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MANAGE EMPLOYEE BENEFIT OPTIONS OFFERED

On this screen, view and maintain the benefit offers of coverage for each full-time, ongoing full-time equivalent and initial full-time equivalent employee with an Employee Life Event. You can then report the data on this screen on the Affordable Care Act (ACA) 1095-C report.

You can either manually enter a record on this screen or you could generate the records by running the Store Employee Benefit Options Offered process or by the Activate Pending ESS Benefit Elections process.

You can also store and manage on this screen the dependents covered by each benefit option offering.

Location

Identification

Employee

Enter, or click to select, the employee for which benefit coverage offerings will be entered. The employee must exist in the Manage Employee Information table in order to be entered here. The name of the selected employee displays in the adjacent unlabeled field.

Taxable Entity

Enter, or click to select, the taxable entity to which the employee is assigned at the time the record was entered.

Benefit Year

Enter the benefit year. The benefit year and employee’s taxable entity must exist in the in the Manage Benefit Years by Taxable Entity screen.

Full-Time Equivalent

Select this check box to indicate that the employee was (or was considered) a full-time equivalent as of the Coverage Offer Start Date. This check box will be used when categorizing the employee’s monthly coverage offering on the 1095-C report.

Employee Enrolled in Coverage on an Exchange

Select this check box to indicate that the employee is enrolled in coverage on an Exchange rather than electing one of the offered coverages

Benefit Offer Details

Benefit Package

Enter, or click to select, the Benefit Package for which the employee is eligible as of the Effective Date.

Benefit Plan

Enter, or click to select, the benefit plan being offered to the employee. The benefit plan must exist on the Manage Benefit Plans table in order to be entered here.

Coverage Option

Enter, or click to select, the coverage option being offered to the employee. The coverage option must exist on the Manage Coverage Options table in order to be entered here and must be assigned to the specified Benefit Plan.

Coverage Offer Start Date

Enter, or click to select, the date on which the benefit coverage offering is effective. For Affordable Care Act reporting purposes, the effective date is needed in order to know when the employee was eligible for the coverage offered.

Coverage Offer End Date

Enter, or click to select, the end date of the coverage offering. The date must be within the date ranges set up for the Benefit Plan/Coverage option combination in the Manage Benefit Plans screen.

Enrollment Method

From the drop-down list, select whether the enrollment method is open enrollment or a life event benefit enrollment. Valid options are Open Enrollment and Life Event Enrollment.

Life Event

Enter, or click to select, the Life Event code which triggered the employee’s benefit s enrollment. This field is enabled and required if you selected Life Event Enrollment in the Enrollment Method field.

The Life Event must exist on the Manage Life Events table and be flagged as a Benefits Qualifying Event in order to be specified here.

Employee Monthly Premium

If the Benefit Plan’s Premium Calculation Method is Amount, enter the amount of the monthly premium for which the employee is responsible.

Company Monthly Premium

If the Benefit Plan’s Premium Calculation Method is Amount, enter the amount of the monthly premium for which the company is responsible.

Total Monthly Premium

This field displays the total monthly premium amount for the Benefit Plan/Coverage Option.

Cash-Out Amount

This is the amount that the employee will receive if they opt to be paid the cash-out amount, rather than electing the Benefit Option/Coverage Option.

Dependent(s) Eligible and Required

This non-editable check box indicates whether or not the Benefit Plan/Coverage Option combination requires assignments of dependents.

Dependent Type

This non-editable field indicates the type of dependents eligible for the Benefit Plan/Coverage Option. It will be populated based on the Benefit Plan/Coverage Option combination’s setup in Manage Benefit Plans screen. Valid values in this field are:

Provides Minimum Essential Coverage

This non-editable check box is selected if the Benefit Plan/Coverage Option combination offers minimum essential coverage to the employee and, where applicable, his/her spouse and dependents. This value will be used in the Affordable Care Act reporting of form 1095-c.

Please see U.S. government regulations for a definition of “minimum essential coverage”. The value will default upon entry of a valid Benefit Plan/Coverage Option combination

Minimum Value Provided

This non-editable check box is if the Benefit Plan/Coverage Option combination provides the minimum value to the employee and, where applicable, his/her spouse and dependents. This value will be used in the Affordable Care Act reporting of form 1095-c.

Please see U.S. government regulations for a definition of “minimum value”.

Dependents

Dependent

Enter, or click to select, the name of the dependent who is eligible for the Benefit Plan/Coverage Option combination. The Dependent must be assigned to the employee on the Manage Employee Dependents/Beneficiaries screen. Also, the Dependent must have a relationship to employee that meets the Eligible Dependents setting. So, if the Eligible Dependents is Spouse, then you can only select either a Wife or Husband in this field.

Gender

This field displays the gender of the selected dependent. The value loads from the Manage Employee Dependents/Beneficiaries screen after selecting a dependent. Valid values are:

Relationship

This field displays the relationship of the specified dependent to the employee. The value loads from the Manage Employee Dependents/Beneficiaries screen after selecting a dependent.

Date of Birth

This field displays the date of birth of the specified dependent. The value loads from the Manage Employee Dependents/Beneficiaries screen after selecting a dependent.