Portal User Manual – Employee
Contents
1. cccccccccsssssssseeeeecceeecasseeeeeeecesesaaseeeeeeeeeseecaseeeeeeeeseseagseseeeess 14 my Arkansas Insurance Official Marketplace for Health Insurance Arkansas Insurance Figure 9 Self Section on MY Employer Page 2 15 Figure 10 Selecting PA eee 16 Figure 11 Plan Details Page ccccccccccccssssseeeeesscesseeeesscosseeecessosseeeeesscaseaeeesscossaeeeesscsseeeessouseatees 17 Figure 12 Health Plan AIS ee eer ne eee ee 18 Figure 13 Compare Plans Page cccccccccccccssscesssseeeeeeeseecaseeeeeeeecseecasseseeeeeesesecasseseeeeeesseeaseees 19 Figure 14 Compare Plans Results Page 20 Figure 15 Review and Confirm Your Plans Page ss 21 Figure 16 MY Enrollment PAd 2 sesesdne noms desntusstsecancsuuece 22 FIQUFS TA Enrollment Detalls Page a a a 23 Figure 18 My Plans Page En nes een esse eee tet eee eet eee eee 24 Figure 19 Edit Personal Information Page ss 24 Figure 20 Messages Page oe 25 Figure 21 NOUMGCATIOND Clas 2 ccsoiciccedetedeceliisiniecdccnsnaeisieaetedcbessanisieceteiebedeinisieisteiebeseiainieiateietedeiaess 25 List of Tables TOOLS LATON 9 ogre emer aie eee nr rete rer ern ete ti rr eee ene eee ee 5 aie OCK ENR oem eee ne eee ee ee 6 my Arkansas Insurance Official Marketplace for Health Insurance Acronyms my Gay Arkansas Insurance 1 Acronyms The Acronyms table provides a list of all acronyms included in the deliverable along with the literal2. 4 Inthe Password and Confirm Password fields specify a password 5 Select the agree and accept the Privacy Policy statements check box and then click Save Registration Information security Questions What is the name of your favorite pet pepper In what city was your mother born charlotte What is the name of your favorite childhood friend chrissy Back Figure 2 Selecting Security Questions 6 On the Security Questions page select three secret questions and provide the answer to the questions in the corresponding fields 7 Click Register The account is created You are redirected to the User Login page to enter your new login credentials and access the portal User Account Management my fay Arkansas Insurance 3 2 Completing Your Profile After logging in to the portal you are prompted to complete your user profile On the Complete Your Profile page provide your date of birth SSN TIN mailing address and contact information Complete Your Profile Required Information First Name Middle Name Last Name Suffix Suffix Email Address Username SSN TIN Confirm SSN TIN XXX XX 2222 XXX XX 222 Date of Birth 03 26 1995 Home Address Street Address Figure 3 Complete Your Profile Page 1 Log in to the Employee Portal with your username and password 2 Onthe Complete Your Profile page provide your SSN TIN date of birth home and mailing address preferred meth
3. Teal monthly CET CONCrOLERC 298 46 ndividual 149 23 pir month 2 050 00 VIEW DETAILS SELECT Total employe connerie 149 23 D r imant Figure 13 Compare Plans Page Click Download in Excel to view comparison result details as a spreadsheet outside of the SHOP Employee Portal Click Select to select the plan as your choice of health coverage Click Remove to cancel the selected plan Click View Details to see the complete information of plan Click Add Plan to add and compare a maximum of three plans at a time 19 My Employer Section Arkansas Insurance BACK TO PLAN LIST ADD PLAN DOWNLOAD IN EXCEL amp PRINT ABCABS Small Group Silver Health Plan A Small Group Silver Health Plan 0009 0001 280 00 149 23 Employer monthly cost Employer monthly cost 280 00 Employee monthly cost 149 23 ploy y Employee monthly cost 560 00 298 46 Total monthly premium Total monthly premium VIEW DETAILS VIEW DETAILS SELECT Figure 14 Compare Plans Results Page To compare the plan 1 Select the Compare check box to compare a maximum of three plans 2 Click Compare Plans and scroll down to view plan comparison details 20 My Employer Section my fay Arkansas Insurance 4 4 Selecting Plans To select a health and or dental plan 1 p 5 On the Review Employer s Health Coverage page and or the Review Employer s Dental Coverage page on the My Employer tab review th
