Custom Policy Information integrates with custom forms to allow users to select information for the fields configured in a custom form policy’s detail section. In this area, you can specify the options that are available only for the fields in the Custom Policy Information section on a custom form. To specify options for fields that display in the Custom Policy Information section, Account detail, and/or Contact detail, access Employee Benefits Configuration.
To gain access to the Policy Information section on custom forms, select the Include policy information section checkbox in the Detail section of Policy Type Configuration. Selecting this checkbox for a policy type with existing policies adds the Policy Information section to those policies automatically.
Note: This article contains printing instructions that are only applicable if Applied Epic is installed locally on your computer. If you access Epic through a web browser such as Google Chrome, Mozilla Firefox, or Microsoft Edge, you cannot print directly from within the system. See Printing for more information about the printing capabilities available from Epic Browser. All other steps in this article are applicable to both methods of accessing Epic unless stated otherwise.
From any other area of the program, do one of the following:
You can do the following from here:
In the Employer Contribution frame, optionally select either the Amount or Percent radio button and enter the correct figure in the corresponding field.
If a checkbox is not selected, employees will be able to enter freeform text in the field.
Information entered on this tab defaults into the Stop Loss tab on the Plan/Rate Information page in the custom form for the selected plan. All fields on this tab are optional.
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Third Party Administrator information entered on this tab defaults into the TPA tab on the Plan/Rate Information page in the custom form for the selected plan. All fields on this tab are optional.
Items in the TPA Services pop-up window populate from the TPA Services in Custom Policy Information Configuration.
Use the search bar above the list to specify the TPA services that you want to see
There is one choice in the first dropdown menu:
Make a selection in the second dropdown menu:
Click to highlight the correct service and click Finish.
Items in the TPA Services pop-up window populate from the TPA Services in Custom Policy Information Configuration.
Use the search bar above the list to specify the TPA services that you want to see
There is one choice in the first dropdown menu:
Make a selection in the second dropdown menu:
Click to highlight the correct service and click Finish.
In the Employer Contribution frame, optionally select either the Amount or Percent radio button and enter the correct figure in the corresponding field.
If a checkbox is not selected, employees will be able to enter freeform text in the field.
Information entered on this tab defaults into the Stop Loss tab on the Plan/Rate Information page in the custom form for the selected plan. All fields on this tab are optional.
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Make a selection in the second dropdown menu:
Third Party Administrator information entered on this tab defaults into the TPA tab on the Plan/Rate Information page in the custom form for the selected plan. All fields on this tab are optional.
Items in the TPA Services pop-up window populate from the TPA Services in Custom Policy Information Configuration.
Use the search bar above the list to specify the TPA services that you want to see
There is one choice in the first dropdown menu:
Make a selection in the second dropdown menu:
Click to highlight the correct service and click Finish.
Items in the TPA Services pop-up window populate from the TPA Services in Custom Policy Information Configuration.
Use the search bar above the list to specify the TPA services that you want to see
There is one choice in the first dropdown menu:
Make a selection in the second dropdown menu:
Click to highlight the correct service and click Finish.
You can print a list of plans and their rate names, effective and expiry dates, companies, and last updated date and person.