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1. mY Arkansas Insurance Change Security ETA 12 Manage Clients Introduction page 14 OMNIS AG NETT E TET 15 Search Client Employer page ccccecceccceeceeeceeeceeeeeeeeeeceeeeeeeeeeseeeseeeeeseeseeeseeeaeees 15 Search Client Employer page a 16 Add New Client Employer pooge 16 egeo EE ee ee ee 17 Review Details sc ABA 18 Edit Client Employer E 18 Review Details Employer page rrarnnnnnnnnnnnnnnnnnrnnrnernnnnnnnnnnnnnnnnnnnnnnennrnnennenneneene 19 Client Operations page 20 Proposal et 21 misi aa EEE 22 EMNE RI PH 23 Decide How You Offer CLoverage eene nnne nnne nens 23 Define Contribution page 24 Select A Plan For Health Coverage page 25 Sort Plans By SEC ION Lasse tren Eon i tn ua ever tain eut ln etur min dieere dai 26 FILE ECO daan T EE 27 NE PISrs DOO AP AA AGA PM 28 p 1 180 151 121 AG EEE E AA 29 Document Selection Dae Xa 30 Review Proposal page nemen nnne ne nen nnnm nnne ner neris 30 ohare Proposal e le EE EN l TODOSSI SOR et E EN Authorization Introduction page 32 Authiorzadorr Detals PE ae 32 AHTROFHZAHOL ee 33 Authorization Confirmation page 33 Brokers And Proposals DANG AA AA AGA AA NE 34 ET le E TE 35 ll EI e CAC RT T AA EE 35 Agent Details page nennen nennen nennen nnne reins 36 Authorization Details page 36 Client Eligibility page cc ecccecccecceeeseeeeeeceeseeee
2. Arkansas Insurance Broker User Manual Version 2 0 October 2015 my Arkansas Insurance PG Official Marketplace for Health Insurance Arkansas Insurance Copyright Information 2015 by Arkansas Health Insurance Marketplace All rights reserved This document is the copyrighted property of the Arkansas Health Insurance Marketplace It should not be duplicated used or disclosed in whole or in part Products named herein may be trademarks of their respective manufacturers and are hereby recognized Trademarked names are used editorially to the benefit of the trademark owner with no intent to infringe on the trademark my Arkansas Insurance PG Official Marketplace for Health Insurance TY Arkansas Insurance Table of Contents LL ANN 1 MON 2 Sch WUT DOSS EEE EE NE NR 2 PAE S Uo ne 2 29 ING NANO Agent Vvs 3 2 9 1 Navigating the Agent e CT 4 3 User Account Management a 5 dal ENN 5 22 NOEN 7 39 Comple You e En PO EE 7 3 3 1 Add Agent Details RN 8 3 3 2 Add Your Business Address 9 3 3 3 Add Your Communication Deals 10 3 4 Update Account Details EEE 11 3 4 1 Changing Security Questions Aa 11 3 4 2 Resetting Your PENN 13 GN in El elef En E 14 AV MON PAA 14 de E Elie Tue EO EET 14 4 2 1 Searching for a Client Aa 15 4 2 2 Assigning Client to Broker Admin 17 4 2 3 Removing Cent 17 4 2 4 Viewing Client UDetals nnnm nnne 17 EELER 18 D Managing Client Operations Aa 20 5 1 Creating
3. Confirm Email Employment Type Full time PREVIOUS SAVE AND CONTINUE Figure 47 Enter Employee Details page 3 On the Enter Employee Details page enter the following Ce Oo E Employee code Date of Hire Gender Phone Number Preferred Method of Contact Mailing Address g Add Dependents 4 On the Employee Dependent Details page enter the following dependent details f go oo TY Name Date of Birth Social Security Number Relationship to Employee Sex Tobacco User 5 Click Add Dependent to add more dependents 6 Click Save and Continue Arkansas Health Insurance Marketplace Managing Client Operations 5 3 1 5 Review and Sign Once you complete the employee roster you can review and sign the Eligibility Application To sign the Eligibility Application 1 Check the self attestation checkbox 2 Enter full name in Authorized Assister s E Signature field 3 Click Save amp Continue Review amp Sign Required Information SHOP attestation I m signing this application under penalty of perjury which means I ve provided true answers to all of the questions to the best of my knowledge know that I may be subject to penalties under federal law if I intentionally provide false or untrue information e know that my information on this form will only be used to determine eligibility for health coverage and will be kept private as required by law If my business or o
4. Contact Address Email Preferred Language Phone Number Add New Client Employer Required Information First Name Middle Name Last Name Contact Address Street Address Apt Ste Email Address Figure 16 Add New Client Employer page After searching or adding a client to your client list you can request authorization or manage proposals Arkansas Health Insurance Marketplace Managing Clients 4 2 2 Assigning Client to Broker Admin To assign clients to Broker Admin 1 On the Clients page click the checkbox next to the client and click Assign to Broker Admin Clients F Show Filter ADD NEW CLIENT ASSIGN TO BROKER ADMIN REMOVE CLIENT S Search Within Legal Business Name DOWNLOAD 1to50f8 GO Client List Legal Employer Select All Business Identification Contact z Name Number Name MES 22 1212345 Taylor Authorization 4 Ronald Required Figure 17 Clients page 4 2 3 Removing Client Toremove a client from your account 1 On the Clients page select the client check box 2 Click Remove 4 2 4 Viewing Client Details To view client details 1 On the Clients page under the Actions column click View Client Details 2 On the Review Details Employer page view your client s details 3 Click Previous to return to the Clients page Arkansas Health Insurance Marketplace Managing Clients Review Details Employer Company Name ASUS Legal Business Ad
5. cover health related services that are not typically covered by the selected health plan Select A Plan For Health Coverage Use the SHOP Tax Credit Estimator to find out if your business may qualify for the Small Business Health Care Tax Credit and if it does how much it may be worth to you Take me to the Tax Credit Estimator amp PRINT 3 Medical Insurance Plans Sort Plans By Sort By iu Arkansas BlueCross BlueShield SHOP Bronze 3000 1 ADD TO PROPOSAL bhi Compare PPO Bronze Cost details Total monthly Annual Deductibles Total employer Total employee premium contribution contribution 740 73 individual 370 38 370 35 Not per month per month Applicable Family Not Applicable per person Not Applicable per group Figure 27 Select A Plan For Health Coverage page Arkansas Health Insurance Marketplace Managing Client Operations On the Select A Plan For Health Coverage page you can e Add to proposal e Sort plans e Filter plans Compare plans View plan details 5 1 5 1 Adding to Proposal To add plans to proposal 1 On the Select A Plan For Health Coverage page click Add to Proposal ADD TO PROPOSAL 2 Click Continue 5 1 5 2 Sorting Plans On the Select A Plan For Health Coverage page you can sort the available plans to view plans matching your preference Sort Plans By Employers Monthly Share Low to High Employee s Monthly Share High to Low Emp
6. 5 1 View Member and Premium Details cccccccceeeeeeeeeeeneeeeeeeeeeeeeeeeeeseeeneesaes 51 5 5 2 View Enrollment Details ccccccceccecceeceececcecceceeceeceeceeceeseeseeseeseeeseseesaeeas 52 5 5 3 Withdraw Enrollment Application aaa 53 094 Send Reminder E Luse 54 ENE 55 List of Figures Figure 1 Agent Portal Landing page 3 Figure 2 My Arkansas Insurance page 5 Figure Crede le FONG DOE acturus sima ATA AA AA 6 RU User Be o laf e le EE 7 Figure 5 Agent Details page 7 Figure 6 Agent Details EEE ARARO 8 Figure 7 Business Address page 2 nennen nennen nne nnne nnne rre nna nares 9 Figure 8 Communication Details Aa 10 RUE NONE 11 Figure 10 Change Password ccccceccsecceeceeceeccueceeceeeseeceeceeseeeseesueseeseesaeeaeeseeseeseeeseeaeenaes 12 my Arkansas Insurance Gs Official Marketplace for Health Insurance Figure 11 Figure 12 Figure 13 Figure 14 Figure 15 Figure 16 Figure 17 Figure 18 Figure 19 Figure 20 Figure 21 Figure 22 Figure 23 Figure 24 Figure 25 Figure 26 Figure 27 Figure 28 Figure 29 Figure 30 Figure 31 Figure 32 Figure 33 Figure 34 Figure 35 Figure 32 Figure 33 Figure 34 Figure 35 Figure 36 Figure 37 Figure 38 Figure 37 Figure 39 Figure 40 Figure 41 Figure 42 Figure 43 Figure 44 Figure 45 Figure 46 Figure 47 Figure 48 Figure 49 Figure 50 Figure 51
