HRB

HRB Toolkit

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Evidence Files

Binder panels and evidence-file cards. No uploads, no save state, and no assignment behavior.

Choose an evidence template below, or download the full evidence packet.

Download Evidence Packet

Strategy & Plan Design

Feasibility, class design, contribution strategy, and affordability assumptions.

Finance & Funding

Funding controls, payment setup, reimbursement workflow, and monthly reconciliation.

Operations & Implementation

Eligibility, new hire, termination, offboarding, QLE, and SEP resources.

Compliance & Governance

Plan documents, notices, attestations, reporting, continuation rights, privacy, and audit records.

Employee Experience

Education, enrollment, payment support, reimbursement support, and renewal evidence.

Strategy & Plan Design

What design best serves this employer?

Open duty path kit

Start with these evidence records

Common evidence to retain

  • Design assumptions and employer goals
  • Class rationale and contribution model
  • Market-fit and geography notes
  • Design risk review and approval record

Review-sensitive evidence

  • Affordability or subsidy implications
  • Hybrid class design or contribution mismatch
  • Employer approval or rejected-design record
Finance & Funding

How will funding, reimbursement, payroll, and reconciliation stay controlled?

Open duty path kit

Common evidence to retain

  • Funding authorization and contribution assumptions
  • Reimbursement reports and substantiation notes
  • Payroll and reconciliation notes
  • Variance, payment issue, and discrepancy records

Review-sensitive evidence

  • Pre-tax payroll treatment questions
  • Payment failure or coverage-risk issue
  • Subsidy or tax-credit interaction
Operations & Implementation

Who owns the workflow, handoff, system setup, and exception path?

Open duty path kit

Common evidence to retain

  • Eligibility files and system setup notes
  • Vendor scope and technology fit records
  • Support routing and SOP records
  • Launch readiness and renewal readiness exports

Review-sensitive evidence

  • Unowned handoff or vendor scope gap
  • Privacy-sensitive data path
  • Repeated exception or launch readiness gap
Compliance & Governance

What needs qualified review, source control, documentation, or retained evidence?

Open duty path kit

Common evidence to retain

  • Plan documents and source/version notes
  • Notice, SPD/SMM, and delivery evidence
  • COBRA/MSP/HIPAA review notes
  • Claims, appeals, audit file, and compliance index

Review-sensitive evidence

  • Legal, tax, ERISA, COBRA, Medicare/MSP, or HIPAA issue
  • Notice timing or delivery uncertainty
  • Claims or appeals issue
Employee Experience

How will employees understand, choose, enroll, pay, get reimbursed, and know where to go for help?

Open duty path kit

Common evidence to retain

  • Support logs and communication records
  • Plan shopping guidance boundaries
  • Escalation and follow-up notes
  • Reimbursement support and employee experience records

Review-sensitive evidence

  • Plan recommendation risk
  • APTC/CSR, Medicare, COBRA, or coverage coordination question
  • Employee-facing communication or payment issue
Feasibility Memo and Go/No-Go Recommendation
Strategy & Plan Design

Use this to document whether the reimbursement model is viable before implementation resources are committed.

go/no-go recommendation
critical assumptions
review owner
open dependencies
Download Evidence Packet
Included in Evidence Packet
Class Worksheet and Review Notes
Strategy & Plan Design

Use this to retain class structure assumptions, eligibility criteria, reviewer notes, and approval evidence.

class definition
eligibility basis
review notes
approval evidence
Download Evidence Packet
Included in Evidence Packet
Contribution Model and Approval Record
Strategy & Plan Design

Use this to preserve contribution design decisions, modeling assumptions, and final approval support.

model version
assumption source
approval date
exception notes
Download Evidence Packet
Included in Evidence Packet
Affordability File and Assumptions
Strategy & Plan Design

Use this to organize affordability assumptions, safe-harbor inputs, and review notes before relying on contribution results.

safe-harbor basis
employee cost inputs
review trigger
supporting worksheet
Funding Workflow and Payment Issue Process
Strategy & Plan Design

