COBRA Requests

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The Member Request workflow is now deprecated in favor of Member Snapshot

In general, COBRA requests share most of the attributes of their non-COBRA equivalents. These requests should be used for all requests involving COBRA coverage. Using normal member requests will risk your request being rejected or not completed.

COBRA Enrollment

The COBRA enrollment member request is used to add an existing employee, and optionally their dependents to multiple coverages at multiple carriers. This is for a continuation of benefits situation, when main line coverage either has already been terminated, or will be in conjunction with this member request.
Create Cobra Enrollment Member Request

Termination Info

The termination_info block contains information about the termination of the employee prior to COBRA enrollment. If you have already sent a Termination Member Request for the employee the data from that request will be used. If you have not sent a Termination Member Request the data from this request will be used to terminate the member at the carrier.

The Coverages Object

The coverages array contains one entry for each carrier with which you would like to enroll or waive coverage. The carrier_id along with the schema of the carrier_config object will be provided by the Noyo team. You can reference the group carrier configuration resource to get additional carrier-specific data. The lines_of_coverage object allows the following keys:

Signature Date

Within each entry in the coverages array you can optionally specify a signature_date. The signature_date is the date when the employee or employer signed for the change to be made. If a signature_date is not provided we will communicate the date the member request was received by the Noyo system as the signature_date to the carrier.

Enrolling Members

You must provide an enrolling_members entry for each employee or dependent that is enrolling in coverage with the carrier. The plan_id field is optional in each action. If you do not specify a plan_id, we will try to automatically select an available plan for the member based on the current group plans. When the group has more than one eligible plan for a member, you will need to specify the plan_id in the request. Plan IDs can be retrieved using the group plans endpoint.

Enrolling in medical, dental, vision, accident, cancer or hospital_indemnity

Medical, dental, vision, accident, cancer and hospital indemnity coverage do not require any information beyond the member information and the selected plan.

Enrolling in life, add, std, ltd or critical_illness

Life, AD&D, STD, LTD and critical illness coverage also optionally accept volume parameter in dollars (e.g. $50,000 should be sent as 50000).

Waiving Members

You can provide a waiving_members entry for each employee or dependent that is waiving coverage with the carrier along with the reason for waiving the coverage. This information will be communicated with the carrier where applicable. If you did not capture this information and only have the enrolling_members information the API request will still succeed.

Sample Request Result

{
    "dental": [{
        "member_id": "72af10df-a8b3-46f1-a114-ac36d4b8a6ea",
        "member_type": "employee",
        "individual_enrollment_id": "ff033377-59e2-40df-8206-8cec3a725411"
    }, {
        "member_id": "165d4537-be5f-4744-8a97-a5b10fcb75b1",
        "member_type": "dependent",
        "individual_enrollment_id": "ff033377-59e2-40df-8206-8cec3a725411"
    }],
    "vision": [{
        "member_id": "72af10df-a8b3-46f1-a114-ac36d4b8a6ea",
        "member_type": "employee",
        "individual_enrollment_id": "08f9e430-9686-4b07-9e2c-6b26b8133dc3"
    }, {
        "member_id": "165d4537-be5f-4744-8a97-a5b10fcb75b1",
        "member_type": "dependent",
        "individual_enrollment_id": "08f9e430-9686-4b07-9e2c-6b26b8133dc3"
    }]
}

Upon the successful completion of all the transactions in the member request, the status of the member request will be updated to completed and the result of the member request will be an object with a key for each coverage (e.g. dental, vision) and an array with the following:

COBRA Open Enrollment

The COBRA open enrollment member request is used to make changes to employees, dependents and COBRA coverages during the open enrollment period.
Create COBRA Open Enrollment Member Request

The coverages array contains one entry for each carrier with which you would like to make changes to coverage. The carrier_id along with the schema of the carrier_config object will be provided by the Noyo team. You can reference the group carrier configuration resource to get additional carrier-specific data. The lines_of_coverage object allows the following keys for COBRA open enrollment:

Signature Date

Within each entry in the coverages array you can optionally specify a signature_date. The signature_date is the date when the employee or employer signed for the change to be made. If a signature_date is not provided we will communicate the date the member request was received by the Noyo system as the signature_date to the carrier.

Coverage Actions

Within each object inside of lines_of_coverage you may provide three different actions: adding_coverage, removing_coverage, and modifying_coverage. More information about each of these is below.

Adding Coverage

The adding_coverage action is used to add new coverage for a member with a carrier. You must provide an adding_coverage entry for each employee or dependent that is enrolling in coverage with the carrier along with the COBRA eligible plan_id. The plan_id can be retrieved by selecting a valid plan from the group plans list.

Adding medical, dental, or vision coverage

Medical, dental, and vision coverage do not require any information beyond the member information and the selected plan.

Removing Coverage

The removing_coverage action is used to remove coverage from a member with a carrier. The structure of the removing_coverage action is below:

Modifying Coverage

The modifying_coverage action is used to make changes to an existing coverage for a COBRA enrolled member / plan combination, given that the member already has COBRA coverage on that plan with the carrier. For example, you can use the modifying_coverage action to change the volume of coverage for a member's existing life or disability plan, or pass the same set of plans to remain on COBRA coverage with no changes.

Modifying medical, dental, or vision coverage

Medical, dental, and vision coverage do not require any information beyond the member information and the selected plan.

