This page (revision-46) was last changed on 07-Jul-2022 14:44 by Karen Parrott

This page was created on 26-Nov-2021 10:22 by KateN

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Version Date Modified Size Author Changes ... Change note
46 07-Jul-2022 14:44 25 KB Karen Parrott to previous
45 26-Nov-2021 10:22 24 KB kparrott to previous | to last
44 26-Nov-2021 10:22 24 KB kparrott to previous | to last
43 26-Nov-2021 10:22 24 KB kparrott to previous | to last
42 26-Nov-2021 10:22 24 KB kparrott to previous | to last
41 26-Nov-2021 10:22 23 KB kparrott to previous | to last

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IBPN

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;[Approval Required|APPROVAL_REQUIRED]:Approval logic can be enabled at the plan level. Clients can choose No Approval Required, Approval Required (Approval is required for Open Enrollments with new elections, existing elections with changes and declined elections.), or Apr Req for Chgs Only (Approval is only required for changes made to elections). This field is tied to the lexicon [X_BE_APPROVAL].
;[Approval Required|APPROVAL_REQUIRED]:Approval logic can be enabled at the plan level. Clients can choose No Approval Required, Approval Required (Approval is required for Open Enrollments with new elections, existing elections with changes and declined elections.), or Apr Req for Chgs Only (Approval is only required for changes made to elections).
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__Remittances__
!Remittances
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;[Remittance Report|REMIT_REPORT_CODE]:Remittance Report is a user-defined code uniquely identifying the report within the organization. Remit_Report_Code is a 16-character alphanumeric optional field you may manually enter or use the LOV(F9).
;[Remittance Report|REMIT_REPORT_CODE]:Remittance Report is a user-defined code uniquely identifying the report within the organization.
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;[Remit As Of Day|REMIT_ASOF_DAY]:This field specifies the day of the remittance period on which remittances are assessed. Remit_Asof_Day is a 5-digit numeric optional field defaulting from the remittance report or you may manually override.
;[Remit As Of Day|REMIT_ASOF_DAY]:This field specifies the day of the remittance period on which remittances are assessed.
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;[Plan Remit Seq #|PLAN_REMIT_SEQUENCE]:Remittance Sequence determines the order in which each plan will be printed when more than one benefit plan is printed on the same remittance report. Plan_Remit_Sequence is a 5 digit numeric optional field you may manually enter.
;[Plan Remit Seq #|PLAN_REMIT_SEQUENCE]:Remittance Sequence determines the order in which each plan will be printed when more than one benefit plan is printed on the same remittance report.
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;[Remit Date Rule|REMIT_DATE_RULE]:This field indicates the date at which remittances must be assessed.
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;[Remit Date Rule|REMIT_DATE_RULE]:This field indicates the date at which remittances must be assessed. Remit_Date_Rule is an optional fixed lexicon ([X_REMIT_DATE_RULE]) that you may use to look up the value.
;[Print Zero Rule|PRINT_ZERO_RULE]:This field controls whether employees with zero premium amounts (for any reason) who are enrolled in the benefit plan should get printed on the remittance report.
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;[Print Zero Rule|PRINT_ZERO_RULE]:This field controls whether employees with zero premium amounts (for any reason) who are enrolled in the benefit plan should get printed on the remittance report. Print_Zero_Rule is an optional fixed lexicon ([X_PRINT_ZERO_RULE]) that you may use to look up the value.
;[Remit by State|REMIT_BY_STATE]:If the ‘Remit by State’ toggle is ON, the state or province of the employee’s residence separates remittance history records. If the toggle is OFF there is no separation by state or province.
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;[Remit by State|REMIT_BY_STATE]:If the ‘Remit by State’ toggle is ON, the state or province of the employee’s residence separates remittance history records. If the toggle is OFF there is no separation by state or province. Remit_By_State is an optional toggle field.
;[Remit by Unit or Group|REMIT_BY_UNIT_OR_GROUP]:If the ‘Remit by Unit or Group’ toggle is ON, remittance history records will be separated by group or unit, based on the employee’s [Prime Assignment Information (IEAS)|IEAS] form. If the toggle is OFF there is no separation by unit and group.
