Change in eligibility process in 2024
Employers can make eligibility changes from the employer portal
Feb 21, 2024
What is changing
Starting on March 1, 2024 employee enrollment changes for existing employer groups will no longer be accepted through the enroll@prevea360.com mailbox and must be submitted through the employer portal. This includes:
- Submitting employee applications
- Adding employees to your plan
- Terming employees from your plan
- Adding dependents to your plan
Groups who use an 834 file feed
The portal will no longer be “Read Only” for 834 groups. However, NO changes should be made in the portal unless it’s a termination by omission (i.e., Enrollment will no longer manually term someone who was dropped off the 834 file and sent through without a term date; the group admin will have to go into the employer portal and term the member.)
What is not changing
- New employer groups without access to the employer portal must use the forms on the Prevea360 Health Plan agent and quoting page.
- Employer groups can continue to use the enroll@prevea360.com mailbox to:
- Email questions, including inquiries about 834 transactions.
- Submit documentation for qualifying events, such as:
- Proof of Loss of Coverage
- Court order for adoption
- Court or for legal ward/verification of residence and percentage of support
- Questionnaire and copy of visa for relocation
- CMS Social Security Questionnaires
Mailbox notification message
On March 1, 2024, you will see a reply message to questions or documents submitted through the mailboxes that reads:Thank you for your submission. As of March 1, 2024, this email mailbox will only be for sending eligibility and premium billing related questions. Note that you will not be able to submit employee enrollment changes through this mailbox. The following changes or updates will need to be made through the employer portal at prevea360.com/login.
They include:
- Submitting employee applications
- Adding employees to your plan
- Terming employees from your plan
- Adding dependents to your plan