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NA_CA_R2P_3.1.3.

3_Ancillary Benefits
Heritage Worley

Process
Version 2.0
Status APPROVED
Modified Feb 17, 2022
Author Sandipan Saha
Owner Lindsay Brooks

This process outlines the enrollment of Optional Life Insurance and Critical Illness. There are two vendors that
support  this  Initiative for  Heritage  Worley.  The  vendors  are  Chubb  Canada  and   Desj ardin  Financial Security
(DFS). The map provides details of several sectors contributing in the process.
NA_CA_R2P_3.1.3.3_Ancillary Version 2.0 APPROVED
Benefits Heritage Worley

Document Control
This document is a snapshot, as of the date shown above, of a living online document.

The current live version may be viewed by those granted online access by the owner.

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Approvals

Name Role Approved Date Version

Scott Marshall Yes Feb 17, 2022 1.2

Reviewers

Name Role Reviewed Date Version

Juliana Lemos Yes Feb 17, 2022 1.1

Change History

Version Published Status Author Description

0.1 Oct 13, 2021 FOR REVIEW Maria Pacholarz Initial version

0.2 Dec 2, 2021 FOR REVIEW elizabethsantos New version added by workflow
0.3 Dec 6, 2021 FOR elizabethsantos New version added by workflow
APPROVAL

1.0 Dec 6, 2021 FOR REVIEW elizabethsantos New version added by workflow
1.1 Feb 17, 2022 FOR REVIEW Sandipan Saha New version added by workflow
1.2 Feb 17, 2022 FOR Sandipan Saha New version added by workflow
APPROVAL

2.0 Feb 17, 2022 APPROVED Sandipan Saha New version added by workflow

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Contents
1 NA_CA_R2P_3.1.3.3_Ancillary Benefits Heritage Worley.................................................................. 2
2 Process................................................................................................................................................................................... 6
2.1 Initiate Enrollment........................................................................................................................................................................ 7
  Link 1...................................................................................................................................................................................................... 7
2.2 1 - Employee makes the election (via paper enrollment with wet signature)............................... 7
  Link 25.................................................................................................................................................................................................. 7
2.3 2 - Receive paper forms and scan it................................................................................................................................ 7
  Link 21................................................................................................................................................................................................... 8
2.4 3 - Create a SNOW case with attached forms......................................................................................................... 8
  Link 22.................................................................................................................................................................................................. 8
2.5 4 - Receive enrollment data.................................................................................................................................................. 8
  Link 23.................................................................................................................................................................................................. 9
2.6 5 - Update payroll system........................................................................................................................................................ 9
  .................................................................................................................................................................................................................... 10
2.7 Medical evidence required..................................................................................................................................................... 10
  No............................................................................................................................................................................................................. 10
  Yes........................................................................................................................................................................................................... 10
2.8 6 - Complete additional form - questionnaire........................................................................................................ 10
  Link 32.................................................................................................................................................................................................. 10
2.9 7 - Send completed form (secured website or email)...................................................................................... 10
  Link 33.................................................................................................................................................................................................. 11
2.10 8 - Receive data............................................................................................................................................................................... 11
  Link 16................................................................................................................................................................................................... 11
2.11 9 - Make decision........................................................................................................................................................................... 11
  Link 35.................................................................................................................................................................................................. 12
2.12 10 - Send data via secured channel Desjardins...................................................................................................... 12
  Link 46.................................................................................................................................................................................................. 12
2.13 12 - Receive notification to access secured channel.......................................................................................... 12
  Link 44................................................................................................................................................................................................. 14
2.14 Enrollment Captured.................................................................................................................................................................. 14
2.15 Employee Notified........................................................................................................................................................................ 14
2.16 13 - Access Vendor's system to collect information............................................................................................ 14
  Link 47.................................................................................................................................................................................................. 16
2.17 15 - Save downloaded files on the shared drive..................................................................................................... 16
  Link 34.................................................................................................................................................................................................. 17
2.18 18 - Send email to employee with decision, for information....................................................................... 17
  Link 38.................................................................................................................................................................................................. 18
2.19 16 - Assign task................................................................................................................................................................................. 18
  Link 34.................................................................................................................................................................................................. 19
2.20 19 - Receive enrollment data................................................................................................................................................. 19
  Link 49.................................................................................................................................................................................................. 20
2.21 20 - Update payroll system for next pay run (premium data included)............................................ 20
  Link 43.................................................................................................................................................................................................. 23
2.22 21 - Send notification that update is completed (via SNOW)..................................................................... 23
  Link 44................................................................................................................................................................................................. 24
2.23 23 - Receive notification............................................................................................................................................................ 24
  Link 28.................................................................................................................................................................................................. 24
2.24 24 - Data entry check (full audit)....................................................................................................................................... 24
  Link 38.................................................................................................................................................................................................. 27
2.25 17 - Assign Task................................................................................................................................................................................. 27
  Link 33.................................................................................................................................................................................................. 28
2.26 22 - Receive task.............................................................................................................................................................................. 28
  Link 31................................................................................................................................................................................................... 28
2.27 11 - Send letter Chubbs.............................................................................................................................................................. 28
  Link 40................................................................................................................................................................................................. 29
2.28 14 - Receive email........................................................................................................................................................................... 29
  Link 48................................................................................................................................................................................................. 30
2.29 AND........................................................................................................................................................................................................... 30
  Link 36.................................................................................................................................................................................................. 31
  Link 35.................................................................................................................................................................................................. 31
  Link 37.................................................................................................................................................................................................. 31