Use this to document funding controls, payment timing, issue routing, and reconciliation owners.

funding source
payment owner
issue route
resolution evidence
Monthly Reconciliation Report and Discrepancy Log
Finance & Funding

Use this to track monthly reimbursement totals, discrepancies, corrections, and retained finance support.

period reviewed
total reimbursed
variance notes
correction evidence
Validated Eligibility File and Load Report
Finance & Funding

Use this to retain eligibility source files, validation checks, load confirmation, and exception handling.

source file date
validation checks
load result
exceptions
Download Evidence Packet
Included in Evidence Packet
New Hire Procedure and Notice Evidence
Finance & Funding

Use this to document new-hire timing, notice delivery support, and enrollment handoff evidence.

hire date
notice timing
delivery record
handoff owner
Download Evidence Packet
Included in Evidence Packet
Offboarding Workflow and Continuation Handoff
Finance & Funding

Use this to preserve termination timing, offboarding actions, and continuation-rights handoff evidence.

termination date
coverage end date
handoff record
review notes
Download Evidence Packet
Included in Evidence Packet
QLE/SEP Workflow and Employee Instructions
Finance & Funding

Use this to document qualifying event intake, special enrollment instructions, and employee support routing.

event type
instruction date
support route
retained proof
Download Evidence Packet
Included in Evidence Packet
Executed Plan Document and Adoption Record
Operations & Implementation

Use this to retain adopted plan documents, approval records, and governance evidence in one reference point.

document version
adoption date
approver
storage location
Download Evidence Packet
Included in Evidence Packet
SPD/SMM and Distribution Evidence
Operations & Implementation

Use this to preserve summary document distribution records, recipient scope, and update evidence.

document distributed
recipient group
distribution method
date evidence
Download Evidence Packet
Included in Evidence Packet
Notice Package and Delivery Log
Operations & Implementation

Use this to document required notice packages, delivery method, recipient scope, and retained delivery proof.

notice type
delivery method
recipient group
delivery evidence
Attestation and Proof-of-Coverage Records
Operations & Implementation

Use this to organize coverage attestations, proof records, review notes, and exception handling.

attestation source
proof type
review status
exception notes
Download Evidence Packet
Included in Evidence Packet
Reporting Support File and Filing Evidence
Operations & Implementation

Use this to retain reporting inputs, filing support, review notes, and final confirmation evidence.

reporting period
input source
review evidence
filing confirmation
Download Evidence Packet
Included in Evidence Packet
Privacy Review, Data Map, and Access List
Compliance & Governance

Use this to document data flows, access limits, privacy review notes, and vendor handoff boundaries.

data category
access owner
vendor touchpoint
privacy notes
Download Evidence Packet
Included in Evidence Packet
Audit File Index and Records
Compliance & Governance

Use this to maintain a structured index of records, owners, storage locations, and review history.

record category
owner
storage location
last reviewed
Education Resource, FAQ, and Attendance Evidence
Compliance & Governance

Use this to retain employee education materials, attendance support, and FAQ version history.

resource version
audience
attendance support
question themes
Download Evidence Packet
Included in Evidence Packet
Support Routing and Plan Shopping Support Record
Compliance & Governance

Use this to document support routing, plan-shopping boundaries, and employee assistance records.

support request
routing outcome
boundary note
follow-up evidence
Download Evidence Packet
Included in Evidence Packet
Payment Instructions and Failed Payment Escalation Process
Compliance & Governance

Use this to preserve payment instructions, failed-payment routing, escalation notes, and resolution evidence.

instruction version
failed payment type
escalation route
resolution date
Download Evidence Packet
Included in Evidence Packet
Reimbursement Guide and Support Log
Employee Experience

Use this to document reimbursement instructions, proof support, issue handling, and substantiation boundaries.

proof requested
support note
issue outcome
review trigger
Renewal Memo and Updated Notices
Employee Experience

Use this to retain renewal decisions, updated notice support, change notes, and next-year assumptions.

renewal decision
notice update
change rationale
approval evidence
Download Evidence Packet
Included in Evidence Packet