7. PINS EE 21 5 1 1 Enter Proposal Details cccccccccecceeceeceeceececeecaeceeeeseeceeseeseeseeseeeesseseesaeeas 22 5 1 2 Enter Employee Uetais enn 22 5 1 3 Selecting Plan Benefits a 23 aa Deining ONO MEN RET 24 ND SMN 25 5151 Adding TO lO DO Sa AA AA AA AA 26 SLOL SNP AA iere 26 LLIS al 20106 Pane APP 26 5 1 5 4 Gomparngblans nennen nnne nennen nnne nana n 28 5155 Flan DEAN T 28 5 1 6 Adding DOMMEN secerneren nu t neat na EENAA 29 my Arkansas Insurance PG Official Marketplace for Health Insurance TY Arkansas Insurance 5 1 7 Reviewing Proposal Details 30 S18 TTS 31 5 2 MANAGING eligo drZzu o RINT m 32 5 2 1 Broker Requesting Authorization 32 5 2 2 Employer Approving Authorization Request a 34 5 2 3 Employer Requesting Autborzaton nnn 35 5 2 4 Approving and Rejecting Authorization rrrrvnrnnrrnvrnnrnnrvnnrnrenernnrnnrrnernernnnnneene 36 5 3 Managing Eligibility 2 0 0 Ha 37 5 3 1 Create Eligibility Application eese 38 9 9 1 1 EE Employer DEAN re 39 531 2 VENN 40 5 3 1 3 Managing Emploveee a 41 5 3 1 4 Adding New Employees menn 42 O FV NN 44 5 4 Create Enroll Ment eene nennen nnn nnne nasse rennen snas 45 od 1 Sel Enrollment PSC EE 46 5 4 2 Decide How to Offer COVerage a 46 ET Deining NNN 47 e Eed 2 EEE EE utm ne EM ee 48 5 4 5 View Summary and Submit aa 49 EE EIERE 50 5
8. Template or click Add Employee to add each employee individually via a web form Adding Employees Using Roster Template To add employees using the employee template 1 Click Blank Roster to download the Excel template to your computer and Save the template 2 Enter details for your employees in the template and Save the template 3 Click Choose File and then follow the instructions to upload your Excel template spreadsheet A B Employee Date of Employee Social Suffix Employee First Name Employee Last Name Employee Middle Name Employee Gender Employee Email Address Birth Security Number Jane Doe Female jane doe employee com 02 02 1985 324 78 9090 Josh Smith Male josh smith employee con 03 03 1983 123 89 6789 Lynn Roberts Female d nn roberts employee c 04 04 1988 345 89 6789 Figure 46 Employee Roster Template Adding Employees Manually To add each employee individually 1 On the Employee Roster page click Add Employee 2 On the Enter Employee Details page enter the following employee details a Employee Name b Social Security Number c Date of Birth d Email Address e Employment Type Arkansas Health Insurance Marketplace Managing Client Operations Enter Employee Details Required Information Add an employee to your roster First Name Middle Name Last Name Suffix Suffix SSN TIN Confirm SSN TIN Date of Birth Email Address
9. a side by side comparison To compare plans 1 On the Select Plans Health Coverage page select the Compare check box for the plans that you want to compare 2 Click Compare Plans e The Compare Plans page displays the selected plans in a side by side comparison Compare Plans BACK TO PLAN LIST ADD PLAN Q DOWNLOAD IN EXCEL amp PRINT SHOP Bronze 3000 1 SHOP Silver 2000 1 370 38 434 58 Employer Monthly Share Employer Monthly Share 370 35 434 55 Employee Monthly Share Employee Monthly Share 740 73 869 13 Total monthly premium Total monthly premium VIEW DETAILS VIEW DETAILS ADD TO PROPOSAL ADD TO PROPOSAL Figure 30 Compare Plans page 5 1 5 5 Viewing Plan Details The Plan Details page enables you to review available plans in detail before making a selection The Plan Details page displays the following information e Monthly Premium ssuer e Plan Name e Annual Deductible e Metal Level Quality Rating e Co pays Arkansas Health Insurance Marketplace Managing Client Operations e Coinsurance e Deductibles On the Select Plans Health Coverage page click View Details for the preferred plan Plan Details BACK TO COMPARE PLANS A DOWNLOAD IN EXCEL amp PRINT l Arkansas Blue Cross and Blue Shield ADD TO PROPOSAL SHOP Bronze 3000 1 PPO Bronze Cost details Total monthly Annual Deductibles Total employer Total employee premium contribution contribution 5740 73 Individu
10. conduct business on behalf of a client the broker must receive authorization There are two ways to receive authorization e Broker requests authorization from the client e Client request authorization from the broker Introduction This section allows you to manage authorization for your clients by keeping an organized record of your client s authorization It also helps you create manage and follow up for authorization Below are various actions you can perform for listed clients from this section View authorizations for client Request online authorization for client Request paper authorization for client Upload authorization documents as applicable Figure 32 Authorization Introduction page 5 2 1 Broker Requesting Authorization For a Broker to request authorization from the client 1 Click Authorization from the left navigation menu 2 Click Request Authorization Details REQUEST AUTHORIZATION Start Date Action No records to display Figure 33 Authorization Details page Arkansas Health Insurance Marketplace Managing Client Operations 3 From the Authorization page select either Paper Authorization or Online Authorization 4 f you chose Paper Authorization click Upload Document to upload a paper authorization 5 Enter description optional 6 Click I confirm that Client authorized me to create a profile and work on his or her behalf 7 Click Continue Authorization Requi
11. marked with an asterisk are mandatory my Arkansas Insurance BY amp peter reed test123 com Client Operations gt Q Manage Clients Agent Details Manage Proposals Required Information Agent Operations My Arkansas Insurance will use this information to identify and authorize you to start doing business Cover Page Templates Agent Name Manage Agencies First Name Middle Name Last Name Suffix Peter Reed Suffix Q Message Center Email Address Confirm Email Agent Name as Shown on License First Name Middle Name Figure 5 Agent Details page User Account Management Arkansas Insurance 3 3 1 Add Agent Details The Agent Details page enables you to provide your agent and agency information Agent Details Required Information My Arkansas Insurance will use this information to identify and authorize you to start doing business Agent Name First Name Middle Name Last Name Suffix Peter 7 Reed Suffix Email Address Confirm Email eter reer ite Agent Name as Shown on License First Name Middle Name Last Name Suffix Peter Reed Suffix State License Number Agency Broker TIN 78 8897879 Agency Name Agency Website URL License Valid From License Valid To 09 01 2015 09 30 2017 Marketing and Outreach Figure 6 Agent Details On the Agent Details page enter the following information Name Email Address Agent Name as Shown on License Stat
12. the types of health plans for the enrollment offer The plan benefits you select on this page will filter the plans that are rolled out to the employees on the enrollment offer There are two options when selecting plan benefits e Option One Employees can select plans in one metal tier from all carriers e Option Two Employees can select one plan from one carrier Arkansas Health Insurance Marketplace Managing Client Operations Decide How You Offer Coverage Select Plan Benefits to be rolled out to the employees Every employee will be able to select one plan from this list e You ll select a plan category like Bronze or Silver from any insurance company Your employees can select the insurance company and plan the best suits their needs in from plan category you choose You ll select the insurance company and the plan Your employees must enroll in this plan in order to get SHOP coverage If you have any questions call the SHOP Employer Call Center at 1 844 952 9522 or select Get assistance to chat online TTY users should call 711 FREE to reach a call center representative Option One Option Two Employees can select plans in one metal tier Employees can select one plan from from all carriers one carrier Figure 51 Decide How You Offer Coverage 5 4 3 Defining Contribution The Define Contribution page enables you to define the percentage or maximum dollar amount that the employer wants to contribute towards th
