Table of Contents
BENEFIT ELECTIONS#
The Process Benefit Elections (IBEL) screen allow users to elect multiple coverages for an employee on one form. If there is a component that must be manually entered at the time the employee elects the coverage then the component should have a BC action of ‘Store on Enroll’ or ‘Store on Line & Enroll’ and have the ‘Allow Value Override’ toggle ON.This ensures that the component will be provided for input in the Process Benefit Elections (IBEL) form. All other components may have the ‘Allow Value Override’ OFF, but still have a BC action of ‘Store on Enroll’ or ‘Store on Line & Enroll’.
Process Benefit Elections data is stored on the P2K_BE_ENROLLMENTS, P2K_BE_ENROLLMENT_DETAILS and P2K_BE_ENROLLMENT_COMPONENTS tables.
- Plan
- Plan Code is a user-defined code uniquely identifying the plan to the organization. Plan_Code is a mandatory 16-character alphanumeric field you must either manually enter or use the LOV (F9).
- Coverage
- Coverage is a user-defined code uniquely identifying the coverage to the organization. Coverage_Code is a mandatory 16-character alphanumeric field you must either manually enter or use the LOV (F9).
- Step
- This field indicates the set of rates that apply to this enrollment. Codes may be numeric (e.g. 01, 02, 03...) or they may be alphanumeric (e.g. A, B, C, FS, MN, A1, B2...). Coverage_Step_Code is a mandatory 16-character alphanumeric field you must enter.
- Effective
- This field holds the date from when an employee is enrolled into the coverage. Effective is a mandatory date field that is populated by the rules of the coverage but may be altered by user.
- Expiry
- This is the date after which the employee is no longer enrolled in the coverage. Expiry is a mandatory date field that is populated by the rules of the coverage but may be altered by the user.
- Participation
- This field indicates whether participation in a benefit plan or coverage is mandatory or optional. The participation rule on the plan definition is used as a default entry to the benefit schedule. Only the participation rule from the benefit schedule is enforced. Participation_Rule is an optional fixed lexicon (X_PARTICIPATION_RULE).
- Status
- This field indicates the status of the enrollment. Election_Status is a mandatory fixed lexicon (X_ELECTION_STATUS) you must use to select a value.
Details tab#
- Registration #
- Plan registration number is an employee's individual registration number within the plan. Plan_Reg_Number is a 50-character alphanumeric optional field you may enter.
- Claim %
- This field indicates the benefit percentage an employee receives in the event of a claim. Percentage is a 5-digit numeric optional field that you may manually enter.
- Frequency
- This is the frequency of the benefit cycle for this coverage for the employee. This field only needs to be entered if the frequency is different than the one established on the benefit schedule. Frequency_Code is a mandatory 16-character alphanumeric field you must either manually enter or use the LOV (F9).
- Change Reason
- The change reason, a user-defined table, allows users to track why information has been created or changed as of an effective date. Change_Code is a mandatory 16-character alphanumeric field you must either manually enter or use the LOV (F9).
- Evidence of Insurance
- If this toggle is ON, there is a hard copy of “Evidence of Insurance” that has been received. If this toggle is OFF, there was no hard copy provided.
- Eligibility Start
- This field shows the earliest date from which an employee may submit claims. Eligibility_Start_Date is an optional date field that is populated by the rules of the coverage but may be altered.
- Eligibility End
- Eligibility End This field provides the last date that an employee may submit claims. Eligibility_End_Date is an optional date field that is populated by the rules of the coverage but may be altered.
- Premium Start
- This is the date from which premium deductions start. Premium_Start_Date is an optional date field that is populated by the rules of the coverage but may be altered.
- Premium End
- This is the date after which premium deductions end. Premium_End_Date is an optional date field that is populated by the rules of the coverage but may be altered.
Reduction tab#
Reduction Rules govern the way an employee will be processed when they are either in a Benefit Elections special employment status that causes premiums to be waived, or they reach an age limit that triggers a reduction in benefit coverage.- Up to Limit
- This field indicates the highest age for which this reduction rule applies, if applicable. Up_To_Limit is an 18-digit numeric mandatory field you must manually enter.
- 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).
- Coverage 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 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_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 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.
- Employment Status
- 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 either manually enter or use the LOV (F9).
- Description
- This is a user-defined description of the employment status. Description is an optional 50-character alphanumeric field that defaults from the Employment Status (IDES) form.