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2.30 Which vendor................................................................................................................................................................................... 31


  .................................................................................................................................................................................................................... 31
  .................................................................................................................................................................................................................... 31
2.31 End............................................................................................................................................................................................................ 31
  Employee............................................................................................................................................................................................. 31
  3rd Party................................................................................................................................................................................................ 32
  Benefits Team................................................................................................................................................................................... 32
  Benefits Team................................................................................................................................................................................... 32
  People Team...................................................................................................................................................................................... 32
  Data Entry Team............................................................................................................................................................................. 32
  Master Data........................................................................................................................................................................ 33
  Accountabilities.............................................................................................................................................................. 34
  RACI Analysis..................................................................................................................................................................... 35

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1 NA_CA_R2P_3.1.3.3_Ancillary Benefits Heritage


Worley
This process outlines the enrollment of Optional Life Insurance and Critical Illness. There are two vendors that
support  this  Initiative for  Heritage  Worley.  The  vendors  are  Chubb  Canada  and   Desj ardin  Financial Security
(DFS). The map provides details of several sectors contributing in the process.

Model
Version 2.0
Status APPROVED

Details
Owner Lindsay Brooks
Author Sandipan Saha
Created Oct 13, 2021
Modified Feb 17, 2022
 

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2 Process

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2.1 Initiate Enrollment


Benefits - examples: basic life, supplementary life, spouse,child,

Event
Type Start
Lane Employee

Next Steps

To Details References %

1 - Employee makes the


election (via paper
enrollment with wet
signature)

Link 1

2.2 1 - Employee makes the election (via paper enrollment with


wet signature)
Activity
Type Manual task
Lane Employee
After Initiate Enrollment

Details
Responsible Employee
Accountable Employee

SOP/DTP Instructions
Employee makes the enrollment election via paper form.

Next Steps

To Details References %

Medical evidence required

Link 25

2.3 2 - Receive paper forms and scan it


Activity
Type Manual task
Lane People Team
After Medical evidence required

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Details
Responsible People Team
Accountable People Team

SOP/DTP Instructions
If medical evidence is not required the Worley People Team will receive the paper
forms and scan it. 

Next Steps

To Details References %

3 - Create a SNOW case


with attached forms

Link 21

2.4 3 - Create a SNOW case with attached forms


Activity
Type User task
Lane People Team
After 2 - Receive paper forms and scan it

Details
Responsible People Team
Accountable People Team
Systems SNOW

SOP/DTP Instructions
The Worley People Team will create a SNOW case and attached the forms and send it
to the Data Entry Team.

Next Steps

To Details References %

4 - Receive enrollment data

Link 22

2.5 4 - Receive enrollment data


Activity
Type Receive task

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Lane Data Entry Team


After 3 - Create a SNOW case with attached forms

Details
Responsible Data Entry Team
Accountable Data Entry Team
Systems SNOW

SOP/DTP Instructions
The Worley Data Entry Team will receive the enrollment data via SNOW.