13. 1 Searching for a Client Clients Show Filter ADD NEW CLIENT Search Within Legal Business Name Figure 13 Clients page To search a client On the Clients page click Add New Client On the Search Client page select the Search New Client radio button Enter either the clients Account Number or Email Address Click Search my Arkansas Insurance uh Marketplace foe Health Insurance ar App Canter RPN ee amp peter reed resr 23 com Client Operations Search Client Employer Search New Client Manage Proposals Add New Client If the client does not have an account on Agent Operations Accoun t number Q Cover Page Templates Manage Agencies o Message Center Figure 14 Search Client Employer page 5 Click Select Client next to the client you wish to manage 6 On the Review Client page click Add Client Arkansas Health Insurance Marketplace Managing Clients To add a client 1 On the Clients page click Add New Client 2 On the Search Client page select Add New Client radio button 3 Click Search my Arkansas Insurance a DEEN MyAccount Get Assistance Official Marketplace for Heaith Insurance Client Operations Search Client Employer Search New Client Add New Client If the client does not have an account on My Arkansas Insurance Agent Operations ccount number Email Figure 15 Search Client Employer page 4 Enter basic employer information e Name Company Name
14. 1654 72201 English Authorize Spanish Deny 0 00f0 ED Other agents brokers Agent ID ZIP code Languages Other broker agency not found Proposals Proposal number Date Broker name Proposal status Actions No proposals found Figure 36 Brokers And Proposals page Once a client authorizes a broker the authorization status on the Agent Portal will change to Active Once authorization is active the broker can conduct business on behalf of the client Arkansas Health Insurance Marketplace Managing Client Operations 5 2 3 Employer Requesting Authorization A client can request authorization from a broker To request authorization 1 The client must login to the Employer Portal using a valid username and password 2 Click Get Help from the top navigation menu 3 Click Find Agent Agency Get Help Learn about SHOP Find an Agent Agency Need Help Figure 37 Get Help Menu 4 Enter the search criteria f POTY Role Agent Agency Name ZIP code Distance Language NPN 5 Click Search 6 Click the Agent Name Find an Agent Agency You can choose to get SHOP enrollment help from an agent or agency registered to work with SHOP Each agent or agency listed in the search has completed the SHOP privacy and security agreement and is able to assist you If you decide to do so you must authorize them to act on your behalf You can remove authorization at any time To search fo
15. Communication Details On the Communication Details page enter the following information e Mailing Address e Primary Contact Number e Secondary Contact Number e Preferred Language Click Save 10 3 4 User Account Management Update Account Details Once you have completed the Agent Details sections your user account information is stored by the Agent Portal You can review your user profile information in the My Account section To update your user account information you must 3 4 1 Sign in to the Agent Portal using your username and password created during registration Select your My Account from the top Navigation menu Edit profile information if needed Get Assistance Client Operations Q Manage Clients Agent Details Manage Proposals Required Information Agent Operations My Arkansas Insurance will use this information to identify and authorize you to start doing business Cover Page Templates Agent Name Manage Agencies First Name Middle Name Last Name Suffix Peter E Reed Suffix Message Center Email Address Confirm Email reed test123 com Agent Name as Shown on License Figure 9 My Account menu Changing Security Questions You can use the Change Security Questions page to change the security questions and answers you provided during registration You will be prompted to answer the security questions if you forget your password and need to reset it To update your se
16. LL Aen E Agent Operations Figure 40 Client Eligibility page Arkansas Health Insurance Marketplace Managing Client Operations 5 3 1 Create Eligibility Application To create an eligibility application 1 On the Client Eligibility page click Create under the Actions column 2 Read the self attestation message and click Continue Important Information Required Information Please read the information carefully to participate in AHIM SHOP e You should have a valid EIN e Your primary business address should be in state of Arkansas e Self attestation for following will be required e You are a small business that has 100 or fewer full time equivalent FTE employees and has a primary business address in the state of Arkansas e You will offer coverage to all full time employees e Your business should have at least one employee who isn t owner or business partner CANCEL CONTINUE Figure 41 Self Attestation Message Arkansas Health Insurance Marketplace Managing Client Operations 5 3 1 1 Enter Employer Details Tocreate your employer profile on the Agent Portal zech NO Sie 19 Business Information Required Information Start here to create a SHOP account and verify your eligibility to purchase a plan To be eligible your small business must have a primary business address in the state where you re buying coverage and have at least one employee who isn t the owner or business pa
17. Review And Confirm Your Plans Cost details Total monthly premium Annual Deductibies Total employer otal employee contribution contributior Mu ida 124 26 124 26 Not Applicable per month Family Messages Q Manage Proposals Agent Operations Not Applicable per person Not Applicable per group 142 83 Total monthly premium Figure 67 Review and Confirm Your Plans page Arkansas Health Insurance Marketplace My ay Arkansas Insurance
18. al 5370 38 5370 35 Not Applicable Family Not Applicable per person Not Applicable per group Figure 31 Plan Details page 5 1 6 Adding Documents You can add documents to include in the proposal sent to clients On the Document Selection page 1 Click the Cover page checkbox and select a template from the dropdown menu to include with the proposal See the Adding Cover page Templates section for more information on loading templates 2 Select Employee List with cost details to include with proposal 3 Select Employee Details to include a list of employees with proposal 4 Click Continue Arkansas Health Insurance Marketplace Managing Client Operations Document Selection Please select the documents to be added to proposal Cover Page Select a template Initial Proposal Employee List with cost details Benefit Details PREVIOUS CONTINUE Figure 32 Document Selection page 5 1 7 Reviewing Proposal Details The Review Proposal page enables you to review the enrollment offer thoroughly after you have completed the plan selection for your client s employee group The enrollment details previously entered while setting up enrollment and the selected plans added to your enrollment are displayed on the Review Proposal page Review Proposal You have completed the plan selection for the proposal Please review the details below Below is the summary of the estimated premium costs an
19. an track status of this proposal in the Proposals app using this information Proposal ID Proposal Name Proposal Description Company Name Contact Name Effective Date 01 01 2016 CONTINUE Figure 23 Proposal Details 5 1 2 Enter Employee Details On the Employee Details page nagi ae aa Download the Employee Roster Template Complete the Employee Roster in Excel Upload Employee Roster Click Continue Arkansas Health Insurance Marketplace Managing Client Operations Employee Details Add employee roster for more accurate proposal amount DOWNLOAD ROSTER TEMPLATE UPLOAD EMPLOYEE LIST Employee List Employee ID Date of Birth Tobacco User Zip Code County Dependents No Employees Found PREVIOUS CONTINUE Figure 24 Employee Details 5 1 3 Selecting Plan Benefits The Plan Benefits page enables you to select the types of health plans for the enrollment offer The plan benefits you select on this page will filter the plans that are rolled out to the employees on the enrollment offer There are two options when selecting plan benefits e Option One Employees can select plans in one metal tier from all carriers e Option Two Employees can select one plan from one carrier Decide How You Offer Coverage Select Plan Benefits to be rolled out to the employees Every employee will be able to select one plan from this list e You ll select a plan category like Bronze or Silver from any insu
