What to do when an employee misses the enrollment window
A steady response that checks the facts, follows the plan, and gives the employee a clear next step.
In this guide · 5 sections
01
Start by confirming what happened
Check the enrollment record, the notices sent, the deadline, and whether the employee began but did not finish an election.
02
Do not promise a correction
Do not promise a correction before reviewing the plan rules and speaking with the appropriate carrier, broker, or administrator. What can be changed depends on the plan and the facts.
03
Explain the review process
Explain the review process in plain language. Tell the employee what information you need, who will make the decision, and when you expect to follow up.
04
Keep a factual record
Keep a factual record of the request and each response. Avoid adding conclusions about intent when the useful facts are dates, messages, system records, and plan terms.
05
Once the answer is confirmed
Once the answer is confirmed, provide it in writing and point to the next available path. Then review whether your reminders, manager briefing, or system checks could prevent a repeat.
