Latest revision as of 17:16, 3 May 2021

Coverage Tab

The Coverage tab displays a list of coverage in which the employee is presently enrolled. This tab provides the capability for the enroller or employee to update coverage for the employee, if necessary.

You can view any prior coverage by clicking the Show Coverage History option. Prior coverage details display underneath the current coverage details.

Click the Plan name to edit the coverage for that employee - see Editing Coverage for an Employee.

Plan 

Name of the plan in which the employee is currently enrolled.

Cvg 

Displays who is covered in the plan. Values are:

• EO - Employee Only
• EC - Employee + Children
• ES - Employee + Spouse
• FA - Family
• E+1 - Employee + 1
• E+2 - Employee + 2
• E+3 - Employee + 3
• E1C - Employee + Child
• E2C - Employee + 2 Children
• ESC - Employee, Spouse, and 1 Child
• CO - Children Only
• SO - Spouse Only
• SC - Spouse + Children
• PG - Parent/Grandparent

EE Cost 

Employee-paid cost per deduction period.

EE Add Cost 

Employee-paid additional cost per deduction period.

ER Cost 

Employer-paid cost per deduction period.

Option Code 

Deduction option code for the coverage. When applicable, this will be the same code used on the Rates tab for a given product to help identify a particular coverage election. For example, if the coverage is affected by tobacco use, the code might be NT for non-tobacco and T for tobacco user. More commonly this is a number indicating multiples of yearly salary (1 = 1x, 2=2x, 3=3x, etc.).

Pretax 

Pretax/Post-tax indicator: Values are Y for pre-tax, N for post-tax.

Amount

Total amount for requested coverage.

Effective Date 

Date on which coverage becomes effective.

Term Date 

Final date for which coverage is effective.

Deduction Date 

Date of first payroll deduction. The system calculates the appropriate deduction date based on the effective date.

End Deduction Date 

Date that payroll deduction is first set to $0. In other words, the first pay date on which the deduction will not be taken.

Cycle 

Indicator of total number of deduction periods during the plan year.

Policy Date 

Policy issue date.

Policy # 

Generally left blank.

Event 

Indicator of last update (A = Add, C = Change, D = Delete).

Event Date 

Date when the coverage was last updated.

User 

User who last updated the coverage.

Reason 

Indicator of the reason why the coverage was updated .

Delete option 

Click this link to delete the record. Generally not recommended

Editing Coverage for an Employee

You may edit or terminate any portion of a benefit plan for an employee manually in special situations. Generally, it is preferred to process a Life Event to do this. However, in certain circumstances, the data can be entered manually. Please note, data entered when manually editing coverage does not follow any system rules for rates, effective dates, etc.

The following fields may be changed:

• Employee Cost
• Employee Add Cost
• Employer Cost
• Benefit Amount
• Initial Effective Date
• Effective Date
• Termination Date
• Deduction Date
• End Deduction Date
• Policy Date
• Policy Number
• Coverage Option
• Requested Employee Cost
• Requested Employer Cost
• Requested Benefit Amount
• Increase Deduction Option Code
• Reason Type

To edit coverage for an employee, click the name of the benefit plan and follow instructions on that page.