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Split Premiums %u2013 Requesting and Terminating Split Billing ArrangementsRequesting a Split Billing Arrangement1. The Benefits Administrator for the Primary initiates the process by completing the online split premium application form and submitting to bswift. Go to TRS split bill.All Split Premium arrangements will automatically terminate 8/31. In order to continue the Split Premium arrangement for each upcoming plan year, the Primary Benefits Administrator will need to take action by 8/1.2. Select radio button for Application to Split Premium. The online form will activate and prompt you to complete the required fields. When all required fields are complete, click Submit. The split is then reviewed by bswift and sent to the BA for the Secondary.3. If you are the Benefits Administrator for the Secondary, you will receive a ticket from bswift thru Ticket Tracker. Review the application and assign back to bswift with approval. To access the ticket, go to the secondary employee%u2019s record. Click Ticket in the left-hand navigation menu. Then, chose the relevant ticket and click on the ticket name.4. When the ticket is opened, you have two options to approve the split:a. Download the attached pdf. Sign and reattach by clicking Choose File. Reassign to the bswift team by clicking Assign to Last Saved by User. Then, click Save.b. Scroll down to the ticket history box. Enter the following text %u201cI approve the split request%u201d in the box. Reassign to the bswift team by clicking Assign to Last Saved by User. Then, click Save.bswift will review the approved application. If any information on the application is missing or if the employees%u2019 enrollments are not correct, bswift will return the ticket with a rejection. If the approval is complete and the employees are enrolled correctly (primary enrolled; secondary declined), bswift will update the employees%u2019 records with the Split Billing Indicator and reassign the ticket with an approval.5. If you are a Benefits Administrator at an employer that uses a TPA, update the TPA with the split premium information. If you are a Benefits Administrator at an employer that enrolls directly on bswift, no further action is needed. Close the ticket by changing the Status to Closed.6. It is the Benefits Administrator%u2019s responsibility to ensure payroll is updated accordingly. On the first of the month bill after split premium approval, you will see 50% premium on the monthly billing report with appropriate billing code. In addition, you will now be able to see the Split Premium Indicator in the employee%u2019s record under the Benefits tab.68 www.bcbstx.com/trsactivecareba

