The Member Request workflow is now deprecated in favor of Member
Snapshot
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.COBRA enrollment member request
Termination Info
Thetermination_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.
reason* | string | Reason for employee termination of coverage. One of: involuntary, job-eliminated, leave-of-absence, loss-of-eligibility, member-deceased, military-leave, voluntary |
last_work_date* | string | ISO-8601 date string for last day of work of the terminated employee |
The Coverages Object
Thecoverages 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 Get carrier configuration by group list to get additional carrier-specific data. The lines_of_coverage object allows the following keys:
| Key | Description |
|---|---|
accident | Accident |
add | Accidental Death & Dismemberment |
cancer | Cancer |
critical_illness | Critical Illness |
dental | Dental |
hospital_indemnity | Hospital Indemnity |
life | Life |
ltd | Long Term Disability |
medical | Medical |
std | Short Term Disability |
vision | Vision |
Signature Date
Within each entry in thecoverages 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.
signature_date | string | ISO-8601 date string for signature date |
Enrolling Members
You must provide anenrolling_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 Get group plan list 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.
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member adding coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
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).
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member adding coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
volumeˢ | integer | Elected volume for the type of coverage being selected |
Waiving Members
You can provide awaiving_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.
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member waiving coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
reason* | string | Reason the member is waiving coverage. One of: medi-cal, medicaid, no-coverage, other-cobra, other-employee-group, other-ind-off-exchange, other-ind-on-exchange, other-medicare, other-parent-group, other-spouse-group, retiree-coverage, tricare-coverage, va-coverage, voluntary-withdrawal |
Sample Request Result
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:
member_id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member for the member enrollment result. One of: dependent, employee |
individual_enrollment_id* | uuid | Unique identifier of the individual enrollment in Noyo created by the member request |
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.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 Get carrier configuration by group list to get additional carrier-specific data. The lines_of_coverage object allows the following keys for COBRA open enrollment:
| Key | Description |
|---|---|
dental | Dental |
medical | Medical |
vision | Vision |
Signature Date
Within each entry in thecoverages 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.
signature_date | string | ISO-8601 date string for signature date |
Coverage Actions
Within each object inside oflines_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
Theadding_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
Theremoving_coverage action is used to remove coverage from a member with a carrier. The structure of the removing_coverage action is below:
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member removing coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
reason* | string | Reason the member is removing or canceling coverage. One of: medi-cal, medicaid, no-coverage, other-cobra, other-employee-group, other-ind-off-exchange, other-ind-on-exchange, other-medicare, other-parent-group, other-spouse-group, retiree-coverage, tricare-coverage, va-coverage, voluntary-withdrawal |
Modifying Coverage
Themodifying_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.
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member modifying coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
COBRA Open Enrollment Transactions
One or more COBRA open enrollment transactions will created based on the requested changes in thecoverages 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.COBRA qualifying life event member request
The Event Object
Each COBRA Qualifying Life Event requires anevent 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:
event_type* | string | Qualifying life event type. One of: adoption, change_to_full_time, change_to_part_time, classifications_change, court_order, death, dependent_open_enrollment, divorce, foster_care, immigration_status_change, legal_guardian, lost_coverage, marriage, medicare, moved, newborn, offline_change, rate_changed, rehire, reinstatement, terminate_cobra |
event_date* | string | ISO-8601 date string for qualifying life event date |
The COBRA QLE Coverages Object
Thecoverages 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 Get carrier configuration by group list to get additional carrier-specific data. For COBRA QLE requests, the lines_of_coverage object allows the following keys:
| Key | Description |
|---|---|
dental | Dental |
medical | Medical |
vision | Vision |
Signature Date
Within each entry in thecoverages 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.
signature_date | string | ISO-8601 date string for signature date |
Coverage Actions
Within each object inside oflines_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
Theadding_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 Get group plan list 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
Theremoving_coverage action is used to remove coverage from a member with a carrier. The structure of the removing_coverage action is below:
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member removing coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
reason* | string | Reason the member is removing or canceling coverage. One of: medi-cal, medicaid, no-coverage, other-cobra, other-employee-group, other-ind-off-exchange, other-ind-on-exchange, other-medicare, other-parent-group, other-spouse-group, retiree-coverage, tricare-coverage, va-coverage, voluntary-withdrawal |
Modifying Coverage
Themodifying_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.
id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member modifying coverage. One of: dependent, employee |
plan_id | uuid | Unique identifier of the group plan in Noyo |
COBRA Qualifying Life Event Member Request Result
Sample Request Result
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:
member_id* | uuid | Unique identifier of the employee or dependent in Noyo |
member_type* | string | Type of member for the member enrollment result. One of: dependent, employee |
individual_enrollment_id* | uuid | Unique identifier of the individual enrollment in Noyo created by the member request |
COBRA Qualifying Life Event Transactions
One or more COBRA qualifying life event transactions will be created based on the requested changes in thecoverages 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. Thecobra_termination_date is the date on which the COBRA coverage should be terminated.COBRA termination member request
Signature Date
Within the COBRA termination request body you can optionally specify asignature_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 ofcarrier_cobra_termination.
Carrier COBRA Termination Result
The result of thecarrier_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