Next Steps

To Details References %

5 - Update payroll system

Link 23

2.6 5 - Update payroll system


Activity
Type User task
Lane Data Entry Team
After 4 - Receive enrollment data

Details
Responsible Data Entry Team
Accountable Data Entry Team
Systems ADP Global View

SOP/DTP Instructions
The Worley Data Entry Team will update the payroll system ( ADP GV) and the
enrollment is captured. 

Next Steps

To Details References %

Enrollment Captured

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2.7 Medical evidence required


Gateway
Lane Employee
After 1 - Employee makes the election (via paper enrollment with wet signature)

Next Steps

To Details References %

2 - Receive paper forms


and scan it

6 - Complete additional
form - questionnaire

No

Yes

2.8 6 - Complete additional form - questionnaire


Activity
Type Manual task
Lane Employee
After Medical evidence required

Details
Responsible Employee
Accountable Employee

SOP/DTP Instructions
Employee need to additional detail as mentioned in form

Next Steps

To Details References %

7 - Send completed form


(secured website or email)

Link 32

2.9 7 - Send completed form (secured website or email)


Activity
Type Send task
Lane Employee
After 6 - Complete additional form - questionnaire

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Details
Responsible Employee
Accountable Employee
Systems Secure site

SOP/DTP Instructions
The Worley employee will send completed form via a secure website or email. 

Next Steps

To Details References %

8 - Receive data

Link 33

2.10 8 - Receive data


Activity
Type Receive task
Lane 3rd Party
After 7 - Send completed form (secured website or email)

Details
Responsible 3rd Party
Accountable 3rd Party
Systems External system

SOP/DTP Instructions
The External 3rd Party system receives the data.

Next Steps

To Details References %

9 - Make decision

Link 16

2.11 9 - Make decision


Activity
Type Manual task
Lane 3rd Party
After 8 - Receive data

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Details
Responsible 3rd Party
Accountable 3rd Party

SOP/DTP Instructions
The External 3rd Party makes a decision. 

Next Steps

To Details References %

Which vendor

Link 35

2.12 10 - Send data via secured channel Desjardins


Activity
Type User task
Lane 3rd Party
After Which vendor

Details
Responsible Desjardins Financial Security (DFS)
Accountable 3rd Party
Systems Secure site

SOP/DTP Instructions
The External 3rd Party will send data via a secure channel to Desjardin Financial
Security (DFS) with determination.

Next Steps

To Details References %

12 - Receive notification to
access secured channel

Link 46

2.13 12 - Receive notification to access secured channel


Activity
Type User task
Lane Benefits Team

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After 10 - Send data via secured channel Desjardins

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

SOP/DTP Instructions
Medical  evidence  of  insurability  (Optional  Life  -  Desjardins)  -  Required  for  amounts
over $50,000 (5 units) when applied for within 31 days of hire, during open enrolment
or a qualified life event.  For all other times, required from 1st dollar of coverage.

Employee  can  apply  for  the  optional  benefits,  and  these  are  called  Ancillary  Benefits.
They can elect employee and/or spouse coverage.  For completing the procedure, it is
essential to complete the application form and medical questionnaire, which is directly
sent to the insurer to assess for coverage.

Desjardins will send an email notification to CG to inform them to access the secure
email system. coverage.
 

Next Steps

To Details References %

13 - Access Vendor's
system to collect
information

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Link 44

2.14 Enrollment Captured


Event
Type End
Lane Data Entry Team
After 5 - Update payroll system

2.15 Employee Notified


Event
Type End
Lane Benefits Team
After 18 - Send email to employee with decision, for information

2.16 13 - Access Vendor's system to collect information


Activity
Type User task
Lane Benefits Team
After 12 - Receive notification to access secured channel

Details
Responsible Benefits Team
Accountable Benefits Team
Systems External system

SOP/DTP Instructions
The Capgemini Benefits Team will access the vendors system to collect information.

• CG will get an email notification from the insurer to access the secure email
system.
• We need to click on the link to enter the insurer system, the below image shows
the same.

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• Find the email with the Underwriting Decision, download the letter, and save to a
secure drive.

