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Spouse Carve-Out Workflow Chart.pdf - ConSova

Spouse Carve-Out Workflow Chart.pdf - ConSova

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(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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