20. curity information 1 KO Q0 O9 O1 f C IV Sign into the Agent Portal using your username and password created during registration Select your Username in the top right hand corner Click Change Password Click Change Security Questions In the Security Question 1 field select a question In the Security Answer 1 field enter an answer In the Security Question 2 field select a question In the Security Answer 2 field enter an answer In the Security Question 3 field select a question 10 In the Security Answer 3 field enter an answer 11 Click Save and Logout Arkansas Health Insurance Marketplace User Account Management Change Password Username peter reed tes1123 com Email peter reed test123 com Old Password New Password Confirm Password Canoy st Figure 10 Change Password Change Security Questions Username peter reed test123 com Email peter reed test123 com Save and Logout Back Figure 11 Change Security Questions Arkansas Health Insurance Marketplace User Account Management 3 4 2 Resetting Your Password You can use the Password page to change or reset your password To reset your password 1 Sign into the Agent Portal using your username and password created during registration 2 Select your Username in the top right hand corner 3 Click Change Password amp john brown test123 com My Account Change Password Arkansas Health Insuranc
21. d your plan selections amp COPY 3 PRINT 3 DOWNLOAD Enrollment Period Effective Date End coverage on 01 01 2016 Proposal ld EMP 5375 Effective Date 2016 01 01 Description Client Name Primary Contact Figure 33 Review Proposal page Arkansas Health Insurance Marketplace Managing Client Operations 5 1 8 Sharing Proposals The Share Proposal page enables you to share the created proposal to the client You can also save the proposal to revisit and complete the proposal Once the proposal is complete it cannot be edited You can enter a unique message and subject line specific to the client Share Proposal Required Information DOWNLOAD Client Email ID Subject Line ronald taylor test1 23 com Message Send me a copy of this proposal PREVIOUS SAVE SEND PROPOSAL COMPLETE PROPOSAL Figure 34 Share Proposal page Once proposal is shared a Proposal Sent message will display directing you to go to the Client Operations page for more options for the client Proposal Sent Your Proposal has been sent successfully to ronald taylor test123 com Figure 35 Proposal Sent page Arkansas Health Insurance Marketplace Managing Client Operations 5 2 Managing Authorization The Authorization section enables you to manage authorization for your clients It keeps an organized record of your client s authorization and enables you to view approve or reject authorizations In order to
22. dress 2232 Glen St 72201 AR PULASKI Email Address ronald taylor amp test123 com Business Contact Taylor Ronald Primary Phone Number 7985611625 Preferred Language English Figure 18 Review Details page 4 2 5 Editing Client Details To edit client details 1 On the Clients page under the Actions column click Edit Client Details 2 On the Edit Client Employer page update the client information Edit Client Employer Required Information First Name Middle Name Ronald Company Name Asus Contact Address Street Address 2232 Glen St Apt Ste Last Name Suffix Taylor Suffix Figure 19 Edit Client Employer page 3 Click Continue 4 On the Review Details Employer page review the details and click Submit Arkansas Health Insurance Marketplace Managing Clients Review Details Employer Company Name ASUS Legal Business Address 2232 Glen St 72201 AR PULASKI Email Address ronald taylor test123 com Business Contact Taylor Ronald Primary Phone Number 7985611625 Preferred Language English PREVIOUS CANCEL SUBMIT Figure 20 Review Details Employer page Arkansas Health Insurance Marketplace Managing Client Operations 5 Managing Client Operations The Client Operations section of the Agent Portal enables you to perform the following activities for your employer clients e Create Proposals e Manage Authorizat
23. e License Number Agency Broker TIN NPN Agency Name Agency Website URL License Valid From and To Dates 10 Marketing and Outreach Information 11 Click Save en ND OS SANA Arkansas Insurance 3 3 2 Add Your Business Address Business Address Required Information User Account Management My Arkansas Insurance will use this information to identify and authorize you to start doing business Primary Address Street Address 343 Glen St Apt Ste City County Little Rock PULASKI Working Hours From Select AM PM 08 00 AM Li Working Days Monday Tuesday Wednesday Thursday Friday Area of Expertise Select Select AM PM PM v Saturday Sunday Figure 7 Business Address page On the Business Address page enter the following information a CO hr Click Save Primary Street Address Working Hours Working Days Area of Expertise User Account Management Arkansas Insurance 3 3 3 Add Your Communication Details Communication Details Required Information Please enter the following communication details My Arkansas Insurance will use it to communicate with YOU Mailing Address Mailing address same as business address Street Address 343 Glen St Apt Ste Phone Number Preferred Method of Contact 852 458 5458 Cell Secondary Phone Number Phone Type Home Preferred Language Awailable Languages 2 Selected Figure 8
24. e Marketplace Managing Clients 4 Managing Clients 4 1 Introduction The Manage Clients section of the Agent Portal enables you to manage your clients and perform the following activities e Add Update Clients e Send and manage plan proposals e File an eligibility application and enrollment on behalf of your clients e Enrollment employees e Manage payments To manage your employer clients click Manage Clients from the left navigation menu my Arkansas Insurance ar App Center My Account Get Assistance Official Marketplace for Health Insurance Client Operations M This section allows you to work with your chents by keeping an organized record of your client Manage Proposals nformaton It also heit vou manage and f Iw up wi ef f ient activit are vari 3 ns you can perform for listed dier rom th Agent Operations Cover Page Templates CONTINUE Arkansas Health Insurance Marketplace 1844 1995 Arkansa Insurance eat E com Figure 12 Manage Clients Introduction page 4 2 Managing Clients The Clients page enables you keep an organized record of your client s general information and helps you to manage and follow up with pending client activities To manage clients you must first perform one of the following activities e Search for a client with a profile on the Employer Portal e Adda new client without a profile on the Employer Portal Arkansas Health Insurance Marketplace Managing Clients 4 2
25. e employees health plans as a premium for employees and their dependents To qualify for tax credits the employer must pay at least 50 of your full time employees premium costs Define Contribution Required Information Please enter contribution details 1 You can contribute a fixed percentage that will be calculated based on the individual plan premium for each employee and dependent 2 You can base your percentage contribution on a reference plan premium if your employees are selecting coverage from a plan category you chose The percentage in both contribution methods will translate to a dollar amount you can use for budgeting purposes This amount will also be applied to your monthly cost as you compare plans You can come back here and change your contribution any time as you compare plans Contribution Method Fixed Percentage Fixed Dollar Amount Will you offer coverage for dependents Health coverage To qualify for the tax credit you must pay at least 5096 of your full time employees premium costs Contribution 96 for employee Contribution 96 for dependent Dental coverage Contribution for employee Contribution for dependent PREVIOUS SAVE AND CONTINUE Figure 52 Define Contribution page Arkansas Health Insurance Marketplace Managing Client Operations To define employer contribution towards the employee s health insurance premium 5 6 8 Select Fixed Percentage o
26. eeceeeseeeeeeseeeseeeseeseesseeseeeseeeeeeseeaees 37 Salt Altestallon WES SAG C ve 38 Business Information page 39 Employer Information Primary Dade a 40 Verify Eligibility page r 41 Employee Roster page 41 Employee Roster Template a 42 Enter Employee Details page a 43 REE 0110 01 0 EE 44 Had Ve e 164 DAJE EEE AA 45 Set Enrollment Period page 46 Decide How You Offer CLoverage aa 47 my Arkansas Insurance PG Official Marketplace for Health Insurance mY Arkansas Insurance Figure 52 Define Contribution page 47 PUSS ic goo REM E 48 Figure 54 Summary 4 Submit page 49 Figure 55 Client Enrolments Bade E 50 Figure 56 View Member and Premium Details oage sees 51 Figure 57 Employer Enrollment Details page 2 X A 52 Figure 58 Withdraw Applcaton a 53 Figure 59 Withdraw Warning Message mmm 53 Figure 60 Send Reminder Email link Ha 54 Figure 61 Confirmation to Send Reminder Email 1112 54 FRUE ca Gelee d lte EE 55 Figure 63 Accept coverage link ccccceccecceeceeceeceecuececcueceececeuceeceeceeceesueseeseeseeeesessesseseneas 55 Figure 64 Employee Hrole lessen menn mnnera 56 RUE 65 ANINE 56 Figure 66 Review Employer s Health Coverage page 57 Figure 67 Review and Confirm Your Plans oage a 58 PH 59 my Arkansas Insurance PG Officia
