Plan setup
Build it correctly the first time
Choose a product, complete its mapping workbook, then use the supporting guides when you need them.
COBRA
Set up your COBRA plans correctly, then keep the weekly reporting clean.
For the team that loads plans and reviews qualified beneficiaries.
COBRA Mapping Workbook
The setup form you complete before COBRA plans go live
What you’ll need to fill in
- General
Client-sponsored COBRA plans, whether all COBRA-reportable plans are flagged electable, number of Prism instances, division digit count, risk factors, benefit termination defaults, new-hire general notices, and the email addresses to receive reporting.
- Life Event Codes
Your Prism codes for divorce, legal separation, and other qualifying events.
- Term Codes
Each termination reason, its code, whether it is COBRA eligible, and its category.
- Relationship Type
Type codes and descriptions, including domestic partner handling.
- FSA Types
Account codes for Healthcare FSA, Limited Purpose FSA, and other Section 125 plans that are COBRA reportable.
- Rate Structure
Risk factors, billing rate tables, premium rate tables, and which one governs when you use both.
- Coverage Tiers
Your tier codes and descriptions as configured in Prism.
- Employee Type Codes
Employee classification codes used to determine eligibility.
Sample Processed Report
COBRA QB Parser, July 2024
Your weekly COBRA output. Processed rows have been deemed a COBRA eligible event. Make sure to evaluate the notes to see if this event will be loaded to the portal; Ignored rows will not and need review — the Message column says why (plan not COBRA-electable, no QB event code).