Date format

The date format of the previous page.

Benefits Enrollment Unit

The benefits enrollment unit selected in the previous page.

Employee

The code and name of the employee.

SSN

The social security number of the employee

Plan Code

The unique code that identifies an employee

Plan

The description of the plan.

Plan Category

The category to which the plan is mapped. 

Plan Type

The description of the plan type.

Premium Frequency

The number of times the premium is to be paid.

Currency

The currency in which the premium is paid.

Event

The event selected in the previous page.

Coverage Level

The coverage level option selected at the time of enrollment.

Coverage From Date

The date from which the employee is covered in the plan. 

Coverage To Date

The date until which the employee is covered in the plan

Yearly Minimum Amount

The minimum contribution that the employee has to pay for continuing under the benefit plan.

Yearly Maximum Amount

The maximum contribution that the employee can contribute to continue the benefit plan.

Contribution Per Premium Period

The amount to be paid by the employee for a premium period.

PCP Category

The category to which the PCP belongs. For example Orthopedics, Cardiologists, Neurologists, etc.

PCP Second Name

The second name of the primary care physician.

PCP First Name

The first name of the primary care physician

Remarks

The remarks entered at the time of enrolling in the plan.