4. ER d Insurance Employee User Manual Version 1 0 October 2015 my Arkansas Insurance X2 Official Marketplace for Health Insurance Wa Arkansas Insurance Copyright Information 2015 by Arkansas Health Insurance Marketplace All rights reserved This document is the copyrighted property of the Arkansas Health Insurance Marketplace It should not be duplicated used or disclosed in whole or in part Products named herein may be trademarks of their respective manufacturers and are hereby recognized Trademarked names are used editorially to the benefit of the trademark owner with no intent to infringe on the trademark my Arkansas Insurance Official Marketplace for Health Insurance Arkansas Insurance Table of Contents L PRCT LA Re TT E needed 5 OCTO E eee eee eee eee 6 PA DSA PUO eee ee eee eee 6 2 AOC ee eee eee 6 2 5 Navigating the SHOP Employee Portal 6 9 User Account MANAG SIMO ii iiccsissitintescinesdocadexadeanbeadiaustueedexadengssadivacinosiecsdecsinedivaniuassausineedatannneis 7 3 1 Creating a User ACCOUNT 2 0 0 ccecccccccccccceeeseeeeceeeeeseeaeesseceeeeesseeaasseeeeeeeeeseeaaaseeeeeeeesseaaagseees 7 32 Completing Your Prole err a 9 Bro Updating WOU PONG essan 10 A MV EMmMPployer Sectoid eee 11 4 1 Using the SHOP Participation Code 11 4 2 Accepting or Waiving CO SiS soos as esc _ 13 4 2 1 Waiving CON AG Cc 2 os occ dieecstecetecacecnnsescecececasecnnnessscecse
5. Malling address Quality Arts linc 221 Forest Heid Orire 42207 PULASKI AR Important You have an offer of health coverage from Quality Arts Inc Start enrollment period on Last day employees have to enroll 1016 2015 10312005 BEGIN Figure 6 Verified Employers on My Employer Page 5 Click Begin 12 My Employer Section Arkansas Insurance 4 2 Accepting or Waiving Coverage On the My Employer page view a summary of the coverage including the enrollment period and health and dental plan contributions Verify that the information displayed on this page is correct Once you have signed and submitted the application you will not be able to make any changes My Employer RegLired Information BACK TO MY EMPLOYER Employer summary of health coverage Employer name Employer s Address Quality Arts Inc 221 Forest Fleid Drive oe Itithe rock AR 72207 12345 PULASKI Enrollment Period Estimated effective date 1016 2015 to 1031 2015 COTE Health Plan Dental plan Coverage Contribution Coverage Employes 60 00 Employee Dependent 2 60 00 Dependents Will you accept this health coverage offered by your employer Select yes or no below You can return to this page to choose a health plan after viewing your options lf you choose to waive this coverage you and your dependents will be disenrolled from the current employer coverage if you are currently enrolled Wes plan te accept this coverage
6. select the No waive this coverage through my employer option 14 My Employer Section my Gay Arkansas Insurance 2 Inthe Will you have any of these sources of health coverage once this employer s SHOP plan is effective list select a reason 5 Read the listed terms 4 Inthe Electronic Signature field type your full name 5 Click Submit 4 2 2 Accepting Coverage If you accept coverage provide additional employee details such as your address and dependent information Important Verify all information before you submit your health care application You won t be able to make changes once you sign and submit your application First Name Middle Name Last Name Casey Math SSN TIN Date of Birth SEX 03 26 1995 Male Fernale Household Income Home Address Street Address Apt Ste Figure 9 Self Section on My Employer Page To accept coverage 1 US W On the My Employer page to accept coverage select the Yes plan to accept this coverage through my employer option Complete the Self section by providing your date of birth sex home and mailing addresses contact preferences and dependent information if applicable in the required fields Read the terms and agreement In the Electronic Signature field type your full name Click Save amp Continue You will then be redirected to the Review Employer s Health Coverage page 15 My Employer Section Arkansas Insurance
7. 4 3 Viewing and Comparing Health and or Dental Insurance Plans The Review Employer s Health Coverage page and the Review Employer s Dental Coverage page enable you to review and select a plan that meets your requirements as closely as possible for enrollment Use the Sort By list to sort plans based on the selected sort criteria such as Yearly Deductible High to Low Select the Compare check box to compare a maximum of three plans Plan Riders Each stand alone plan may have some associated riders Riders are add on insurance plans that cover health related services that are not typically covered by the selected health plan Embedded Plans Embedded plans include essential riders There is a single premium for such plans and your employees must purchase all of the benefits together Embedded or essential riders cannot be excluded from the plan Arkansas BlueCross Blu Shiela SHOP Bronze 3000 1 SELECT PPO BRONZE Cost Detalls Total monthly Yearly deductible Total employer Total employee premium contribution contribution 248 52 Individual 124 26 124 26 Not per month per month applicable Family Not applicable per person Not applicable per Broup BACK SAVE AND CONTINUE Figure 10 Selecting a Plan 16 My Employer Section Arkansas Insurance 4 3 1 Viewing Plan Details Click Details to view plan details such as the monthly employer and employee contribution yearly deductible and total estimated
