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  • 1.  FAQ Clarity on definitions for Coverage Note Dates for Coverage changes

    Posted 04-06-2022 13:36
    Edited by Michael Grudgings 8 days ago
    As working through mapping, ensuring that interpreting consistently for attributes and definitions, need help clarifying for scenarios related to dependent coverage and how relate to member

    Original Coverage Effective Date
    Coverage Effective Date
    Insured Coverage Effective Date


    #LDEx-General
    #LDEx-EOIS
    #LDEx-BEM
    #LDEx-API

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    Karen Lindokken FLMI
    Solutions Architect
    Standard Insurance Company
    Portland OR
    (971) 321-6442
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  • 2.  RE: FAQ Clarity on definitions for Coverage Note Dates for Coverage changes

    Posted 06-01-2022 13:46
    These values and their intended use have been discussed greatly in the bitbucket issues log #392 if committee members want to review the whole discussion. For non-committee members here is what the final decision was. The changes below have been incorporated into BEM 1.3 definitions.

    OriginalCoverageEffectiveDate

    Initial coverage effective date for the enrollment in the associated benefit plan. Date will not change as long as policy remains in force. Requirements: Situational - required if the value doesn't equal the CoverageEffectiveDate; Format as YYYY-MM-DD. Version: 0.01.2018.06.30

    CoverageEffectiveDate

    Date of the latest change to the current active Coverage. May reflect initial coverage or coverage changes such as those impacting ElectedCoverage, BenefitPlanIdentifier, CoverageTierCode, BenefitAmount, EmployeePremiumContributionAmount, EmployerPremiumContributionAmount, etc. Requirements: Required; Format as YYYY-MM-DD. Version: 0.4.2019.12.06

    InsuredCoverageEffectiveDate

    Earliest date of continuous coverage for this insured in the associated benefit plan. Separate benefit effective dates must be sent for each dependent covered under the benefit plan. Requirements: Required; Format as YYYY-MM-DD. Version: 0.4.2019.02.28



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    Michael J Grudgings
    Business Architect, Data Standards | LL Global, Inc.
    300 Day Hill Road, Windsor, CT, 06095
    t: (860) 298-3850 | mgrudgings@limra.com
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  • 3.  RE: FAQ Clarity on definitions for Coverage Note Dates for Coverage changes

    Posted 06-01-2022 14:37
    This is exactly the interpretation we (Selerix) use in our implementation as well.

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    Lyle Griffin
    President
    Selerix Systems, Inc.
    MCKINNEY TX
    2145025573
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