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Next Steps

To Details References %

15 - Save downloaded files


on the shared drive

Link 47

2.17 15 - Save downloaded files on the shared drive


Activity
Type Manual task
Lane Benefits Team
After 13 - Access Vendor's system to collect information
14 - Receive email

Details
Responsible Benefits Team
Accountable Benefits Team

SOP/DTP Instructions
The Capgemini Benefits Team will save downloaded files on the shared drive.

• We will have to review the letter which gives the details of the insurance, being approved.
We must save the letter to the secured location for future reference.

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Next Steps

To Details References %

AND

Link 34

2.18 18 - Send email to employee with decision, for information


Activity
Type Send task
Lane Benefits Team
After AND

Details
Responsible Benefits Team
Accountable Benefits Team
Systems Email

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SOP/DTP Instructions
The Capgemini Benefits Team sends email to the employee with determination via
email. 

Once the data entry update is completed and verified, the team will send a copy of the
letter via email with the decision to the employee for their record.

Next Steps

To Details References %

Employee Notified

Link 38

2.19 16 - Assign task


Activity
Type User task
Lane Benefits Team
After AND

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

SOP/DTP Instructions
The Capgemini Benefits Team assigns the task via SNOW to the Data Entry Team.

Next Steps

To Details References %

19 - Receive enrollment
data

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Link 34

2.20 19 - Receive enrollment data


Activity
Type Receive task
Lane Data Entry Team
After 16 - Assign task

Details
Responsible Data Entry Team
Accountable Data Entry Team
Systems SNOW

SOP/DTP Instructions
The Worley Data Entry Team received enrollment data from the Capgemini
Benefits team via SNOW.

• The CG benefits team sends the data entry team to update the details via email/
SNOW.
• The email should detail the employee's name, id and what change is being made
as well as the effective date of the change.
• Data entry team will update the information in ADP GV and confirm when
completed so that a quick validation can occur.

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Next Steps

To Details References %

20 - Update payroll system


for next pay run (premium
data included)

Link 49

2.21 20 - Update payroll system for next pay run (premium data
included)
Activity
Type User task
Lane Data Entry Team
After 19 - Receive enrollment data

Details
Responsible Data Entry Team
Accountable Data Entry Team
Systems ADP Global View

SOP/DTP Instructions
The Worley Data Entry Team will update the payroll system for the next pay run with the
employee's new benefit volume of coverage and new premium deduction via ADP GV.

• To update the details, we must click on P-30 master data.

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• Next, we search for employee (personnel no) and insurance type and click on plan
overview.

• Then, we select the required or updated option from the list.

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• After this, we edit the date and the units of the insurance coverage as per the mail
received and need to save it.

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Next Steps

To Details References %

21 - Send notification that


update is completed (via
SNOW)

Link 43

2.22 21 - Send notification that update is completed (via SNOW)


Activity
Type User task
Lane Data Entry Team
After 20 - Update payroll system for next pay run (premium data included)

Details
Responsible Data Entry Team
Accountable Data Entry Team
Systems SNOW

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SOP/DTP Instructions
The  Data  Entry  Team  will  send  notification  to  the  Worley  Benefits  Team  advising  that  the
update is completed via SNOW

• Data entry team will send notification via snow tickets saying that it's being updated.

Next Steps

To Details References %

23 - Receive notification

Link 44

2.23 23 - Receive notification


Activity
Type User task
Lane Benefits Team
After 21 - Send notification that update is completed (via SNOW)

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

SOP/DTP Instructions
The Worley Benefits Team receives notification from the Worley Data Entry Team via
SNOW

Next Steps

To Details References %

24 - Data entry check (full


audit)

Link 28

2.24 24 - Data entry check (full audit)


We need to go to the participation screen for the entry check.

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• We must find out the employee data with the plan and check out the data mentioned (Date, amount, insurance
plan) on the system.

• Chubb Canada:
• Optional  Death  and  dismemberment:  It  do  not  require  medical  evidence  but  can  apply  for  anytime.  So,  if  they
apply for it, they'll send in the application and the data entry team just needs to add it.
• Optional  critical  illness  benefit:  If  any  one  elect  coverage  over  $100,000.  A  story  and  medical  evidence  must  be
completed and then it needs to be added.
• Between the optional life and the optional critical illness, the employees can only apply within their 31 days from
the date of hire. So then, when the employee applies, they send the information to the insurer (Chubb Canada)
with the application and evidence for the insurability.