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;[Remit by Unit or Group|REMIT_BY_UNIT_OR_GROUP]:If the ‘Remit by Unit or Group’ toggle is ON, remittance history records will be separated by group or unit, based on the employee’s [Prime Assignment Information (IEAS)|IEAS] form. If the toggle is OFF there is no separation by unit and group. Remit_By_Unit_Or_Group is an optional toggle field.
;[Print All Waivers|PRINT_ALL_WAIVERS]:If the ‘Print All Waivers’ toggle is ON, employees receiving a benefit waiver that reduces their premium to zero will still appear on the remittance report. If the toggle is OFF employees on a waiver with a zero premium will not get printed. Print_All_Waivers is an optional toggle field.
;[Print All Waivers|PRINT_ALL_WAIVERS]:If the ‘Print All Waivers’ toggle is ON, employees receiving a benefit waiver that reduces their premium to zero will still appear on the remittance report. If the toggle is OFF employees on a waiver with a zero premium will not get printed.
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;[Coverage|COVERAGE_CODE]:Coverage is a user-defined code uniquely identifying the coverage to the organization. Coverage_Code is a mandatory 16-character alphanumeric field you must manually enter.
;[Seq #|COVERAGE_REMIT_SEQUENCE]:Remit Sequence determines the order in which all the Coverages will be printed when more than one benefit coverage is printed on the same remittance report. Coverage_Remit_Sequence is an optional 5-digit numeric field that will default from the plan or you may manually enter.
;[Policy #|POLICY_NUMBER]:Insurance Policy Number for the coverage. Policy_Number is an optional 30-character alphanumeric field that will default from the plan or you may manually enter.
;[Coverage|COVERAGE_CODE]:Coverage is a user-defined code uniquely identifying the coverage to the organization.
;[Seq #|COVERAGE_REMIT_SEQUENCE]:Remit Sequence determines the order in which all the Coverages will be printed when more than one benefit coverage is printed on the same remittance report.
;[Policy #|POLICY_NUMBER]:Insurance Policy Number for the coverage.
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;[Contact|CONTACT_ROLE]:Contact Role identifies the contact eligible under this coverage. Contact_Role is an optional 16-character alphanumeric field you may manually enter.
;[Contact|CONTACT_ROLE]:Contact Role identifies the contact eligible under this coverage.
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;[Exclude From OE|EXCLUDE_FROM_OPEN_ENROLLMENT]:A coverage may be excluded from an Open Enrollment by checking this toggle ON.
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;[Exclude From OE|EXCLUDE_FROM_OPEN_ENROLLMENT]:A coverage may be excluded from an Open Enrollment by checking this toggle ON.
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!Coverages Details tab
;[Description|DESCRIPTION]:This field holds a user-provided description of the coverage. Description is an optional 50-character alphanumeric field you may manually enter.
!!Coverages Details tab
;[Description|DESCRIPTION]:This field holds a user-provided description of the coverage.
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;[Remit Basis|REMIT_BASIS]:Remit Basis is the unit of measure in which remittances are stored and sent. Remit_Basis is a mandatory fixed lexicon ([X_RATE_BASIS]) that you may use to look up the value.
;[Remit Basis|REMIT_BASIS]:Remit Basis is the unit of measure in which remittances are stored and sent.
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;[Rate Basis|RATE_BASIS]:Rate Basis indicates the unit of measure that coverage rates are stored in for coverage components, plan rates or enrollment tables. All rates entered on the Rates tab must be of the 'Rate Basis' indicated here. Rate_Basis is a mandatory fixed lexicon ([X_RATE_BASIS]) that you may use to look up the value.
;[Rate Basis|RATE_BASIS]:Rate Basis indicates the unit of measure that coverage rates are stored in for coverage components, plan rates or enrollment tables. All rates entered on the Rates tab must be of the 'Rate Basis' indicated here.