8. cost Click Download in Excel to view the plan details as a soreadsheet outside of the SHOP Employee Portal Click Select to select the plan as your choice of health coverage Click Remove to cancel the selected plan ry Profi Plan Details eee ae My Enrollment Q My Plans ELEC Message center See AE SHOP Gold 1500 PPO Gold Cost details Total monthly Yearly deductible Total employer Total employee premium contribution contribution 554 82 Individual 305 15 249 67 per month per month 0 00 Farnily Not applicable Review the Plan documents section below for more plan details Each plan may have specific features requirements and age restrictions Figure 11 Plan Details Page To view the plan click Details and scroll down to view all details of the plan 17 My Employer Section Arkansas Insurance 4 3 2 Filtering Plans To narrow the list of plans displayed you can use the filter options to only display plans based on the selected criteria NARROW YOUR RESULTS ACCESSIBLE ALTERS Estimated employer contribution Between 0 00 3929 Estimated employee contribution Between F000 5928 E 9 28 Yearly deductible per individual Between 0 00 75 00 p An on 75 00 Yearly deductible per group 000 Between J000 700 Figure 12 Health Plan Filter To filter plans complete the following sections e Estimated employer contribution Specifies the
9. it and create a new enrollment application When the eligibility and enrollment period is locked for your application you will not be able to edit your eligibility and enrollment applications for the coverage year American Indians and natives of Alaska can edit their eligibility details and change their plan selection anytime during the year Once the enrollment application is submitted they can edit the application for both enrolled and dis enrolled statuses My Enrollment Employer s health plans from Asus for Kevin Lee Enrollment 10 Date submitted Coverage stat date 2000000410 10222915 0172016 VIEW DETAILS EIT ENROLLMENT CANCEL ENROLLMENT Plan selected for Kevin Lee Employee monthly share Employer monthly share early deductible 124 26 124 26 individual Not applicable Family Not applicable per person Not applicable per group Plan selected for Kevin Lee Employee manithiy shara Employer mantnty share Yearly deductible 9 28 9 29 individual 75 00 Family 75 00 per person Not applicable par group Figure 16 My Enrollment Page 22 My Enrollment Arkansas Insurance 5 1 Viewing Enrollment Details The Enrollment Details page enables you to view the description of your enrollment for the employer sponsored health dental insurance plan Enrollment Details BACK TO MY ENROLLMENT Employee ID Group ID 12345 Enrollment participation per plan ID Member Relationship with Enr
10. portion of an employee s health insurance premium paid for by the employer Move the slider to set the filter value range to narrow down the number of available plans e Estimated employee contribution Specifies the portion of an employee s health insurance premium paid for by the employee Move the slider to set the filter value range to narrow down the number of available plans e Yearly deductible per individual Specifies the maximum amount that the individual needs to pay at the time of filing a claim or receiving a service Plans with a higher deductible usually have a lower premium and higher out of pocket expenses at the time you receive services or obtain medication Move the slider to set the filter value range to narrow down the number of available plans e Yearly deductible per group Specifies the maximum amount that your family needs to pay at the time of filing a claim or receiving a service Move the slider to set the filter value range to narrow down the number of available plans 18 Arkansas Insurance 4 3 3 Comparing Plan Details My Employer Section Select the Compare check box to compare a maximum of three plans Click Compare Plans to view plan comparison on parameters such as monthly employer and employee contribution yearly deductible and cost coverage e Plants offered with effective date OOl 2016 COMPARE PLANS UF TO 3 Gl Compare ABCABS Small Group Silver Health Plan 0001 Cost Details