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Activity
Type Manual task
Lane Benefits Team
After 23 - Receive notification
22 - Receive task

Details
Responsible Benefits Team
Accountable Benefits Team

SOP/DTP Instructions
• We need to go to the participation screen for the entry check.

• We must find out the employee data with the plan and verify the effective date,
volume of coverage and that the correct benefit has been updated.

•  

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Chubb Canada:

• Optional Death and dismemberment: It doesn't require medical evidence but can
apply for anytime. So, if they apply for it, they'll send in the application and the
data entry team just needs to add it.

Medical evidence of insurability (Optional Critical Illness Life - Chubb Canada)
-  Required  for  amounts  over  $100,000  (20  units)  when  applied  for  within  31
days  of  hire  or  during  open  enrolment.   For  all  other  times,  required  from  1st
dollar of coverage.

Next Steps

To Details References %

End

Link 38

2.25 17 - Assign Task


Activity
Type User task
Lane Benefits Team
After AND

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

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SOP/DTP Instructions
The Capgemini Benefits Team will assign task via SNOW to the Worley Benefits Team.

Next Steps

To Details References %

22 - Receive task

Link 33

2.26 22 - Receive task


Activity
Type User task
Lane Benefits Team
After 17 - Assign Task

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

SOP/DTP Instructions
The Worley Benefits Team receive the task from the Capgemini HR Admin Team via
SNOW.

• Once the benefits team will receive notification from the data entry team, they will cross
check with the employee data with the plan and check out the data mentioned (Date,
amount, insurance plan) in the system.

• As a last step, the CG HR team is to send a copy of the letter via email with the
decision to the employee for their record.

Next Steps

To Details References %

24 - Data entry check (full


audit)

Link 31

2.27 11 - Send letter Chubbs


Activity
Type Manual task
Lane 3rd Party

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After Which vendor

Details
Responsible Chubb Canada
Accountable 3rd Party
Systems Email

SOP/DTP Instructions
• Once the insurance company has reviewed the employee's application and made
a decision, they will send an email notification with the medical underwriting
decision.

Next Steps

To Details References %

14 - Receive email

Link 40

2.28 14 - Receive email


Activity
Type User task
Lane Benefits Team
After 11 - Send letter Chubbs

Details
Responsible Benefits Team
Accountable Benefits Team
Systems SNOW

SOP/DTP Instructions
Chubb Canada will send an email to CG with a decision on the employee coverage.

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• Open the letter received in attachment from the insurer to view the details

• An email is sent to the data entry team to update the insurance details and once
it's done the change has to be validated in ADP GV to ensure the correct benefit
has been updated using the correct effective date and volume of coverage.

Next Steps

To Details References %

15 - Save downloaded files


on the shared drive

Link 48

2.29 AND
Gateway
Type Parallel paths (AND)
Lane Benefits Team

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NA_CA_R2P_3.1.3.3_Ancillary Version 2.0 APPROVED
Benefits Heritage Worley

After 15 - Save downloaded files on the shared drive

Next Steps

To Details References %

16 - Assign task

17 - Assign Task

18 - Send email to
employee with decision, for
information

Link 36

Link 35

Link 37

2.30 Which vendor


Gateway
Lane 3rd Party
After 9 - Make decision

Next Steps

To Details References %

11 - Send letter Chubbs

10 - Send data via secured


channel Desjardins

2.31 End
Event
Type End
Lane Benefits Team
After 24 - Data entry check (full audit)

Lanes
Employee
Lane
Responsible Employee
In group Worley

Feb 24, 2022 Page 31 of 36


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NA_CA_R2P_3.1.3.3_Ancillary Version 2.0 APPROVED
Benefits Heritage Worley

3rd Party
Lane
Responsible 3rd Party
In group External

Benefits Team
Lane
Responsible Benefits Team
In group Capgemini

Benefits Team
Lane
Responsible Benefits Team
In group Worley

People Team
Lane
Responsible People Team
In group Worley

Data Entry Team


Lane
Responsible Data Entry Team
In group Worley

Feb 24, 2022 Page 32 of 36


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NA_CA_R2P_3.1.3.3_Ancillary Version 2.0 APPROVED
Benefits Heritage Worley

