Spouse Carve-Out Workflow Chart.pdf - ConSova
Spouse Carve-Out Workflow Chart.pdf - ConSova
Spouse Carve-Out Workflow Chart.pdf - ConSova
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<strong>Spouse</strong> <strong>Carve</strong>‐<strong>Out</strong> <strong>Workflow</strong> <strong>Chart</strong><br />
Begin Verification<br />
Step 1<br />
<strong>ConSova</strong> receives “Client<br />
Name” data.<br />
Step 2<br />
Data is analyzed and<br />
imported.<br />
Step 3<br />
Send SV Forms to<br />
Employees.<br />
Step 4<br />
Response/SBV form received<br />
from Employee<br />
NO<br />
<strong>Spouse</strong>/Domestic<br />
Partner does not<br />
complete the<br />
verification.<br />
YES<br />
Step 5<br />
Is Section 1 of SBV form<br />
Complete<br />
NO<br />
Incomplete Disposition<br />
Letter Sent to<br />
Employee.<br />
YES<br />
Step 6<br />
Is SP/DP employed<br />
NO<br />
Disposition Letter Sent.<br />
YES<br />
(CONTINUED)<br />
End Verification.
(CONTINUED)<br />
YES<br />
Step 7<br />
Is SP/DP employed by<br />
“Client Name”<br />
YES<br />
Disposition letter sent.<br />
NO<br />
Step 8<br />
Is Section 2 of SBV<br />
Form complete<br />
NO<br />
YES<br />
Step 9<br />
Is Section 3 of SBV<br />
Form complete<br />
NO<br />
Incomplete Disposition<br />
letter sent to Employee.<br />
YES<br />
Step 10<br />
Is SP/DP eligible for their<br />
Employer’s medical coverage<br />
YES<br />
<strong>ConSova</strong> sends letter<br />
stating SP/DP is<br />
ineligible.<br />
NO<br />
Step 11<br />
Is <strong>ConSova</strong> able to<br />
Successfully contact SP/DP’s<br />
Employer<br />
NO<br />
Incomplete Disposition<br />
letter sent stating<br />
“Pending Contact w/<br />
Employer”<br />
YES<br />
Step 12<br />
SP Employer confirms<br />
they are eligible for their coverage<br />
NO<br />
Disposition letter sent.<br />
YES<br />
<strong>ConSova</strong> sends Letter<br />
stating SP/DP is<br />
ineligible.<br />
End of Verification<br />
<strong>ConSova</strong> reports Verification results<br />
to “Client Name”.
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