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Navia reviews special enrollment events, change-in-status rules and HCA appeals process
Summary
Navia explained when employees may change FSA/DCAP elections — initial 31-day window for new hires and qualifying special open enrollment events (SOEs) such as changes in childcare availability — and said appeals for non-SOE election errors go to HCA.
Navia told attendees that new hires have an initial 31-day eligibility window to make or change FSA/DCAP elections; after that window only a qualifying special open enrollment event (SOE) permits a midyear election change. Examples cited include marriage, birth, adoption, loss of dependent eligibility and, for DCAP specifically, a change in childcare availability or need.
Navia explained the documentation process: employers collect supporting documentation for SOE requests, sign the change-in-status form as sign-off that documentation has been reviewed, and submit the form to Navia; Navia does not require the supporting documentation itself. If an employee requests a post-deadline change with no SOE, the presenter said the employee must pursue an appeal through HCA's appeals unit.
