CLER for NFC

Responsibilities

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

NFC National Finance Center:

• Operates the CLER Federal Employees Health Benefits, Centralized Enrollment Clearinghouse System 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.

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 coordinate 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.