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;[Frequency|FREQUENCY_CODE]:Frequency defines the condition under which the benefit is processed. The processing frequencies may be set by month, pay period, type of pay and number of times within a pay period. Frequency_Code is a mandatory 16-character alphanumeric field you must either manually enter or use the LOV (F9).
;[Frequency|FREQUENCY_CODE]:Frequency defines the condition under which the benefit is processed. The processing frequencies may be set by month, pay period, type of pay and number of times within a pay period.
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!Components tab
Coverage Components identify which benefit components are applicable to a particular benefit coverage. They specify the information on the rules, usercalcs, [elements|PAY ELEMENTS], field values, factors and constants associated with a coverage.
!!Components tab
Coverage Components identify which benefit components are applicable to a particular benefit coverage. They specify the information on the rules, UserCalcs, [elements|PAY ELEMENTS], field values, factors and constants associated with a coverage.
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;[Rule|BC_RULE_CODE]:This field is used to describe the possible options available for each benefits component. The rules shown are applicable to the highlighted benefits component in the BC Code field of the form. BC_Rule_Code from the [P2K_BE_BC_RULES] table is a mandatory 2-character numeric field either provided, manually enter or selected with the LOV (F9).
;[Rule|BC_RULE_CODE]:This field is used to describe the possible options available for each benefits component. The rules shown are applicable to the highlighted benefits component in the BC Code field of the form.
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;[PC Code|PC_CODE]:Users may select a [pay component|PAY COMPONENTS] where the result of the component may be stored. In this manner, amounts calculated for benefit lines or enrollments may be recorded in Payroll, available for the Pay Register, employees’ pay stub and/or financial ledgers (as required). PC_Code is a 4-digit numeric optional field you may manually enter or use the LOV (F9).
;[PC Code|PC_CODE]:Users may select a [pay component|PAY COMPONENTS] where the result of the component may be stored. In this manner, amounts calculated for benefit lines or enrollments may be recorded in Payroll, available for the Pay Register, employees’ pay stub and/or financial ledgers (as required).
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;[Element|ELEMENT_CODE]:Users may enter an element to calculate the benefits component. The rules for the benefits component must include a “Use an Element” rule for this field to be used. Element_Code is a 16-character alphanumeric optional field you may manually enter or use the LOV (F9).
;[Element|ELEMENT_CODE]:Users may enter an element to calculate the benefits component. The rules for the benefits component must include a “Use an Element” rule for this field to be used. .
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;[PC Abbrev.|PC_ABBREVIATION]:Abbreviation is a description of the [pay component|PAY COMPONENTS] chosen. PC_Abbreviation is a 30-character alphanumeric field defaulting from the [pay component|PAY COMPONENTS].
;[PC Abbrev.|PC_ABBREVIATION]:Abbreviation is a description of the [pay component|PAY COMPONENTS] chosen.
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;[User Calc|USER_CALC_CODE]:You may specify a usercalc to calculate the benefits component amount, date, etc. This field is appropriate for those benefits components for which the Rule 00 – “Use UserCalc” is defined. UserCalcs may also be used to verify or change the component amount calculated. User_Calc_Code is a 16-character alphanumeric optional field you may manually enter or use the LOV (F9).
;[User Calc|USER_CALC_CODE]:You may specify a usercalc to calculate the benefits component amount, date, etc. This field is appropriate for those benefits components for which the Rule 00 – “Use UserCalc” is defined. UserCalcs may also be used to verify or change the component amount calculated.
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;[Allow Value Override|ALLOW_VALUE_OVERRIDE]:If the ‘Allow Value Override’ toggle is ON, the system allows you to see value on [IBEL], and update it (must also have ‘enter on enrollment’ ON, and ‘enter on enrollment’). Allows users to override value on [IBEN]. If the toggle is OFF, a value may not be overridden. Both original values and overridden values are stored. The program will use the original or the override based on this toggle. Allow_Value_Override is an optional toggle; the value of which is provided for each benefits component.
;[Allow Value Override|ALLOW_VALUE_OVERRIDE]:If the ‘Allow Value Override’ toggle is ON, the system allows you to see value on [IBEL], and update it (must also have ‘enter on enrollment’ ON, and ‘enter on enrollment’). Allows users to override value on [IBEN]. If the toggle is OFF, a value may not be overridden. Both original values and overridden values are stored. The program will use the original or the override based on this toggle.
