Use this process to enter a Qualified Medical Child Support Order (QMCSO) for dependents when you need to add dependents and enroll them into the applicable benefit plans using the On Demand Event Maintenance page.

Steps

1. Create an HBE BAS event in the Review BAS Activity page.
   • If needed, refer to the CHRS Benefits Explanation of Review of BAS Activity Business Process Guide.
2. Save the HBE BAS event in the Review BAS Activity page.
3. Go to the On Demand Event Maintenance page.
4. Add the dependent(s).
5. Process the enrollment(s) into the applicable benefit plans.

Navigation: Click on the NavBar Icon > Menu > Benefits > Manage Automated Enrollment > Events > On Demand Event Maintenance.

• Click the Schedule/Prepare Activity button if needed to schedule and prepare the HBE BAS event for use.
• Once the Process Status is Prepared or Re-enter, click the Election Entry button.
  • Use this to add the dependent(s).
  • Enroll the dependent(s) into the applicable benefit plans.
• After scheduling, click the Schedule/Prepare Activity button again to finalize preparation of the HBE BAS event.
  • When prompted, click OK in the “Process Successfully Completed” message box.

• Click on the Election Entry button. The Ben Admin Data Entry window appears.
• Click on the Option Election tab.

• Verify the correct benefit plan and coverage level is selected for the Option Code of applicable benefit plans.
• Click on the Dependents / Beneficiaries tab, and then click on the Change/Add Dependent Data link.

• Locate the dependent(s). If the dependent(s) do not exist, add the dependent(s).

• To add the dependent(s), click once for each dependent to add on the "plus" button in the Dependent/Beneficiaries section.
• A new blank effective-dated row appears and the Dependent/Beneficiary ID is automatically incremented by 1.

• Click on Edit Name to enter the dependent’s name. The Name page appears.

• Enter the dependent’s First Name and Last Name.
  • These are required fields.
  • Click OK.
  • Then click on the Address tab.
• On the Address page, enter the dependent’s address.
  • If the dependent’s address is the same as the employee’s, check the Same Address as Employee box. The employee’s address will display automatically.
  • If the dependent’s phone number is the same as the employee’s, check the Same as Employee box.

• Click on the Personal Profile tab. The Personal Profile page appears.

• Enter the dependent’s personal details:
  • Date of Birth
  • Relationship to Employee
  • Gender
  • Marital Status
  • The Dependent/Beneficiary Type field will auto-populate based on the Relationship to Employee.
• Review As of Date fields:
  • Marital Status, Student, and Disabled As of Date fields appear only on the initial dependent row.
  • Enter the correct As of Date on the initial row.
  • The Smoker and Smoker As of Date fields are not used in CHRS.
• Updating Relationship to Employee:
  • To update, click the button in the Personal History section to insert a new current row.
  • If changing Relationship from Spouse or Domestic Partner to ex-spouse or ex-domestic partner:
  • First remove the employee from benefit plans.
  • Then make the Relationship change effective one day after the coverage change effective date.
  • This ensures the correct Relationship prints on the Medical enrollment form.
  • Note: This means the dependent’s Marital Status Effective Date may not match the coverage change date, but the employee’s Marital Status will be accurate in the Modify a Person page.
• Important: Always update the employee’s Marital Status (if applicable) before generating enrollment forms, especially if the form displays the employee’s marital status.
• Click on the Rider/Orders link to enter court orders for required benefit plan coverage (such as QMCSOs).
  • While Riders/Orders are active, employees cannot drop dependents in eBenefits Employee Self Service.
  • If Campus Benefits Staff try to drop a dependent with a QMCSO in On Demand Event Maintenance, a warning message will display.

• Enter a Riders/Orders row for each plan type where the order applies.
  • Example: Plan Type 10 = Medical.
  • If the order also applies to Dental and Vision, add rows for Plan Type 11 = Dental and Plan Type 14 = Vision.
  • Use the “+” button to add additional rows as needed.
  • Important: Do not delete QMCSOs when ending or inactivating.
• Complete the required fields for each row:
  • Plan Type: Click the Look Up icon and select the applicable plan type. (Required)
  • Sequence Number: Start with 1 for the first row, then increase by 1 for each additional row. (Required)
  • Start Date: Enter the court order/rider start date. (Required)
  • End Date: Enter the court order/rider end date, if applicable. (Optional but recommended if known).
  • State: Enter the state that issued the order/rider.
  • Status: Select the applicable court order status. To inactivate a QMCSO, select Inactive.
  • Exception Type: Select the applicable court order type from the dropdown list.
  • Court Order Number: Enter the court order or rider number.
  • Comment: Enter up to 254 characters. Keep comments factual and objective.
• Click OK to save the court order/rider information.
• Repeat steps for each plan type that requires a court order/rider row for the dependent.

• Click the OK button to save the entered dependent data.

• Click on the Option Election tab to add the dependent to the applicable benefit plans.
  • You may click Enroll All to add all dependents, then remove those not applicable, or individually add the dependent.
  • Complete the enrollment by entering the applicable permitting event code on the CSU Perm Event tab.
  • Finalize the enrollment.
• If applicable, make sure the employee is dis-enrolled from Medical Flex Cash and/or Dental Flex Cash benefit plans before completing the QMCSO enrollment.

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