11. translation and definition QDP Qualified Dental Plan Qualified Health Plan SHOP Small Business Health Options Program Social Security Number Tax Identification Number Table 1 Acronyms Introduction my af Arkansas Insurance 2 Introduction The SHOP Employee Portal is an easy to use online portal that allows employees to check their eligibility for employer sponsored health coverage and enroll in a health and or dental plan ae Purpose The Small Business Health Options Program SHOP employee user manual enables small business employers to enroll their employees in Qualified Health Plans QHPs and Qualified Dental Plans QDPs The purpose of this manual is to assist small business employees in accessing the SHOP Employee Portal to complete their enrollment in employer sponsored health plans 2 2 Audience The target audience for this manual is employees who access the SHOP Employee Portal to enroll in QHPs QDPs offered by their employers 2 3 Navigating the SHOP Employee Portal Use the links located at the top of each page to manage account information get assistance and to change the displayed language Click the My account y acount link to manage your account information Click the Get assistance link to learn more about the SHOP marketplace or if you need help completing your enrollment or to file an appeal To speak with a trained representative you can call 1 800 706 7893 This service is a
12. 952 9522 TTY 711 Monday Friday 8 aum 5 gum CST for more Information or help entering your nformation Select Get assistance to chat with a trained p rofessional Enter your participation code and Social Security Number SSN or Tax ID Number TIN SHOP participation code SSMITIN Figure 5 My Employer Page To begin the enrollment application 1 In the left navigation menu click My Employer 2 Inthe SHOP Participation Code field type the code you received from your employer 3 Click Verify 11 My Employer Section Arkansas Insurance 4 When prompted to add the employer to your account click Yes The Verified Employers section displays the name and address of your employer My Employer Required information COMPLETE Empioyer added successfully Enter your SHOP participation code given to you by your employer even if you do not plan to accept your employer s offer of coverage If you do not want health coverage now you must enter some basic Information so your employer knows about your decision Contact your employer if you do not have a SHOP participation code Call 1 824 952 9522 TTY 711 Monday Friday amp a m 5 p m CST for more information or help entering your Information Select Get assistance to chat with a trained professional Enter your participation code and Social Security Number SSN or Tax ID Number TIN SHOP participation code VERIFY Verified employers
13. e available plans Click Select for the plan in which you want to enroll Click Save amp Continue On the Review and Confirm Your Plans page click Confirm Review And Confirm Your Plans Arkansas BlueCross BlueShield An mm arasa e ed SHOP Gold 1500 PPO Gold Cost details Total monthly premium Yearly deductible Total employer Total employee contribution contribution 554 82 0 00 305 15 249 67 per person per month per month 0 00 Family Total monthly premium WAIVE BACK CONFIRM Figure 15 Review and Confirm Your Plans Page Read the confirmation message and then click Return to My Enrollment After selecting a plan you still have the option to decline your employer s health insurance coverage On the Review and Confirm Your Plans page you can click Waive to decline coverage 21 My Enrollment Arkansas Insurance 5 My Enrollment The My Enrollment section enables you to view the current status of your enrollment on the SHOP Employee Portal On this page you can view the employee monthly premium employer monthly premium and yearly deductible for the selected health plan You can also view enrollment details edit your enrollment selection or cancel your enrollment If you choose to edit enrollment your application will be cancelled and you will have to start the application again Once you have submitted your enrollment application you will not be able to edit it However you can cancel
14. ge modify the information in the enabled fields If the grayed out fields contain incorrect information contact the back office to update this information 3 Click Save 10 My Employer Section Arkansas Insurance 4 My Employer Section The My Employer page lets you access the unique employee participation code to select coverage 4 1 Using the SHOP Participation Code A participation code is sent to each employee that an employer has offered health coverage The participation code is required to access health plans on the SHOP Employee Portal You should have already received an email from your employer containing a link to the portal for completing your enrollment along with the participation code If you have not received your SHOP participation code then you must contact your employer immediately If you do not wish to receive employer sponsored health coverage or would like to enroll at a later date you should enter your participation code to communicate your decision to your employer through the portal You should also notify your employer in person My Employer Required imfonnaton Enter your SHOP participation code given to you by your employer even if you do not plan to accept your employer s offer of coverage If you do not want health coverage now you must enter some basic Information so your employer knows about your decision Contact your employer if you do mot have a SHOP participation code Call 1 844
