HRB Toolkit

Central index for compliance files, plan documents, notices, substantiation, affordability/ALE files, COBRA/MSP review notes, and retained evidence.

Classify the issue, route to the owner, record review boundary, document decision, and attach evidence.

Checklist for plan terms, eligibility, benefits, claims procedures, amendment history, and review ownership.

Tracks SPD/SMM delivery, timing, source, audience, owner, and evidence of distribution.

Retain plan document, SPD delivery, fiduciary notes, claims records, Form 5500 review, and amendment history.

Defines proof requirements, independent verification, plan-term review, no self-attestation alone, and record retention.

Central index for compliance files, plan documents, notices, substantiation, affordability/ALE files, COBRA/MSP review notes, and retained evidence.

Classify the issue, route to the owner, record review boundary, document decision, and attach evidence.

Checklist for plan terms, eligibility, benefits, claims procedures, amendment history, and review ownership.

Tracks SPD/SMM delivery, timing, source, audience, owner, and evidence of distribution.

Retain plan document, SPD delivery, fiduciary notes, claims records, Form 5500 review, and amendment history.

Defines proof requirements, independent verification, plan-term review, no self-attestation alone, and record retention.

Combines plan terms, tax treatment basis, substantiation standard, reporting review, handoffs, and retained evidence.

Documents qualifying event, notices, premium calculation, ICHRA continuation, election record, and handoff evidence.

Captures Medicare status, employer size, active/former status, MSP payer order, COBRA interaction, and review notes.

Captures class definitions, same-terms review, HRA amount logic, exception notes, reviewer notes, and decision record.

Records residence, benchmark plan, allowance, safe harbor method, assumptions, result, reviewer, and date.

Calculates ALE estimate, monthly FT/FTE counts, seasonal worker exception, and creates the ALE testing file.

Documents seasonal worker facts that could affect ALE status or class design.

Maps notice category, template/source, trigger, delivery method, owner, proof of delivery, and retained evidence.

Organizes main/supplemental notice buckets, source links, approved templates, versioning, and approval trails.

Annual checklist spanning plan documents, notices, tax, reporting, COBRA/MSP/HIPAA, evidence, and owner assignment.

Calendar for recurring compliance deadlines, notice timing, annual review, renewal, and evidence reminders.

Captures employer goals, workforce, contribution, market access, compliance posture, employee experience, and admin capacity.

Build, validate, document, and monitor employee classes, rationale, eligibility, geography, and hybrid restrictions.

Compare contribution options, employer budget, employee impact, age/geography/class adjustments, and renewals.

Compare ALE mandate, cost, workforce, transition, and funding strategies.

Model employer intent, budget floor, employee factors, local premium reality, and adjustment method.

Evaluate local premiums, networks, carrier participation, rating areas, zones, and market fit.

Tests explainability, HR capacity, renewal budget, local fit, contribution mismatch, and employee understanding.

Template for discovery, rejected designs, proposed classes/contributions/geography/support, risks, and expected impact.

Explains on/off-exchange, plan availability, networks, plan types, metal tiers, providers, drugs, and plan selection implications.

Checklist to verify doctors, hospitals, specialists, pharmacies, referral rules, formularies, and out-of-network limits.

Documents ICHRA affordability, subsidy/CSR impact, opt-out path, household facts, and decision evidence.

Guides location/household, ICHRA offer, subsidy/CSR, plan/network/drug, enrollment/payment, and decision documentation.

Evaluate ICHRA platform and partner scope, integrations, security, support, excluded services, and owner gaps.

Maps employee actions, owners, notices, education, enrollment, substantiation, reimbursement, life events, and renewal support.

Routes support questions to enrollment, reimbursement, eligibility/QLE, privacy/authorization, or legal/tax/Medicare/COBRA/compliance lanes.

Captures action, owner, trigger, approved source, follow-up, and retained evidence for support activity.

Documents current coverage, other coverage sources, special facts, owner, official source, and review path.

Clarifies handoffs, investigations, legal/compliance engagement, written scope, and evidence capture across roles.

Defines employer, HR, finance, legal, ESP, IFP, EIV, PV/TPA, CV, and employee ownership by duty path.

Tracks unresolved owner gaps, special facts, review needs, deadlines, escalation status, and resolution evidence.

Tracks kickoff, plan design, implementation, financial reconciliation, employee experience review, compliance review, and renewal cadence.

Internal build brief and source summary for the Toolkit architecture.

Source workbook for the Toolkit resource inventory, PDF resources, web tools, naming, and build plan.

Reference artifact for notice categories, timing, source control, and evidence retention.

Quick scorecard for whether a workflow is assigned, repeated, reviewed, explained, and evidenced before it scales.

Checklist for stale templates, inconsistent notices, missing evidence, unclear ownership, and weak escalation paths.

Quick-start SOP record for the owner, trigger, baseline process, review point, evidence, and escalation path.

Role-specific guide for assembling duty paths, workflows, documents, technology, metrics, escalation, and evidence into an HRB Playbook.

One-page launch readiness check for design, finance, operations, compliance, employee experience, evidence, and escalation.

Renewal checklist for refreshed assumptions, contribution review, notices, market fit, evidence, and continuous improvement.

Funding, reimbursement, reconciliation, payment exception, and evidence checklist for finance-controlled HRA workflows.

Audit-file index for plan documents, notices, substantiation, affordability/ALE, support, review, and evidence records.

Lightweight log for lessons learned, recurring issues, owner decisions, SOP updates, and evidence of improvement.

Scorecard for operational metrics that show whether the workflow is timely, owned, reviewed, evidenced, and improving.

Checklist for whether a workflow has owner, reliable data, review point, evidence record, escalation path, and automation boundary.