27. ill translate to a dollar amount you can use for budgeting purposes This amount will also be applied to your monthly cost as you compare plans You can come back here and change your contribution any time as you compare plans Contribution Method Fixed Percentage Fixed Dollar Amount Will you offer coverage for dependents Yes No Health coverage To qualify for the tax credit you must pay at least 5096 of your full time employees premium costs Contribution 96 for employee Contribution 96 for dependent Dental coverage Contribution for employee PREVIOUS Figure 26 Define Contribution page Todefine employer contribution towards the employee s health insurance premium 1 2 Select Fixed Percentage or Fixed Dollar Amount to specify your contribution type Select Yes or No to specify if you want to contribute for the dependents of the employees Enter your contribution for medical and dental insurance in the specific fields for both employees and their dependents if applicable Click Save and Continue Arkansas Health Insurance Marketplace Managing Client Operations 5 1 5 Select Plans The Select Plans page enables you to select the plans for the enrollment offer to be rolled out to the employees The premium rates mentioned for the plan on the Select Plans page are monthly employer contributions Each standalone plan may have associated entities Entities are add on insurance plans that
28. ion e Setup Enrollment e Submit Enrollment e Manage Employees e Manage Profile e Manage Payments Clients F Show Filter ADD NEW CLIENT ASSIGN TO BROKER ADMIN REMOVE CLIENT S Search Within Legal Business Name DOWNLOAD 1to50f8 GO Client List Legal Business Name 22 1212345 Taylor Authorization 4 Ronald Required Figure 21 Client Operations page Arkansas Health Insurance Marketplace Managing Client Operations 5 1 Creating Proposals The Proposal List page enables you to select a proposal to send to employer s as an enrollment offer Clients can view plan and cost details per employee There are eight steps to creating a proposal e Enter Proposal Details e Enter Employee Details e Select Plan Options e Define Contributions e Select Plans e Add Documents e Review Proposal e Save and Send Proposal Proposal List ADD PROPOSAL Search Within Proposals SEARCH DOWNLOAD Figure 22 Proposal List page Arkansas Health Insurance Marketplace Managing Client Operations 5 1 1 Enter Proposal Details To enter proposal details JASON gt Click View Client Details from the Actions column next to the client Click Manage Proposals from the left navigation menu Click Create Proposal Enter Proposal Name Enter Proposal Description Enter Effective Date Click Continue Proposal Details Required Information Let s begin by giving your proposal a name You c
29. l Marketplace for Health Insurance TY Arkansas Insurance List of Tables ET TANN 1 Table 2 Agent Portal Navigation Option 4 my Arkansas Insurance PG Official Marketplace for Health Insurance Acronyms myr Arkansas Insurance 1 Acronyms The Acronyms table provides a list of all acronyms included in the deliverable along with the literal translation and definition Employer Identification Number Full Time Equivalent Qualified Health Plan SHOP Small Business Health Options Program Social Security Number Tax Identification Number Table 1 Acronyms Introduction Arkansas Insurance 2 Introduction A broker is responsible for selling small group health insurance policies to employers and employees on and off the Agent Portal A broker must register with My Arkansas Insurance and have a license number to track sales and commissions All licensed life and health agents must be licensed as Exchange Producers in order to sell SHOP plans 2 1 Purpose This user manual describes how brokers use the Agent Portal to manage their prospects and customers lists apply for health coverage on the Agent Portal on behalf of customers search plans and share proposals with customers and or manage Broker Admin to work on their behalf The key topics included in this guide are e Managing the Agent Portal Account e Managing Clients e Managing Proposals e Enrolling Employees 2 2 Audience The targe
30. loyee s Monthly Share Low to High Annual D eductible High to Low Annual Deductible Low to High Figure 28 Sort Plans By Section 5 1 5 3 Filtering Plans On the Select A Plan For Health Coverage page use the filter option to view plans matching your filter criteria To filter plans 1 On the Select A Plan For Health Coverage page click Accessible Filters on the left panel to expand or collapse the Contribution filtering list Arkansas Health Insurance Marketplace Managing Client Operations You can narrow down the accessible filters using the following filter options Estimated Employer Contribution minimum and maximum Estimated Employee Contribution minimum and maximum e Yearly Deductible per employee minimum and maximum e Yearly Deductible per family minimum and maximum PLAN CATEGORY Bronze Silver Gold FILTER OPTIONS ACCESSIBLE FILTERS Estimated Employer Contribution Between 370 38 533 88 370 38 Estimated Employee Contribution Between 370 35 533 85 370 35 Yearly deductible per individual Between 0 00 2 000 00 533 88 533 85 0 00 Yearly deductible per group Between 0 00 4 000 00 2 000 00 0 00 Figure 29 Filter Section 4 000 00 Arkansas Health Insurance Marketplace Managing Client Operations 5 1 5 4 Comparing Plans The Compare Plan page enables you to compare two or three different plans by displaying the plan details in
31. mber and premium information View Member And Premium Details BACK TO ENROLLMENTS Current enrollment and premium amounts Total premium amount Total number of employees enrolled 0 00 o Employer s total cost Employee s total cost 0 00 0 00 Detailed plan member and premium information are below e Important No employee enrollments found Figure 56 View Member and Premium Details page Arkansas Health Insurance Marketplace Managing Client Operations 5 5 2 View Enrollment Details You can view details of the enrollment applications from the Employer Enrollment Details page You can view Enrollment Period Employer s Offer of Coverage Employer s Contribution Plans Selected Employer Enrollment Details You have completed the plan selection for the proposal Please review the details below BACK TO EMPLOYEE ENROLLMENT amp APPLICATIONS amp PRINT Enrollment Period From Date To Date 10 16 2015 10 31 2015 Effective Date End coverage on 01 01 2016 12 31 2016 Employer s Offer Of Coverage Employees can accept the health insurance company and plan you selected or select any plan from the plan category and insurance company below if applicable Health coverage Dental coverage e Arkansas Blue Cross and Blue Shield e BEST Life Metal Metal Employer s Contribution Health Insurance Dental Insurance For Employee For Employee 50 0 0 0 Figure 57 Employer Enrollment Details page Arkansa
32. nguage English Spanish National Producer Number NPN 8775241654 AUTHORIZE BROKER Figure 37 Agent Details page 5 2 4 Approving and Rejecting Authorization After a client authorizes a broker the broker must approve or reject the authorization To approve authorization 1 On the Authorization Details page click the Approve icon 2 On the Accept Authorization popup click Confirm To reject authorization 1 On the Authorization Details page click the Reject icon 2 On the Reject Authorization popup click Confirm Details Start Date Status 2015 10 16 17 48 42 0 Inactive Figure 39 Authorization Details page Arkansas Health Insurance Marketplace Managing Client Operations 5 3 Managing Eligibility The Manage Eligibility section enables you to check if your client qualifies to purchase plans on the SHOP marketplace To be eligible to purchase plans on the SHOP marketplace your client must gt Have a valid EIN gt Have a primary business address in the state of Arkansas gt Provide a self attestation for the following required e You are a small business with less than 100 employees You will offer coverage to all full time employees e Your business should have at least one employee who isn t owner or business partner my Arkansas Insurance FA App Center Official Marketplace for Health Insurance Client Operations Client Eligibility Client Ronald Taytor Application ID CITIES
