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. 

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

In Amount

The amount to be paid for enrolling under a plan. 

In Times Pay

The amount to be paid in times pay for enrolling under a plan. 

Minimum

The minimum amount to be paid for enrolling under a plan. 

Maximum

The maximum amount allowed for enrolling under a plan

Incremental Steps

The percentage increase in the amount of contribution.

GIA

The guaranteed issued amount defined by the provider organization for a benefit plan.

Self Coverage

The value to be covered under the plan.

Family Member Code

The unique code that identifies a family member. for example, 01 can indicate mother and 02 father etc.

Dependents

The name of the dependent

Relationship

The relationship of the dependent with the employee

Minimum Amount

The minimum amount that can be covered.

Maximum Amount

The maximum amount that can be covered under the plan.

Incremental Steps

The percentage increase in the amount of contribution

Coverage Amount

The value to be covered under the plan for the corresponding dependent.

Employee Contribution

The amount to be contributed by the employee for the corresponding coverage value.

Employer Contribution

The amount that will be contributed by the employer for the corresponding coverage value.