15. nssessqencneneseosecsnsensennceeosecsnster Ste 14 4 2 2 Accepting COV FATS nas den ann die an anna a ane 15 4 3 Viewing and Comparing Health and or Dental Insurance Plans 16 4 5 1 Viewing Plan Details 17 4 3 2 Filtering PUAN o25c3sccct022cccacsszaecectmcsesoacssnacceaocesoeecs means naoseseaecsneaes nace een nee 18 4 35 5 Comparing Plan 1 0 ee ns en ee ne eee 19 44 Selecting 1d b gt fo ee eee een nee eee ene enn ene ene anaana ikeko iniri 21 Be POS teasarccuaccne meccouasanmucucceuss tuecdueusesumucocusesentueddestecuduauanmucucdouetvecs eoiuenersien 22 5 1 Viewing Enrollment Details ss 23 GE MY PIS e ee eee ee eee 24 7 Message Ceniter cccccccccccsssseceeeccescessseeeeeeeceeeeasseseeeeeeeeeeaaseseeeeecseeeaaseeeeeeeesseeaasseeeeesssesagseees 25 List of Figures Figure 1 Registration PAR a aa sent ena es ane ee Dont 7 Figure 2 Selecting Security QUESTIONS ccccccsssseceeeecseesessseeceeeceeecauseeeeeeeecseecasseeeeeesessecauseeeeeeses 8 Figure 3 Complete Your Profile Page ie 9 Figure 4 My Profile PAG 6 cc ccarssacsaacarssanaaitoaasanataeataranananeasdanatenetaaatanatenadanadeaataassaaadoeniuamennseieratnnnoenewancnn 10 Figure 5 My Employer Page cccccccccecccccseseseeeeeeeeeeceeeeeesseeeeesseaseceeesseaaeeeeeessaeeeeesssaaeeeesessagseeeees 11 Figure 6 Verified Employers on My Employer Page ss 12 Figure 7 Summary of Coverage Offered ss 13 Figure 8 Waive Coverage Option
16. od of contact and contact information 3 Inthe Authorization Attestation section read and then select the I ve read and agree to these statements check box If you do not agree you will not be able to participate in the SHOP 4 Select the option that defines your role as a primary user account holder or registered customer service representative authorized representative with the authority to act on behalf of this individual option 5 Click Complete Profile You will be directed to the My Employer page to enter your SHOP participation code The participation code is located in the email you should have received from your employer For further information refer to Section 4 1 Using the SHOP Participation Code in Chapter 4 My Employer Section User Account Management my fay Arkansas Insurance 5 5 Updating Your Profile Use the My Profile section to view and edit your profile information Fields that are grayed out are not editable My Profile O Below you can view and edit your personal profile information Required field Basic information First Name Middle Name Last Name Suffix Casey Math Suffix v Account number Email Address ReflD_1439926550149 cmath email com SSN TIN Date of birth XXX XX 1111 03 26 1995 Home Address Street address Apt Ste 123 Home Road Figure 4 My Profile Page To modify your profile 1 Inthe left navigation menu click the My Profile tab 2 Onthe My Profile pa
17. ollment Coverage Coverage end name employee status start date date Casey Self SHOP Submitted 01 01 2016 12 31 2016 Math Gold 1500 John math Son daughter SHOP Submitted 01 01 2016 12 31 2016 Gold 1500 Jason Son daughter SHOP Submitted 01 01 2016 12 31 2016 Figure 17 Enrollment Details Page To view your enrollment details 1 Click the View Enrollment on the My Employer tab 2 Review the summary of coverage 23 Arkansas Insurance 6 My Plans Use the My Plans section to edit yo contact information my Arkansas Insurance Offical Marketplace for Health insurance O My Profile My Enrollment oO Message center To edit personal details gt My account Get assistance My Employer M y P ans My Plans ur personal information such as the mailing address and amp cmatnemal com EDIT PERSONAL INFORMATION Figure 18 My Plans Page 1 Onthe left navigation menu click My Plans 2 Onthe My Plans page click Edit Personal Information 3 On the Edit Personal Information page edit the employee and or dependent information and then click U Edit Personal Required Information BACK TO MY PLANS Figure 19 Self First Name Middle Name Last Name Suffix Suffix v Mailing Address Street Address Apt Ste 200 E Randolph City Zip County State Little Rock 72201 PULASKI Phone Number Ext Phone Type 123 456 7890 Cell Y Second Phone Numbe
