Appendix 2 Group Insurance Reimbursement System.pdf

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Attached to
Open Market Competitive Sealed Proposal IL|24-416CMS-BENF4-P-77070
Contract number
24-416CMS-BENF4-P-77070
Issued by
Illinois

About this file

This document details the Group Insurance Reimbursement System, a comprehensive financial processing system maintained by Benefits and Shared Services for state agencies and universities. The system is an Access application that captures reimbursement data from various pay sources, including Comptroller payroll files, university reimbursement checks, and manual reimbursements for non-IRS dependents and direct pay members. It is utilized by Benefit staff and Shared Services Staff, with the Shared Services (SSC) Accounts Receivable staff using the system for daily deposits.

The reimbursement system produces multiple types of reports, including calculating reimbursement liability by agency, identifying discrepancies between calculated and actual paid amounts, generating reports on exempt/non-exempt funds, tracking reimbursements received through payroll records, and producing membership and member count reports. The system handles both pre-tax and post-tax deductions, with special processes for Non-IRS Domestic Partner Coverage. The system creates detailed reports for daily deposit reconciliations, discrepancy reconciliations, and annual reporting, supporting financial tracking and accountability across different agencies and university systems. Flowcharts and sample reports are included to illustrate the various processes and reporting mechanisms.

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