Master Data

Roles
3rd Party
(no description provided)

Benefits Team
(no description provided)

Benefits Team
(no description provided)

Chubb Canada
(no description provided)

Data Entry Team


(no description provided)

Desjardins Financial Security (DFS)


(no description provided)

Employee
(no description provided)

People Team
(no description provided)

Systems
ADP Global View
(no description provided)

Email
(no description provided)

External system
(no description provided)

Secure site
SNOW
ServiceNow instance in Worley

Feb 24, 2022 Page 33 of 36


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NA_CA_R2P_3.1.3.3_Ancillary Benefits Heritage Worley Version 2.0 APPROVED

Accountabilities
The activities and deliverables for which each role is accountable

Process Accountable role Activities Deliverables

Process Employee 1 - Employee makes the election (via paper


enrollment with wet signature)
6 - Complete additional form - questionnaire
7 - Send completed form (secured website or email)

Process 3rd Party 8 - Receive data


9 - Make decision
10 - Send data via secured channel Desjardins
11 - Send letter Chubbs

Process Benefits Team 12 - Receive notification to access secured channel


13 - Access Vendor's system to collect information
15 - Save downloaded files on the shared drive
18 - Send email to employee with decision, for
information
16 - Assign task
17 - Assign Task
14 - Receive email

Process Benefits Team 23 - Receive notification


24 - Data entry check (full audit)
22 - Receive task

Process People Team 2 - Receive paper forms and scan it


3 - Create a SNOW case with attached forms

Process Data Entry Team 4 - Receive enrollment data


5 - Update payroll system
19 - Receive enrollment data
20 - Update payroll system for next pay run
(premium data included)
21 - Send notification that update is completed (via
SNOW)

Feb 24, 2022 Page 34 of 36


Generated by BusinessOptix
NA_CA_R2P_3.1.3.3_Ancillary Benefits Heritage Worley Version 2.0 APPROVED

RACI Analysis
The roles Responsible (actively involved in) for, Accountable for, Consulted on, and Informed of each activity

Process Activity Responsible Accountable Consulted Informed

Process 1 - Employee makes the Employee Employee


election (via paper
enrollment with wet
signature)

Process 2 - Receive paper forms People Team People Team


and scan it

Process 3 - Create a SNOW case People Team People Team


with attached forms

Process 4 - Receive enrollment Data Entry Team Data Entry Team


data

Process 5 - Update payroll Data Entry Team Data Entry Team


system

Process 6 - Complete additional Employee Employee


form - questionnaire

Process 7 - Send completed Employee Employee


form (secured website
or email)

Process 8 - Receive data 3rd Party 3rd Party

Process 9 - Make decision 3rd Party 3rd Party

Process 10 - Send data via Desjardins Financial Security 3rd Party


secured channel (DFS)
Desjardins

Process 12 - Receive notification Benefits Team Benefits Team


to access secured
channel

Feb 24, 2022 Page 35 of 36


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NA_CA_R2P_3.1.3.3_Ancillary Benefits Heritage Worley Version 2.0 APPROVED

Process Activity Responsible Accountable Consulted Informed

Process 13 - Access Vendor's Benefits Team Benefits Team


system to collect
information

Process 15 - Save downloaded Benefits Team Benefits Team


files on the shared drive

Process 18 - Send email to Benefits Team Benefits Team


employee with decision,
for information

Process 16 - Assign task Benefits Team Benefits Team

Process 19 - Receive enrollment Data Entry Team Data Entry Team


data

Process 20 - Update payroll Data Entry Team Data Entry Team


system for next pay run
(premium data
included)

Process 21 - Send notification Data Entry Team Data Entry Team


that update is
completed (via SNOW)

Process 23 - Receive notification Benefits Team Benefits Team

Process 24 - Data entry check Benefits Team Benefits Team


(full audit)

Process 17 - Assign Task Benefits Team Benefits Team

Process 22 - Receive task Benefits Team Benefits Team

Process 11 - Send letter Chubbs Chubb Canada 3rd Party

Process 14 - Receive email Benefits Team Benefits Team

Feb 24, 2022 Page 36 of 36


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