33. ntrue information In addition know that my coverage and the coverage for my dependents if applicable may be impacted if provide false or untrue information Following federal law discrimination isn t permitted on the basis of race color national origin sex age sexual orientation gender identity or disability can file a complaint of discrimination by visiting www hhs gov ocr office file Assistor s E Signature john Brown Date 10 16 2015 Figure 65 Attestation Form Arkansas Health Insurance Marketplace Enroll Employees 4 Click Select next to the plan 5 Scroll down the page and click Save and Continue Review Employer s Health SPRINT Coverage Plan s offered with effective date 01 01 2016 Sort By eU i Compare VIEW DETAILS SHOP Bronze 3000 1 PPO BRONZE Cost detalls Total monthly Annual Deductibles Total employer Total employee premium contribution contribution 248 52 Individual 124 26 124 26 per month per month Not Applicable Family Not Applicable per person Not Applicable per group BACK SAVE AND CONTINUE Figure 66 Review Employer s Health Coverage page Arkansas Health Insurance Marketplace Enroll Employees 6 Review the plans with the employee 7 Click Waive to waive coverage 8 Click Confirm to accept coverage Official Marketplace for Health insurance amp john brown rest 23 com Client Operations Ma Client Ronald Taylor
34. r Fixed Dollar Amount to specify your contribution type Select Yes or No to specify if you want to contribute for the dependents of the employees Enter your contribution for medical and dental insurance in the specific fields for both employees and their dependents if applicable Click Save and Continue 5 4 4 Select Plans The Select Plans page enables you to select the plans for the enrollment offer to be rolled out to the employees The premium rates mentioned for the plan on the Select Plans page are monthly employer contributions Each standalone plan may have associated entities Entities are add on insurance plans that cover health related services that are not typically covered by the selected health plan To add plans to enrollment application 1 On the Plans page click Add to Cart 2 Scroll to the bottom of the page and click Save and Continue 3 Medical Insurance Plans SHOP Bronze 3000 1 PPO Bronze Sort Plans By Sort By VIEW DETAILS ADD TO CART Cost details Total monthly p ium 248 52 Annual Deductibles Total employer Total employee contribution contribution individual 124 26 124 26 Not per month per month Applicable Family Not Applicable per person Not Applicable per group Figure 53 Plans page Arkansas Health Insurance Marketplace Managing Client Operations 5 4 5 View Summary and Submit The final step to creating the enrollment applica
35. r an agent agency enter information in minimum two fields language zip code etc You can also enter your agent agency name if available Role Agent Agency Name Agent Y peter ZIP code Distance Select Language National Producer Number NPN Select Language SEARCH 1 20f2 DD Agent List Name E mail Phone Number Zip Language Reed Peter peter reed test12 852 458 5458 72201 English Spanish 3 com Figure 38 Find an Agent Agency Arkansas Health Insurance Marketplace Managing Client Operations 7 From the Agent Details page click Authorize Broker Agent Details BACK TO SEARCH PAGE Once you authorize a SHOP agent or agency to access your account he or she will be able to see your business and employee information For your privacy and security confirm that your preferred agent or agency is licensed and in good standing with your state department of insurance before finalizing your authorization If you have questions about what this means or if you need the phone number for your state department of insurance call the SHOP Call Center at 1 800 exchange Monday Friday 9 a m 7 p m EST TTY users should call 711 to reach a call center representative Reed Peter Aetna 343 Glen St Little Rock PULASKI AR 72201 Website Email Address peter reed test123 com Agency phone number 852 458 5458 State License Number SLN AB22312 Working Hours 8 00 am 8 00 pm Preferred spoken la
36. r and Premium Details e View Enrollment Details e Withdraw Enrollment Application e Submit Enrollment Application Client Enrollments Important To ensure that your offer isn t identified as spam or junk mail have employees o add your address to their email contact list The 5HOP Marketplace will send an email about your offer of coverage to all employees whose email address you provided with your application The email includes your participation code and a link to the SHOP website where they can fill out the employee application It s your responsibility to ensure that all your employees get information about how to enroll in a health plan through SHOP VIEW MEMBER AND PREMIUM DETAILS E PRINT Effective Date Open Enrollment End Date 01 01 2016 Enrollment period in progress 10 31 2015 SHOP Application 1000000575 Current participation ratio Status Pending submission 0 0 VIEW ENROLLMENT DETAILS WITHDRAW SUBMIT APPLICATION 1to1of1 OCH Enrollment status Employee Employee Dependent Status Code Name Coverage 99999 Kevin Lee No NOTIFIED Figure 55 Client Enrollments page Arkansas Health Insurance Marketplace Managing Client Operations 5 5 1 View Member and Premium Details You can view the current enrollment and premium amounts on the View Member and Premium Details page You can view Total premium amount Total number of employees enrolled Employer s total cost Employee s total cost Detailed plan me
37. r email 1 From the Clients Enrollment page click Send Reminder Email next to the employee s name 2 Click OK to confirm lTiolofl OCH Enrollment status Employee Employee Dependent Status Actions Name Coverage Code 99999 Kevin Lee No NOTIFIED Figure 60 Send Reminder Email link Message Do you want to send a reminder mail to the employee Figure 61 Confirmation to Send Reminder Email Arkansas Health Insurance Marketplace Enroll Employees 6 Enroll Employees Brokers can enroll employees in health coverage plans offered by their employers They can also waive employees To enroll employees 1 From the Client Enrollment page click Enroll next to the employee you wish to enroll 1t010f1 QO Enrollment status Employee Status Code Dependent Coverage Employee Name 99999 Kevin Lee No NOTIFIED Figure 62 Enroll link To accept coverage on behalf of the employee 1 From the My Employer page click the Yes radio button My Employer Required Information BACK TO CLIENT ENROLLMENTS Employer summary of health coverage Employer Name Asus Employee Code 99999 Enrollment period 10 16 2015 To 10 31 2015 Health plan Category Contribution Employee 50 00 Employer address 123 Asus Little Rock AR 72201 PULASKI Estimated effective date 01 01 2016 Dental plan Category Contribution Employee 0 0096 Will you accept this health coverage offered by your emplo
38. rance company Your employees can select the insurance company and plan the best suits their needs in from plan category you choose e You ll select the insurance company and the plan Your employees must enroll in this plan in order to get SHOP coverage If you have any questions call the SHOP Employer Call Center at 1 844 952 9522 or select Get assistance to chat online TTY users should call 711 FREE to reach a call center representative Option One Option Two Employees can select plans in one metal tier Employees can select one plan from from all carriers one carrier Figure 25 Decide How You Offer Coverage Arkansas Health Insurance Marketplace Managing Client Operations 5 1 4 Defining Contribution The Define Contribution page enables you to define the percentage or maximum dollar amount that the employer wants to contribute towards the employees health plans as a premium for employees and their dependents To qualify for tax credits the employer must pay at least 50 of your full time employees premium costs Define Contribution Required Information Please enter contribution details 1 You can contribute a fixed percentage that will be calculated based on the individual plan premium for each employee and dependent 2 You can base your percentage contribution on a reference plan premium if your employees are selecting coverage from a plan category you chose The percentage in both contribution methods w
