benefitfocus.my.salesforce-sites.com
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85.222.140.13
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Submitted URL: https://benefits.secure.force.com/cp/CarrierStructures?scheduleid=a2w3c000005OvmqAAC
Effective URL: https://benefitfocus.my.salesforce-sites.com/cp/CarrierStructures?scheduleid=a2w3c000005OvmqAAC
Submission: On April 04 via api from US — Scanned from DE
Effective URL: https://benefitfocus.my.salesforce-sites.com/cp/CarrierStructures?scheduleid=a2w3c000005OvmqAAC
Submission: On April 04 via api from US — Scanned from DE
Form analysis
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<label class="labelStyle"> Our mutual client has selected Benefitfocus to transmit electronic data for their upcoming enrollment, and has listed Blue Cross and Blue Shield of North Carolina as the carrier for one or more benefit
types. Please answer the questions below to the best of your ability. </label>
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Text Content
OPEN ENROLLMENT CARRIER STRUCTURES Our mutual client has selected Benefitfocus to transmit electronic data for their upcoming enrollment, and has listed Blue Cross and Blue Shield of North Carolina as the carrier for one or more benefit types. Please answer the questions below to the best of your ability. Name of Carrier First Name Last Name Email of Contact Completing Form Applicable Benefit Type(s) Medical Are you the correct contact for processing inquiries? * --None--Yes No Copyright Test © 2023 Benefitfocus, Inc. * Terms of Use * Privacy Statement * Safe Harbor ×Close Cancel ×Close CASE PRIORITY URGENT OPERATIONS HALTED: Complete loss of service, or critical functionality is unavailable with no workaround, or data integrity issue is affecting all users. -------------------------------------------------------------------------------- Example: All users cannot log in critical functionality is unavailable (e.g., no one can enroll). CRITICAL OPERATIONS AFFECTED: Significant loss in performance or functionality that affects many users and a reasonable workaround is not available. -------------------------------------------------------------------------------- Example: Users are getting kicked out but can log back in and continue important functionality is unavailable (e.g., users can't launch VB App). MAJOR LOW BUSINESS IMPACT: Minor loss in performance or functionality affecting some but not all users. -------------------------------------------------------------------------------- Example: Acceptable work-around exists minimal performance degradation. MINOR LOW BUSINESS IMPACT: Minor loss in performance or functionality affecting some but not all users. -------------------------------------------------------------------------------- Example: Cosmetic configuration update (e.g., HR Note word needs to be updated). Got it!