18. other health coverage may in the future be able to enroll myself my spouse partner or my dependent child ren in this plan as required by law provided that request enrollment within 30 days after my other health coverage ends or a qualifying event occurs If do not request enrollment within 30 days of the above events understand that may not be able to enroll for coverage until my company s Open Enrollment period understand that can obtain information related to my enrollment eligibility from my employer or small group health carrier acknowledge that must tell the SHOP Marketplace if any information listed on this application changes I m signing this application under penalty of perjury which means I ve accurately answered all questions to the best of my knowledge know that may be subject to penalties under federal law if intentionally provide false or untrue information In addition know that my coverage and the coverage for my dependents if applicable may be impacted if provide false or untrue information Following federal law discrimination isn t permitted on the basis of race color national origin sex age sexual orientation gender identity or disability can file a complaint of discrimination by visiting www hhs gov ocr office file Electronic signature Casey Math Date 10 16 2015 CANCEL Figure 8 Waive Coverage Option To waive health coverage 1 Onthe My Employer page
19. r Ext Phone Type Home v pdate Information Edit Personal Information Page 24 my fay Arkansas Insurance 7 Message Center Message Center Use the Message Center to view notifications that you have received on the SHOP Employee Portal You can also click the paper clip icon to download a PDF file of the notification Messages Search messages Messages Date 10 16 2015 To access notifications Within Subject Y SEARCH 1to1of1 Subject Plan Selection Figure 20 Messages Page 1 Onthe Navigation menu click My Account 1 In the left navigation menu click Message Center 2 Click a subject title to open the notification Notification Details Date Subject Hi King Larry Please click here to download notice 10 16 2015 Plan Selection Figure 21 Notification Details 25 a _ S i A un Arkansas insurance MY Bas
20. through er employer Ha waive this coverage through my employer Figure 7 Summary of Coverage Offered 13 my way Arkansas Insurance My Employer Section 4 2 1 Waiving Coverage On the My Employer page choose whether to accept or waive coverage from the employer If you choose to waive coverage select a reason provide your electronic signature and submit your response Yes plan to accept this coverage through my employer No waive this coverage through my employer Will you have any of these sources of health coverage once this employer s SHOP plan Is effective Individual private health insurance v have read and agree with the statements below I m declining my employer s offer of health coverage and any offered dental coverage fully understand that l m choosing to decline this employer s offer to provide health coverage and any offered dental coverage If this employer is offering coverage for my dependents l m choosing to decline that offer of coverage too I was not pressured or forced or unfairly induced by my employer the agent or the carrier s into waiving or declining group health coverage if in the future apply for coverage my spouse partner and my dependent child ren may be treated as a late enrollee and subject to postponement of coverage for up to 12 months understand that if am declining enrollment for myself my spouse partner or my dependent child ren because of
21. vailable from 9 am to 7 pm EST Monday through Friday Click the Language icon to view the portal in your preferred language Table 2 Quick Links User Account Management Arkansas Insurance 3 User Account Management To enroll yourself and your family members in employer sponsored QHPs you must register yourself on the SHOP Employee Portal by creating a user account After successful registration you can sign in to the portal by entering your username and password and manage your account information SE Creating a User Account The Log In page enables you to register yourself on the SHOP Employee Portal by creating a new user account Click the Create Account link on the User Login page to create an account You must provide information in all the fields that are marked with an asterisk The username and password that you specify will be used to sign in to the SHOP Employee Portal O 2 Registration Information Security Questions First Name Miriam Last Name Thomas Email mthomas email com Username mthomas Use Email Address as Username Password agree and accept to the Privacy Policy statements Save Figure 1 Registration Page User Account Management Arkansas Insurance To create an account 1 In your browser address bar type the portal URL 2 Onthe User Login page click Create Account 3 On the Registration page provide your name email address and username
Download Pdf Manuals
Related Search