39. raw your eligibility application or create a new application To create a new application first withdraw your application After you withdraw it yoi ASA NG Manage Proposals COED Co Application ID Setup Enrollment View Withdraw Application Create Enrollment Agent Operations Arkansas Health Insurance Marketplace LAIT Figure 49 Client Eligibility page Arkansas Health Insurance Marketplace Managing Client Operations 5 4 1 Set Enrollment Period To set enrollment period 8 Select Start coverage on date 9 Select Open Enrollment Start Date and End Date 10 Select Waiting Period 11 Click Save and Continue Set Enrollment Period Required Information Enrollment period is the time specified by you during which employees can enroll in and make changes to the plans on offer The coverage start date may affect your costs This is due to quarterly rate increases that may be set by insurance companies Once you enroll your premium is locked in for 12 months Start coverage on 01 01 2016 Open Enrollment Start Date Open Enrollment End Date Employee waiting period Waiting period is the number of days for which employee has to wait to enroll into the employer sponsored health coverage Waiting period for new employees 0 days SAVE AND CONTINUE Figure 50 Set Enrollment Period page 5 4 2 Decide How to Offer Coverage The Decide How to Offer Coverage page enables you to select
40. red Information Select Authorization type for Taylor Ronald Paper Authorization You will be required to upload the paper authorization document from the client Online Authorization Please select authorization document to upload UPLOAD DOCUMENT Enter Description confirm that Taylor Ronald authorized me to create a profile and work on his or her behalf PREVIOUS CONTINUE Figure 34 Authorization page You ll receive a confirmation message stating your request was sent to the client Authorization You have successfully sent authorization request Figure 35 Authorization Confirmation page Arkansas Health Insurance Marketplace Managing Client Operations 5 2 2 Employer Approving Authorization Request After the broker sends the request to the client the client must approve the request through the Employer Portal For a Client to approve the request 1 The client must login to the Employer Portal using a valid username and password 2 Click Brokers and proposals from the left navigation menu 3 Under the Pending agent broker requests section the client must click Authorize to approve the request ravn Brokers And Proposals Q mego tor Authorized agents brokers O Account profile O My enrollment O Brokers and proposals 1 10f1 Pending agent broker requests ZIP code 7 Languages Employer payment and billing a ZIP code Languages O Message center BROKER Peter Reed 877524
41. rganization is eligible it will be used to facilitate enrollment know that must tell the SHOP and any programs I m enrolled in if anything changes and is different than what I wrote on this application I have consent from everyone I ll list on the application to include personally identifiable information like dates of birth Social Security Numbers addresses and phone numbers know that under federal law discrimination isn t permitted on the basis of race color national origin sex age sexual orientation gender identity or disability can file a complaint of discrimination by visiting www hhs gov ocr office file have read and agreed to terms and service Authorized Assister s E Signature john Brown Date 10 16 2015 PREVIOUS SAVE AND CONTINUE Figure 48 Review amp Sign page Arkansas Health Insurance Marketplace Managing Client Operations 5 4 Create Enrollment The Client Eligibility page enables you to create an enrollment application to send to employees as an enrollment offer There are eight steps to creating an enrollment e Set Enrollment Period e Decide How to Offer Coverage e Set Employer Premium Contribution e Select Plans e View Summary amp Submit To create an enrollment 1 Click Create Enrollment from the Client Eligibility page meson a ke amp jonn browngxesr123 com Client Operations Clem Ronald Taylor part of your application to participate You may also withd
42. rtner or the spouse of the owner or business partner You must have 100 or fewer full time equivalent FTE employees and offer SHOP coverage to all full time employees All information is required unless otherwise noted You may save your data at any point and return later to finish Select Get assistance and Learn about SHOP if you have questions about how to calculate the number of full time equivalent employees or for answers to other questions Legal Business Name Asus Name to be displayed on the SHOP Business type Select Figure 42 Business Information page Enter the Legal Business Name Name to be displayed on the SHOP Employer Identification Number EIN and Business type In the Business Address fields enter the legal business address In the Primary Business Address fields enter the legal business address Enter Preferred Mode of Communication Email address or Mailing address Enter Preferred Language English or Spanish Click Save amp Continue On the Employer Information Primary page enter primary contact details mailing address and contact preferences Arkansas Health Insurance Marketplace Managing Client Operations Employer Information Primary Contact Required Information Primary contact details First Name Middle Name Last Name Suffix E Taylor Suffix Title Examples Owner HR Email Address Confirm Email Mailing address Select if it s the same as the bu
43. s Health Insurance Marketplace Managing Client Operations 5 5 3 Withdraw Enrollment Application You can withdraw the enrollment application from the Client Enrollments page To withdraw the application 1 Click Withdraw 2 Click OK Client Enrollments Important To ensure that your offer isn t identified as spam or junk mail have employees d add your address to their email contact list The SHOP Marketplace will send an email about your offer of coverage to all employees whose email address you provided with your application The email includes your participation code and a link to the SHOP website where they can fill out the employee application It s your responsibility to ensure that all your employees get information about how to enroll in a health plan through SHOP VIEW MEMBER AND PREMIUM DETAILS amp PRINT Effective Date Open Enrollment End Date 01 01 2016 Enrollment period in progress 10 31 2015 SHOP Application 1000000575 Current participation ratio Status Pending submission 0 096 VIEW ENROLLMENT DETAILS WITHDRAW SUBMIT APPLICATION Figure 58 Withdraw Application Warning Are you sure you want to withdraw this application Figure 59 Withdraw Warning Message Arkansas Health Insurance Marketplace Managing Client Operations 5 5 4 Send Reminder Email You can send a reminder email to employees to remind them to select or waive coverage offered by their employer To send a reminde
44. siness billing address Street Address Apt Ste Figure 43 Employer Information Primary page 8 Click Save 4 Continue 5 3 1 2 Verify Eligibility Tobe eligible to purchase plans on the SHOP marketplace your client must Have a valid EIN Have a primary business address in the state of Arkansas Provide a self attestation for the following required e You are a small business with less than 100 employees You will offer coverage to all full time employees e Your business should have at least one employee who isn t owner or business partner Arkansas Health Insurance Marketplace Managing Client Operations Verify Eligibility Required Information To be eligible to participate in the SHOP you must indicate that your business or organization meets all of these qualifications Learn more about how to count full time equivalent employees This business has 100 or fewer full time equivalent FTE employees and has a primary business address in the state of Arkansas where I m applying for this SHOP coverage d All full time employees of this business will be offered SHOP coverage This business has at least one employee who isn t the owner or business partner or the spouse of the owner or business partner BACK SAVE AND CONTINUE Figure 44 Verify Eligibility page 1 On the Verify Eligibility page read the self attestation 2 Check the checkbox next to each attestation 3 Click Sa
