Process Overview

Go-to reference for responsibilities throughout the group onboarding process.

Group Implementation Checklist

Step

Info Required

Owner

Create the group

Name of business, email contact at employer, EIN, plan info

Broker / Plan Designer

Add group details and group team

Address, employer email for invoices, employer email for contracts, and members of the employer who need access to

Broker / Plan Designer

Upload Census (if non-HRIS; for HRIS enrollment, reach out to HRIS@yuzu.health)

Name, email, SSN, address, DOB, relationship to subscriber, sex, and plan selection are required fields

We have an Excel that has all of the requirements downloadable on the ‘Upload Members’ tab

Broker preferred; plan designer and employer eligible

Connect bank account

Employer bank account (account name, account number, routing number) and complete the two-factor authentication step (micro-deposit)

Employer

Plan rules, documents, support, and plan details

Overall details (Start and end date, Group number, Rules), Plan-specific details (tiers, accumulators, benefits, vendors, fees)

Plan designer preferred; TPA eligible

Specific Plan Details Checklist

Step

Info Required

Owner

Group Specific Details

Rules

Group number, child age out rule, enrollment waiting period, support run-in, use other COBRA vendor, etc.

Plan Designer

Documents

Signed ASA and Stop Loss documents

TPA or Plan Designer

Support Page

Information shown directly to member on the portal

Plan Designer

Plan Specific Details

Details

Plan number, nickname, plan type

Plan designer

Card

Pre-populated from the templated plan; confirm these benefits are correct before proceeding

N/A

Benefits

Pre-populated from the templated plan; confirm these benefits are correct before proceeding

N/A

Plan Documents

SBC and signed SPD (Auto generated in the portal)

TPA or Plan Designer

Vendors

Relevant vendors to the plan; stop loss requires Agg factors, requires COBRA to be selected

Plan Designer

Fees

Relevant fees to the plan; ensure stoploss stays in account and fees are correct

Plan Designer

Welcome Materials

Pre-populated from the templated plan; confirm these benefits are correct before proceeding

N/A

Claims Routing

Ensure we can get claims automatically added to our system

TPA

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