Self Fund Health Knowledge Base
  • For Members
  • For Employers & Benefit Advisors

Ongoing Administration

Guidance on the key administrative steps that happen after go-live.

  • What Is the COBRA Election Process?
  • How Do Eligibility Rules Work in the Portal?
  • How Do Members Submit Out-of-Network or Self-Paid Medical or Pharmacy Claims for Reimbursement Through the Portal?
  • What Is Enrollment Auditing and How Do I Use It?
  • How Do I Invite New Employees to Enroll in the Plan?
  • How Do I Edit Demographic Information for Members?
  • How Do I Request a New ID Card?
  • How Do I Download Plan Resources Like Welcome Letters, ID Cards, or Proof of Insurance?
  • How Do I Change My DPC / PCP Election?
  • What Happens If Member Addresses Are Undeliverable?
  • Where Can I Find Plan Documents Like the SPD or SBC?
  • Where Can I Access Reports in the Portal?
  • What Can I Do in the Member Portal?
  • Where Can I Find COBRA Resources?
  • How Do I Add or Remove Members from the Plan?
  • Why Are Coordination of Benefits, PHI Release & Actively at Work Forms Important — and How to Assign Them
  • How Do I Download an EOB (Explanation of Benefits)?
  • What Should I Do if HRIS Enrollment Isn’t Synced or Working Correctly?

Categories

  • Core Concepts
  • Employer Value Prop
  • Broker Value Prop
  • Direct Primary Care (DPC)
  • Plan Structure
  • Ongoing Administration
  • Compliance
  • Onboarding
  • Plan Outcomes
  • Networks
  • Pharmacy & PBM
  • Preferred Providers
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