| Office of Group Benefits |
IMPACT on-line application and data repository |
Repository and on-line system of all eligibility and enrollment transactions, event updates due to life events, reporting, and data processing of information for all plan members. |
Not Started |
4 - Devastating Impact |
Without timely and accurate electronic processing of transactions and automated billing, billing would not be done timely, the error rate could increase due to manual processing, the backlog and the lack of any type of reconciliation. Beneficiary payments for life insurance could be paid in error or delayed. Late vendor payments could result in no coverage for medicine and health care, therefore the health and welfare of our members could be placed in jeopardy. There would be an increased risk for fraud. Compliance with federal and state regulations would be at risk. The source of the funds going to OGB are fees & self-generated revenues, which are derived from premiums collected from active and retired plan members and their employing agencies. This would negatively impact OGB with decreased cash flow if their funds are not received timely. To date (11-2017), the FY18 monthly average form fees and self-generated revenues is $109,734,475. |
If IMPACT was non-operational, all eligibility and enrollment transactions, event updates due to life events, reporting, and data processing of information for all plan members would be incomplete, virtually non-existent except through paper forms from the time of the system failure until restoration. Providers would not pay claims or could pay claims in error if the information is incorrect. The information, received from LaGOV HR, Non-LaGov HR, and LSU, is initiated by the plan members and insurance companies. All processing would be done manually using the paper transactions received from the various entities. Processing would be completed in an untimely manner causing further wait time and risk of error. An example is a hospital calling for evidence of insurability and coverage. Now, using the online system IMPACT, an answer may be immediately given. This would not be the case with manual processing.
Claims are also kept in IMPACT, received electronically from the insurers. They would be forced to send paper forms, as well, to be worked manually. To sum it up, all changes, corrections, and billing will not only be untimely but risk of a high error rate will exist due to total manual processing. OGB and their customers would be negatively impacted by the delay possibly causing the inability to get medications and care needed. The risk of fraud increases dramatically, as well. All OGB plan members would be impacted (approximately 245,000).
|
Key |
1M-2M |
|
OEPT-1419 |
| Office of Group Benefits |
OGB Website |
This is the secure website used by plan members and all agencies. The websites are used by ALL active and retired plan members and agencies to view their information, updates to rates, policies and procedures, deadlines, important notices, phone numbers, contacts. |
Not Started |
4 - Devastating Impact |
Without timely and accurate electronic processing of transactions and automated billing, billing would not be done timely, the error rate could increase due to manual processing, the backlog and the lack of any type of reconciliation. Beneficiary payments for life insurance could be paid in error or delayed. Late vendor payments could result in no coverage for medicine and health care, therefore the health and welfare of our members could be placed in jeopardy. There would be an increased risk for fraud. Compliance with federal and state regulations would be at risk. The source of the funds going to OGB are fees & self-generated revenues, which are derived from premiums collected from active and retired plan members and their employing agencies. This would negatively impact OGB with decreased cash flow if their funds are not received timely. To date (11-2017), the FY18 monthly average form fees and self-generated revenues is $109,734,475. |
Without the website, phone calls to customer service would become unmanageable. The agencies use this site to access the eEnrollment tool used when enrolling or modifying LaGov members' insurance information. About 245,000 plan members + staff of agencies use this website. |
Key |
500K-1M |
|
OEPT-1424 |