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;[Enter Enrollment|ENTER_ENROLLMENT]:If the ‘Enter Enrollment’ toggle is ON, the coverage component value may be overridden on the employee's enrollment form. This allows the user to enter the value when enrolling. Both 'Allow Value Override' and 'Enter Enrollment' must be on, and BC action including ‘Store on Enroll’, in order to see on [IBEL]. If the toggle is OFF, the component may not be overridden. Enter_Enrollment is an optional toggle; the value of which is provided for each benefits component.
;[Enter Enrollment|ENTER_ENROLLMENT]:If the ‘Enter Enrollment’ toggle is ON, the coverage component value may be overridden on the employee's enrollment form. This allows the user to enter the value when enrolling. Both 'Allow Value Override' and 'Enter Enrollment' must be on, and BC action including ‘Store on Enroll’, in order to see on [IBEL]. If the toggle is OFF, the component may not be overridden.
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;:If the toggle is OFF, the component may not be overridden. Enter_Benefit_Lines is an optional toggle; the value of which is provided for each benefits component.
;:If the toggle is OFF, the component may not be overridden.
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!Rates tab
!!Rates tab
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;:Coverage_Step_Code is a mandatory 16-character alphanumeric field you must manually enter.
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;[Description|DESCRIPTION]:This field describes the rate step. Description is an optional 50-character alphanumeric field you may manually enter.
;[Description|DESCRIPTION]:This field describes the rate step.
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;[Up to Limit|UP_TO_LIMIT]:Up to Limit (up to but not including) specifies the upper limit to which the step applies when the rates vary based on age, salary or other range criteria. Used for component B0500, Rule 05, 06, 08 and 09. Up_To_Limit is an optional 18-digit numeric field you may manually enter.
;[Up to Limit|UP_TO_LIMIT]:Up to Limit (up to but not including) specifies the upper limit to which the step applies when the rates vary based on age, salary or other range criteria. Used for component B0500, Rule 05, 06, 08 and 09.
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;[Next Step|NEXT_STEP_CODE]:Next Step code indicates the next set of rates that will apply when rates are stepped based on a date. Next_Step_Code is a mandatory 16-character alphanumeric field you must manually enter.
;[Next Step|NEXT_STEP_CODE]:Next Step code indicates the next set of rates that will apply when rates are stepped based on a date.
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;[Flex Amount|FLEX_AMOUNT]:This field provides the amount of the flex fund credit being contributed by the organization; used for component B0810, Rule 07. Flex_Amount is an optional 18-digit numeric field you may manually enter.
;[Flex Amount|FLEX_AMOUNT]:This field provides the amount of the flex fund credit being contributed by the organization; used for component B0810, Rule 07.
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;[Premium 1 Rate|PREMIUM1_RATE]:This is the regular premium rate used in normal premium calculations; used for component B0600, Rule 02. Premium1_Rate is an optional 18-digit numeric field you may manually enter.
;[Premium 1 Rate|PREMIUM1_RATE]:This is the regular premium rate used in normal premium calculations; used for component B0600, Rule 02.
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;[Premium 2 Rate|PREMIUM2_RATE]:Additional premium rate used when a second premium rate must be applied after a coverage limit is reached (e.g. $0.50 per $1,000 on 1st $50,000 coverage, $1.00 per $1,000 for any coverage in excess of $50,000). Used for component B0610, Rule 02. Premium2_Rate is an optional 18-digit numeric field you may manually enter.
;[Premium 2 Rate|PREMIUM2_RATE]:Additional premium rate used when a second premium rate must be applied after a coverage limit is reached (e.g. $0.50 per $1,000 on 1st $50,000 coverage, $1.00 per $1,000 for any coverage in excess of $50,000). Used for component B0610, Rule 02.
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;[ER Contribution Rate|ER_CONTRIBUTION_RATE]:This is the rate used in the employer's contribution calculation; used for component B0800, Rule 02. ER_Contribution_Rate is an optional 18-digit numeric field you may manually enter.
