Use this page to record information for third-party insurance benefits or services that a customer receives or has recently received. The information related to the health insurance policy, insurance company and the relevant policyholders / covered members is entered. Information on health insurance policies for members of the household which have ended is entered in the Past Health Insurance Details page.
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You can select the appropriate record and click the “Populate” button to import this data onto the page. You can then update this information and click on “Save + Continue” to proceed. You can cancel the import of data onto the page by clicking the “Reset” button, as long as the data was not saved in the VaCMS. |
The Third-Party Resources - Details page displays.
In the Third Party Resources Dates section:
Enter the Effective Begin Date for the customer's benefits coverage (required).
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The Effective Begin Date cannot be more than 2 months before the current date. |
Enter the date the medical insurance coverage was reported in the Reported On field (required).
Enter the date when the customer became aware that they could receive medical insurance in the Date Change Occurred field (required).
In the Policy Holder Information section:
Select the Name of the customer who is receiving third-party health insurance benefits from the dropdown menu.
If the policyholder is outside the home, enter the First and Last Name of the policyholder.
In the Insurance Company Information section:
Enter the name of the insurance company that issues the policy in the Name of Insurance Company field.
Enter the Insurance Company's Carrier Code (required).
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Conduct a search for the Carrier Code number by clicking the search icon. Entering an invalid Carrier Code will result in an error. |
Enter the Street #.
Enter the Fraction.
Select a Pre-Direction.
Enter the Str. Name / Rural Addr.
Select a Street Type.
Select a Post-Direction.
Select a Dwelling Type.
Enter the Address Line 2 / PO Box number.
Enter the City.
Select a State.
Enter the Zip Code.
Enter the Region.
Enter the Attn / Care Of.
Enter the Phone #.
In the Policy Information section:
Enter the Policy # (Policy # cannot be longer than 16 digits, required).
Select the Type of Policy from the dropdown menu (required).
Enter the Policy Begin Date (required).
Enter the Policy End Date.
Note: The month for which eligibility is running must fall within the policy effective begin and end month.
Select a response from the Policy End Verified dropdown menu.
Enter the Policy End Verification Method.
Note: If a Policy End Date is entered, that date must be verified by selecting Yes from the Policy End Date Verified dropdown menu. The policy will be treated as open if this question is left unanswered.
Enter the Premium Amount.
Select the Premium Frequency from the dropdown menu.
Select the Overall Type of Coverage (required for FAMIS) from the dropdown menu.
Select Yes or No from the Employer Provided Insurance dropdown menu.
Select Yes or No from the Is this a long term care insurance dropdown menu.
In the Coverage Information for Persons Included on this Policy section:
Select the Type of Coverage from the dropdown menu.
Enter the policy Begin Date.
Enter the policy End Date.
Select the Coverage End Verification from the dropdown menu, if applicable.
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Do not select children under 19 if the policy is currently unknown. Once a customer is added, the Policy Begin Date and Coverage Begin Date cannot be changed. |
Click Add.
If the client is covered by more than one policy, click the Save + Add Another Policy button. Only delete coverage if there is another valid policy replacement.
Click Next.
The Employment Health Insurance Details page is displayed.
The customer's receipt of third-party insurance benefits or services is recorded.
Updated 04/25/2016
