Team News – April 18, 2019
The Spectrum office will be closed on Friday April 19, 2019 for Good Friday and will be open Monday, April 22nd, 2019.
Health & Safety Committee – New Members!
We are happy to announce the following new members to the Health & Safety Committee:
Welcome! We are very much looking forward to your contributions!
If you are interested in finding out more about the purpose of the committee and/or joining us, please email firstname.lastname@example.org
Have you referred a New Hire to Spectrum?
Referrals are one of the best ways to recruit! We appreciate all of them, so please keep sending them our way!
If you refer someone you know to Spectrum and they are hired and stay with us for 9 months, we’ll provide you with a $50 bonus as a thank you for sending us great people!!
Please make sure you let the person you’re referring know to mention you when they apply and come in for their interview. It’s also a good idea to email email@example.com and give Human Resources a heads up.
Registering your Compass Card
You might want to register your Compass Card to protect your unused balance if your card is lost or stolen.
Below please find the Translink link to register your card:
- They will ask for the compass card number
- CVN code (which is on the back of the compass card)
- Card name is optional (give your card a name (e.g. John UBC – instead of a number)
Then a check “I agree to the Compass Card Terms and Conditions of Use for creating an account”
Then follow the prompts.
We’re making the online experience better for members In March, here’s what we’re adding on mySunLife.ca to make us even easier to do business with for you and your employees.
Pre-populating information on the Plan Member Disability Claim statement
We’re making the form easier to complete by pre-populating the employee’s address, member ID and policy number. The fields can be edited in case they’ve moved and need to update their address. Don’t miss out! You can give your employees the ability to submit online by using the standard Plan Member Disability Claim statement rather than a customized one. If your custom form includes only your policy number, company name and/or logo, talk to your Sun Life representative about changing to the standard form.
Linking to missing forms
To process a disability claim, we need information from you, the employee and the attending physician. If information is missing, we “pend” the claim. Now, when we’re missing information, we will let employees know what we need and we will provide a link to the missing form.
Our work improving the digital disability experience will continue in 2019 with improvements to the Group Benefits Absence and Disability application on the Plan Sponsor website. Watch for more details.
Service provider delisting update
Sun Life sometimes finds it necessary to disallow certain healthcare service providers, clinics, facilities or medical suppliers (all referred to as “provider” below) from claims processing and reimbursement in an effort to better protect your plan.
When Sun Life delists medical and dental service providers, clinics, facilities or medical suppliers, and pharmacies (referred to as the “provider” below), we no longer process or pay for claims for services or supplies obtained from that provider. These providers are placed on a Sun Life “delisted providers” list.
Delisted provider update
Our list has been updated. To view the newly delisted medical and dental providers and pharmacies, you must log in to your own password protected web page through mysunlife.ca and select the message for delisted providers.
We encourage you to check the list periodically so that you don’t unknowingly use a delisted provider, which would result in your claim being declined.
Why delisting a provider is necessary
It’s important that only eligible claims are processed and paid. It allows us to better protect you, your employer and your group benefits plan.
Helping plan members make better choices with the provider search tool
We know that finding the right health-care provider is not always an easy task. We’re here to help by empowering plan members to find a provider that meets their needs in a location that is convenient to them, all the while being able to request an appointment directly with that provider. By allowing them to make better choices based on cost and rating transparency, plan members can save money and ultimately live healthier lives.
In April, we will communicate with plan members via email to remind them that the provider search tool is available on mysunlife.ca and on the my Sun Life Mobile app.
Provider search not only allows plan members to find health-care providers to meet their needs, but this great tool can also be shared with family and friends, as it’s now accessible though Lumino Health – Canada’s premier network of health resources!
Provincial dental fee increases for 2019
It’s that time of year when most provincial and territorial dental associations release their annual fee guides. Typically, there is an increase across the board for dental services performed by general practitioners. The information in provincial fee guides helps us establish reimbursement levels for the dental services your plan members receive.
In British Columbia the increase is 2.51 percent overall.
Fraud Prevention Month continues with the release of the F Files on disability fraud
The newest issue of the F Files fraud newsletter is now available. This issue focuses on our cutting-edge predictive analytics technology to help prevent and detect disability fraud. Everybody has a role to play in preventing benefits fraud and the newsletter provides tips for your employees on how to recognize and report disability-type fraud.
What’s in this issue of the F Files
- Gary Askin, Sun Life’s AVP of Fraud Risk Management, describes how the analytics and data science Sun Life uses go beyond what was available when he was in law enforcement.
· A case study about fraud detection highlights the investigative techniques used when we receive a tip.
· Tips are included so you can help your employees recognize and report fraud to protect your benefits plan.
Read the F Files: https://www.sunlife.ca/static/canada/Sponsor/About%20Group%20Benefits/Group%20benefits%20products%20and%20services/Fraud%20Management/2019/FFiles%20Spring%202019%20GB10335%20E.pdf
Other ways we’re shining the spotlight on group benefits fraud this month
Sun Life initiatives are working alongside CLHIA’s Fraud=Fraud campaign to help employees recognize benefits fraud and its consequences. Ad campaign reminds Canadians that Fraud=Fraud
In partnership with CLHIA’s Fraud=Fraud campaign, Sun Life fraud advertisements help Canadians recognize benefits fraud and understand that it has real consequences.
Employee Assistance Program (EAP) –
Helps You with Personal and Professional Concerns
If you are currently enrolled in our employee group benefits, you are eligible to receive support from the EAP.
Information on our new EAP is available at: https://www.workhealthlife.com/sunlife
or by phone at 1-855-544-7722
What can you get help with?
- Parenting and Child Care
- Older Adults
- Midlife & Retirement
- Financial and Legal Issues
- Work Issues
- Health & Wellness
- Emotional Well-Being
For more information and to access the program, please contact Human Resources at firstname.lastname@example.org
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