If the application is complete, the employee will be enrolled and an ID card mailed to the employee's address within two to three weeks from receipt of the application. If the application is incomplete, enrollment will be delayed until we receive the necessary information.
The "yellow employee copy" of the Group Application Form may be used as a temporary identification card until he/she receives the ID card. Keep the "pink employer" copy of the form for your files. Providers can also call the Prevea360 Customer Care Center to verify the coverage date of the employee/dependent.
Try to review each application to see if it is complete before sending it to Prevea360. Please pay special attention to the following areas:
Date(s) of hire
Social security number(s)
Date(s) of birth
Primary care provider(s) election (Not required for POS Plans)
Signature and date
Remember, applications that are not signed or dated will be returned to the employee. This may delay the application unnecessarily, so please double-check this section before sending applications to us.
When a loss of other coverage occurs, only the employee and/or dependents who were covered by this other group plan immediately prior to the termination of the coverage are eligible to apply for coverage by Prevea360. The employee may not add any dependents who were not previously covered under the prior health plan.
You may call the Enrollment & Billing Department directly to terminate coverage for an employee and/or dependents. The Enrollment & Billing Department will take down the information over the phone and process the changes If you reconcile your bill each month (as opposed to paying as billed), please make sure to note the termination on your billing reconciliation form.
Invoices are prepared on the 7th of the month and mailed on the 10th (or the business day following). Changes received by the 1st of the month will be reflected on that month’s invoice.
For example: if changes are received by February 1st, they will be noted on the March bill, which is mailed on approximately February 10th.
As the employer, you are responsible for notifying your employees and their dependents in writing of their rights to COBRA and Wisconsin continuation coverage. Therefore, you must be familiar with which events are qualifying events for group continuation to be offered to an employee or dependent. In addition, if your employee or dependent chooses to continue coverage, you need written documentation of their decision to continue. Therefore, you need to know the time guidelines that an employee has to elect group continuation. Finally, you are responsible for collecting the monthly premium payments from the employee or dependent and then making payment to Prevea360. Again, you will need to know the guidelines regarding when payments can be required from the employee or dependent and when a person can be terminated for nonpayment of premium.
Prevea360 will notify the employee/spouse/dependent by sending a letter 60 days prior to the end of their group continuation coverage. The letter states when the coverage will end and the options for purchasing conversion health insurance available to the employee/spouse/dependent through Prevea360. You can forward any questions regarding plan options after group continuation to the Prevea360 Customer Care Center.
Please call the Prevea360 Medicare Analyst at 608.827.4189, or toll free at 800.356.7344, extension 4189. You may also be able to determine answers through the contact of your Marketing Account Manager.
Prevea360’s Customer Care Center is available Monday through Thursday, from 7:30 a.m. to 5:00 p.m., and Friday, 8:00 a.m. to 4:30 p.m., to answer your questions. Just call 877.230.7555. If you prefer, you may also call your Prevea360 Account Manager.