CLER for Carriers

Responsibilities

The following are the general responsibilities of the primary organizations involved in the operation of CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System:

Agency:

• Appoints a primary and an alternate security officer who coordinates all requests with NFC National Finance Center for CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System access authorization
• Transmits FEHB Federal Employees Health Benefits enrollment data to NFC National Finance Center
• Establishes and maintains payroll and personnel office contact information in CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System
• Reviews and researches current and/or prior quarter enrollee transmission records
• Reviews and researches current and/or prior quarter enrollee discrepancy records
• Enters reconciliation action codes to record corrective actions
• Enters reconciliation reason codes for discrepancies
• Views responses from the carrier on corrective action taken.
• Inputs, faxes, or mails 2809 and 2810 data for carrier corrective action/corrections
• Verifies that corrective actions/corrections have resolved discrepancies

Carrier:

• Appoints a primary and an alternate security officer, who coordinates all requests with NFC National Finance Center for CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System access authorization
• Transmits FEHB Federal Employees Health Benefits enrollment data to the OPM Office of Personnel Management data hub
• Establishes and maintains carrier and carrier plan contact information in CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System
• Reviews and researches current and/or prior quarter enrollee transmission records
• Reviews and researches current and/or prior quarter enrollee discrepancy records
• Enters response codes to respond to the corrective action requests from Agencies

  Note: The carrier takes no action unless authorized by the responsible Agency.

OPM Office of Personnel Management:

• Oversees and manages the reconciliation process
• Views all carrier and Agency enrollment records
• Views all contact information
• Views all table information
• Takes action to ensure user compliance

NFC National Finance Center:

• Operates CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System
• Provides operational support to resolve reconciliation problems
• Researches and resolves system inquiries
• Provides subject matter expertise
• Provides training to CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System users
• Coordinates system/user compliance issues with OPM Office of Personnel Management
• Maintains security over all data residing in CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System