EverythingBenefits Open Enrollment Frequently Asked Questions

Commonly asked questions for Carriers for Open Enrollment files from EverythingBenefits

• Will there be any changes to the plan structure?
  • If yes, please provide updated specifications and structure.
• When is your Open Enrollment Period?
  • Provide dates for the start and end of Open Enrollment.
  • The Open Enrollment files are automatically delivered seven days after the period's end date.
  • You must ensure all enrollments are completed and approved at least one day before the Open Enrollment file is sent (six days after the end date of your open enrollment period).

• Will a separate Open Enrollment file be delivered, or will changes be accepted on the currently scheduled production file?
  • Best practice is to deliver new plan year enrollments on existing production file. EverythingBenefits can accommodate a separate Open Enrollment file if required by carrier.
  •  If a separate Open Enrollment file is required, should the current production files be paused after Open Enrollment file is delivered? EverythingBenefits can pause files as requested.
• When can carrier expects the Open Enrollment file to be delivered?
  • Open Enrollment files are delivered seven days after the Open Enrollment period end date.
• Will terminations be delivered on the file?
  • Yes, terminations will be delivered as requested.
• When will the last plan year file be delivered?
  • Current year enrollments will be delivered until year-end.
• Will the Open Enrollment production file be sent with a new plan year effective date for all enrollments?
  • Example: If the plan year starts on 1/1/25, will all employee elections reflect 1/1/25?
  • Yes, EverythingBenefits can deliver the same plan year effective date for new plan year enrollments.
• Will all files be held after Open Enrollment production/test if delivered?
  • The best practice is to continue delivering regular production files through the end of the year, but not all carriers will allow this.
  • The files will be paused if the carrier requests them to.
  • If your carrier requests regular production files to be held, you will be responsible for updating data with the carrier manually until they resume in the new year.
• Should we automatically terminate members missing from the annual enrollment file and give them a benefit end date of the last day of the plan year?
  • The carrier can determine how they would like the data delivered.
  • Exports can accommodate a termination end date to plans.
• How will the annual enrollment file be delivered?
  • Enrollment files will be delivered via existing production file feeds, or a one-off file will be delivered if requested.
• Is testing required?
  • No, testing is not needed.