COBRA Open Enrollment Transactions

One or more COBRA open enrollment transactions will created based on the requested changes in the coverages array. For some carriers, there may be a single transaction including all of the requested changes, while other carriers may require separate transactions for each action type (i.e. one transaction per action per carrier).

COBRA Open Enrollment Member Transaction completed Result

Upon the successful completion of the transaction, the status of the member transaction will be updated and the result of the member transaction will be in the same format as the member request result.

COBRA Qualifying Life Event

The COBRA qualifying life event member request is used to make changes to employees, dependents and COBRA coverages due to a qualifying life event.
Create COBRA Qualifying Life Event Member Request

The Event Object

Each COBRA Qualifying Life Event requires an event parameter in the body which provides information about the type of the event as well as the date of its occurrence. The schema for the event must follow this structure:

The COBRA QLE Coverages Object

The coverages array contains one entry for each carrier with which you would like to make changes to coverage. The carrier_id along with the schema of the carrier_config object will be provided by the Noyo team. You can reference the group carrier configuration resource to get additional carrier-specific data. For COBRA QLE requests, the lines_of_coverage object allows the following keys:

Signature Date

Within each entry in the coverages array you can optionally specify a signature_date. The signature_date is the date when the employee or employer signed for the change to be made. If a signature_date is not provided we will communicate the date the member request was received by the Noyo system as the signature_date to the carrier.

Coverage Actions

Within each object inside of lines_of_coverage you may provide three different actions: adding_coverage, removing_coverage, and modifying_coverage. More information about each of these is below.

Adding Coverage

The adding_coverage action is used to add new coverage for a member with a carrier. You must provide an adding_coverage entry for each employee or dependent that is enrolling in coverage with the carrier. The plan_id field is optional in each action. If you do not specify a plan_id, we will try to automatically select an available plan for the member based on the current group plans. When the group has more than one eligible plan for a member, you will need to specify the COBRA eligible plan_id in the request. Plan IDs can be retrieved using the group plans endpoint.

Adding medical, dental, or vision coverage

Medical, dental, and vision coverage do not require any information beyond the member information and the selected plan.

Removing Coverage

The removing_coverage action is used to remove coverage from a member with a carrier. The structure of the removing_coverage action is below:

Modifying Coverage

The modifying_coverage action is used to make changes to an existing coverage for a COBRA enrolled member / plan combination, given that the member already has COBRA coverage on that plan with the carrier. For example, you can use the modifying_coverage action to change the volume of coverage for a member's existing life or disability plan, or pass the same set of plans to remain on COBRA coverage with no changes.

Modifying medical, dental, or vision coverage

Medical, dental, and vision coverage do not require any information beyond the member information and the selected plan.

COBRA Qualifying Life Event Member Request Result

Sample Request Result

{
    "dental": [{
        "member_id": "72af10df-a8b3-46f1-a114-ac36d4b8a6ea",
        "member_type": "employee",
        "individual_enrollment_id": "ff033377-59e2-40df-8206-8cec3a725411"
    }, {
        "member_id": "165d4537-be5f-4744-8a97-a5b10fcb75b1",
        "member_type": "dependent",
        "individual_enrollment_id": "ff033377-59e2-40df-8206-8cec3a725411"
    }],
    "vision": [{
        "member_id": "72af10df-a8b3-46f1-a114-ac36d4b8a6ea",
        "member_type": "employee",
        "individual_enrollment_id": "08f9e430-9686-4b07-9e2c-6b26b8133dc3"
    }, {
        "member_id": "165d4537-be5f-4744-8a97-a5b10fcb75b1",
        "member_type": "dependent",
        "individual_enrollment_id": "08f9e430-9686-4b07-9e2c-6b26b8133dc3"
    }]
}

Upon the successful completion of all the transactions in the COBRA qualifying life event member request, the status of the member request will be updated to completed and the result of the member request will be an object with a key for each coverage (e.g. dental, vision) and an array with the following:

COBRA Qualifying Life Event Transactions

One or more COBRA qualifying life event transactions will be created based on the requested changes in the coverages array. For some carriers, there may be a single transaction including all of the requested changes, while other carriers may require separate transactions for each action type (i.e. one transaction per action per carrier).

COBRA Qualifying Life Event Member Transaction completed Result

Upon the successful completion of the transaction, the status of the member transaction will be updated and the result of the member transaction will be in the same format as the member request result.

COBRA Termination

The COBRA termination member request is used to remove an employee and their dependents from COBRA coverage at all carriers. The cobra_termination_date is the date on which the COBRA coverage should be terminated.
Create COBRA Termination Member Request

Signature Date

Within the COBRA termination request body you can optionally specify a signature_date. The signature_date is the date when the employee or employer signed for the change to be made. If a signature_date is not provided we will communicate the date the member request was received by the Noyo system to the carrier as the signature_date.

COBRA Termination Transactions

A COBRA termination transaction is created for each carrier that the employee and dependents have coverage with a type of carrier_cobra_termination.

Carrier COBRA Termination Result

The result of the carrier_cobra_termination member transaction will include the last day that the members are covered at the carrier. The individual enrollments for the carrier will also be updated with a new status of terminated.

Sample Transaction Result

{
    "last_day_of_coverage": "2018-02-01"
}