45. t Communications Details Table 2 Agent Portal Navigation Options User Account Management Arkansas Insurance 3 User Account Management 3 1 Create a User Account Creating a user account enables you to sign in to the Agent Portal A broker can create an account and register on the Agent Portal to assist state residents with their health insurance related questions and sell group health insurance policies to employers and employees Registered users can use their login credentials to sign in to the Agent Portal A registered user can sign in and manage clients and Broker Admin determine client eligibility apply for health insurance coverage on behalf of customers search plans share proposals with customers and enroll employees To create an account on the Agent Portal 1 Go to www myarinsurance com 2 Click Manage SHOP in the upper right hand corner 3 Click Agents Brokers N 844 952 9522 Mon Fri 8AM 5PM Espafiol v Q my Arkansas Insurance Home About News Contact Manage SHOP Official Marketplace for Health Insurance Coverage Options Find an Agent Broker Resources FAQs T Ny Nu Manage SHOP Click links below to log in and manage your Arkansas SHOP account Small Businesses Small Business Employees Agents Brokers o Figure 2 My Arkansas Insurance page User Account Management Arkansas Insurance 4 Click Create Account User Login Forgot Password Create Account 5 In
46. t audience for this manual is Brokers who use the Agent Portal to manage Broker Admin and clients Introduction Arkansas Insurance 2 3 Introduction to Agent Portal The Agent Portal is an easy to use online Portal that allows Brokers and Broker Admin to sell small group health insurance policies to employer clients my Arkansas Insurance NG i en Espanol get Marketplace for Health Insurance al BN a BANA Lamm amp peter reed test123 com Client Operations Business Address Q Manage Clients Agent Details Manage Proposals Required Information Agent Operations My Arkansas Insurance will use this information to identify and authorize you to start doing business Cover Page Templates Agent Name Manage Agencies First Name Middle Name Last Name Peter Reed Message Center Email Address Confirm Email peter reed test123 com peter reed test123 com Agent Name as Shown on License First Name Middle Name Last Name Figure 1 Agent Portal Landing page Arkansas Insurance 2 3 1 Navigating the Agent Portal The following table explains how to navigate in the Agent Portal Click the Apps Click the Click My Account to Click Get Assistance to be Center tab to be Language s icon view account details directed to the Help Center directed to the to view the Agent including Agent Manage Clients Portal in your Details Business Introduction page preferred language Address and g
47. the First Name field enter your name 6 In the Last Name field enter your last name 7 Inthe Email field enter your email address 8 In the Username field enter a username You have the option of using your email as a username 9 In the Password field enter your password 10 In the Confirm Password field enter your password again 11 Select the agree and accept to the Privacy Policy statements check box 12 Click Save 13 From the Security Question list select your security questions 14 In the Answer field enter your respective answers for the security questions 15 Click Register O Registration Information Figure 3 Create Profile page Upon successful system authentication you will be directed to the User Login page User Account Management Arkansas Insurance 3 2 Login to the Agent Portal 1 In the Username field enter Username 2 In the Password field enter Password 3 Click Sign In User Login Forgot Password Create Account Figure 4 User Login page 3 3 Complete Your Agent Profile After registration the Agent Portal stores the details that you entered when you registered You must complete your profile to perform activities for clients You are asked to provide the following information e Agent Details e Business Address e Communication Details When you complete each section and click Save and Continue the next section will display automatically All fields
48. tion is to review the detail A summary of estimated premium costs and your plan selections Select Edit to make any changes To change plans go to Select plans on the left Select Submit when you re ready to offer coverage Summary 4 Submit You have completed the plan selection for the proposal Please review the details below Below is a summary of estimated premium costs and your plan selections Select Edit to make any changes To change plans go to Select plans on the left Select Submit when you re ready to offer coverage 3 PRINT Enrollment Period From Date To Date 10 16 2015 10 31 2015 Effective Date End coverage on 01 01 2016 12 31 2016 Employer s Offer Of Coverage Employees can accept the health insurance company and plan you selected or select any plan from the plan category and insurance company below if applicable Health coverage Dental coverage e Arkansas Blue Cross and Blue Shield e BEST Life Metal Metal Figure 54 Summary 4 Submit page Once edits are complete click Submit A notification email will be sent to the employees submitting with the enrollment application Arkansas Health Insurance Marketplace Managing Client Operations 5 5 Manage Enrollment Once the enrollment application is submitted enrollment details can be viewed from the Client Enrollments page You can perform the following activities on the Client Enrollments page e View Membe
49. ve and Continue 5 3 1 3 Managing Employees Once you complete the eligibility attestation for your client you can manage their employee list on the Employee Details section Employee Roster Submit a roster that lists all employees who will receive an offer of coverage including you You can upload a complete employee roster or add employees manually e List all eligible employees even if some may not accept the coverage offer e Ata minimum you must offer coverage to each employee working an average of 30 or more hours per week throughout the year e All employees working 30 or more hours per week should be listed even if they do not plan to accept coverage These employees should be listed so you can track the percentage of employees who accept your offer of coverage This will allow you to determine if you meet the minimum participation rate ADD emptovee fi BLANK RosTER D UPLOAD COMPLETED ROSTER Search employee by Within Employee Code 1to1of1 QO Employee roster Employee Code Employee Name Kevin Lee hAZUkvfi4ARLFDN ACTIVE U 32cgA Figure 45 Employee Roster page You can add new employees to the roster edit their details and remove them from the employee list on the Employee List page Arkansas Health Insurance Marketplace Managing Client Operations 5 3 1 4 Adding New Employees To add employees to the roster you can upload the information of multiple employees using an Excel spreadsheet Roster
50. yer Select yes or no below You can return to this page to make your choice after viewing health plans If you choose to waive this coverage you and your dependents will be disenrolled from the current employer coverage if you are currently enrolled Yes plan to accept this coverage through my employer No waive SHOP coverage through my employer Figure 63 Accept coverage link Arkansas Health Insurance Marketplace Important Verify all information before you submit You won t be able to make changes d once you sign and submit your application First Name Middle Name Kevin SSN TIN Birth Date 3000007412 01 01 1980 Household Income 9 Home address Street Address 120 N 11 Street City Littie Rock Mailing Address Street Address Last Name Lee Sex Male Female Apt Ste County PULASKI Apt Ste Enroll Employees 2 Scroll down the page and complete the employee s profile information 23 Felix St City County State Littie Rock PULASKI AR Figure 64 Employee Profile 3 Scroll down and sign the attestation form know that must tell the SHOP if information listed on this application changes I m signing this application under penalty of perjury which means I ve provided true answers to all the questions to the best of my knowledge know that may be subject to penalties under federal law if I intentionally provide false or u

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