIN, Last Name changes Billing Invoice questions Payment Delinquency Invoice questions Payment Delinquency Invoice questions Payment Delinquency Cards/Plan Information Health insurance Benefit Booklet Benefit questions/issues Network questions/issues Health insurance Benefit Booklet Benefit questions/issues Network questions/issues Health insurance Benefit Booklet Benefit questions/issues Network questions/issues Claims Claims status Appeals for claims Claims status Appeals for claims Claims status Appeals for claims Brokers Commissions payment Commissions payment Training on DC Health Link System Client assignment/management Commissions payment Training on DC Health Link System Client assignment/management