Use this screen to set up actual insurance benefits for your company and define rules for eligibility, coverage, and enrollment. You can also use this screen to establish benefit cost and assign coverage options and deduction codes.
You must set up this screen before you can establish benefit packages or benefit package defaults. However, you can add to this table at any time, and you can establish an unlimited number of benefit plans.
This screen has three tabs:
Benefit Plan Details — Use this tab to define the insurance provider, system/user benefit type, status, and Employee Self Service (ESS)visibility options of the benefit plan.
Eligibility Rules — Use this tab to define who is eligible for enrollment in this benefit plan.
Enrollment/Coverage Rules — Use this tab to define additional rules for this benefit plan
Enter a unique code to identify this benefit plan.
Enter a description for this benefit plan.
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Subtask |
Description |
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Coverage Detail |
Select this link to open the Coverage Detail subtask for the current record. |
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Coverage Options |
Select this link to open the Coverage Options subtask for the current record. |
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Valid Postal Codes |
Select this link to access the Postal Codes subtask, where you can enter valid postal codes for the benefit plan. Use this subtask to enter the Postal Code ranges that are eligible for the Benefit Plan in this subtask. Employee Self Service uses these ranges to default and validate the Benefit Plan for the employee. This button is available only if you are using Employee Self Service 3.0. |
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Valid States |
Select this link to access the Valid States subtask, where you can enter valid states and/or provinces for the benefit plan. Use this subtask to enter the States/Provinces that are eligible for the benefit plan. Employee Self Service uses these ranges to default and validate the Benefit Plan for the employee. This button is available only if you are using Employee Self Service 3.0. |