;[ER Contribution Rate|ER_CONTRIBUTION_RATE]:This is the rate used in the employer's contribution calculation; used for component B0800, Rule 02.
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;[EE Deduction Rate|EE_DEDUCTION_RATE]:This field provides the rate used in the employee's deduction calculation; used for component B1000, Rule 02. EE_Deduction_Rate is an optional 18-digit numeric field you may manually enter.
;[EE Deduction Rate|EE_DEDUCTION_RATE]:This field provides the rate used in the employee's deduction calculation; used for component B1000, Rule 02.
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;[Taxable Benefit Rate|TAXBEN_RATE]:This is the rate used in the taxable benefit calculation; used for component B1200, Rule 02. Taxben_Rate is an optional 18-digit numeric field you may manually enter.
;[Taxable Benefit Rate|TAXBEN_RATE]:This is the rate used in the taxable benefit calculation; used for component B1200, Rule 02.
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;[User 1 Rate|USER1_RATE]:This field provides the first user-defined rate. User1_Rate is an optional 18-digit numeric field you may manually enter.
;[User 1 Rate|USER1_RATE]:This field provides the first user-defined rate.
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;[User 2 Rate|USER2_RATE]:This is the second user-defined rate. User2_Rate is an optional 18-digit numeric field you may manually enter.
;[User 2 Rate|USER2_RATE]:This is the second user-defined rate.
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;[User 3 Rate|USER3_RATE]:This is the third user-defined rate. User3_Rate is an optional 18-digit numeric field you may manually enter.
;[User 3 Rate|USER3_RATE]:This is the third user-defined rate.
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!Waivers tab
!!Waivers tab
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;[Employment Status|STATUS_CODE]:The employment status of an employee may be pending approval, active, on a leave of some type, or terminated. Status_Code is a mandatory 16-character alphanumeric field you must manually enter or use the LOV (F9).
;[Employment Status|STATUS_CODE]:The employment status of an employee may be pending approval, active, on a leave of some type, or terminated.
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;[Up to Limit|UP_TO_LIMIT]:This field indicates the highest age for which this reduction rule applies, if applicable. Up_To_Limit is a mandatory 18-digit numeric field you must manually enter.
;[Up to Limit|UP_TO_LIMIT]:This field indicates the highest age for which this reduction rule applies, if applicable.
;[Waiver Method|WAIVER_METHOD]:This field indicates who pays the premium amount when an employee is on a benefit waiver.
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;[Waiver Method|WAIVER_METHOD]:This field indicates who pays the premium amount when an employee is on a benefit waiver. Waiver_Method is an optional fixed lexicon ([X_WAIVER_METHOD]) that you may use to look up the value.
;[Coverage Reduction %|COVG_REDUCTION_PERCENT]:This field indicates by how much the coverage/benefit amount is reduced.
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;[Coverage Reduction %|COVG_REDUCTION_PERCENT]:This field indicates by how much the coverage/benefit amount is reduced. Covg_Reduction_Percent is an optional 5-digit numeric field you may manually enter.
;[Premium Reduction %|PREM_REDUCTION_PERCENT]:This field indicates by how much the premium is reduced.
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;[Premium Reduction %|PREM_REDUCTION_PERCENT]:This field indicates by how much the premium is reduced. Prem_Reduction_Percent is an optional 5-digit numeric field you may manually enter.
;[EE Reduction %|EE_REDUCTION_PERCENT]:This field indicates by how much the employee deduction is reduced.
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;[EE Reduction %|EE_REDUCTION_PERCENT]:This field indicates by how much the employee deduction is reduced. EE_Reduction_Percent is an optional 5-digit numeric field you may manually enter.
;[ER Reduction %|ER_REDUCTION_PERCENT]:This field indicates by how much the employer contribution is reduced. ER_Reduction_Percent is an optional 5-digit numeric field you may manually enter.
;[ER Reduction %|ER_REDUCTION_PERCENT]:This field indicates by how much the employer contribution is reduced. \\
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