Benefits Enrollment Unit

The benefits enrollment unit selected in the previous page.

Date Format

The date format applicable to the login user. More details

Employee

The name of the employee selected in the previous page.

SSN

The social security number of the employee.

Program

The name of the program to which the plan is mapped.

Currency

The currency in which the premium paid.

Plan Type

The type of the plan.

Plan Description

The description of the plan.

Coverage From Date

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

Coverage To Date

The date until which the employee is 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 number of dependents allowed to be covered under the plan.

Relationship

The relationship of the dependent with the employee.

Enroll

Select the check box to indicate that the dependents are enrolled in the plan. If the dependents have been enrolled earlier, the system will display as checked in the Enroll check box