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Out of Compliance BELIs
It is very important that an employee’s BELI is correct,
since it determines the benefits for which an individual is eligible.
The Service Center is responsible for ensuring that an employee
has an appropriately assigned BELI. A change in BELI may be required
because of changes in the employee's conditions of employment such
as the ending of an appointment, a change in percent time, or the
extension of an appointment. Whenever a change to an employee's
appointment is made, the BELI and any assigned Status Qualifier
code should be reviewed to ensure they are still appropriate. The
Service Center is responsible reviewing BELI compliance reports
and making adjustments as necessary to resolve situations that
report as out of compliance.
Out-of-Compliance Reports
The grid below shows BELI conflicts that must be resolved by the
location (indicated by a “yes” in the block). Conflicts
may be resolved by adjusting:
- the assigned BELI (to match the derived
BELI), or
- the appointment percentage (to more accurately
reflect the employee’s actual schedule), or
- the employee’s
schedule (to more accurately reflect the appointment)
If the block is empty, you do not need to resolve the discrepancy,
since either the Assigned BELI and Derived BELI match, or the combination
of Assigned BELI and Derived BELI does not affect underlying benefits
eligibility.
| BELI Conflicts That Must Be Resolved By The
Location |
| Assigned BELI |
Derived BELI |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
| 1 |
- |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 2 |
Yes |
- |
- |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 3 |
Yes |
- |
- |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| 4 |
Yes |
Yes |
Yes |
- |
Yes |
Yes |
Yes |
Yes |
Yes |
| 5 |
Yes |
Yes |
Yes |
Yes |
- |
- |
- |
- |
- |
Occasionally, letters or symbols will appear as the Derived or
Assigned BELI, indicating the following:
X = May appear in the Derived BELI field.
Indicates
that no appointment is entered into the system at the time the
derived BELI is determined and the average hours worked is zero.
Generally, a BELI should not be assigned until the appointment
is determined. Compliance discrepancy could be resolved by entering
complete appointment data.
U = May appear in the Derived BELI field.
Indicates that the average
hours worked is zero and the appointment is not 50% or more for
12 months or more. This discrepancy will generally resolve itself
once the employee receives pay, so it may only indicate a compliance
problem if it continues to appear on the report for more than
one month. In those cases, if no time has been worked, the employee
may not be eligible for benefits.
? = May appear in the Assigned BELI field.
Indicates that the
employee has been terminated.
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