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The “Enroll in a FSA Plan” page appears.
The system displays the following.
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Date format |
The date format of the previous page. |
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Benefits Enrollment Unit |
The benefits enrollment unit selected in the previous page. |
The system will display the following details for the employee selected in the previous page.
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Employee Code |
The code of the employee selected in the previous page. |
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Exception |
This box appears checked, if you have already selected this option. |
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Plan Code |
The code of the plan selected in the previous page. |
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Employee Name |
The name of the employee |
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SSN |
The social security number of the employee. |
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Program |
The description of the benefit program to which the plan is mapped. |
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Currency |
The currency in which the employee pays the premium amount. |
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Plan Type |
The description of the selected plan type. |
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Premium Frequency |
The frequency at which the employee and /or Employer contributes to the plan. |
Enter or select the following to enroll an employee under plan. If details are entered previously the system will display the following details. You can modify any or all the fields.
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Event |
The drop-down list box will display with “ New Enrollment” if you have entered the page for the first time. If the enrollment has been made earlier, the system will display with “Select” as default value. The drop-down list box will display the following values viz. "Update", "Correct", "Delete", "Change in Dependent" and "Change in Beneficiary". |
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Coverage From Date |
The date from which the employee is covered under the plan. |
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Coverage To Date |
The date until which the employee is covered under the plan. |
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Exception Reason |
The drop-down list box will contain list of all the reasons defined in the HRMS general masters component if the “Exception” check box is checked. If the “Exception” check box is not checked, the drop-down list box will display the “[N.A.]” value. |
The system will display the following details of the benefit plan.
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Yearly Minimum Amount |
The minimum contribution that the employee has to pay for continuing under the benefit plan. |
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Yearly Maximum Amount |
The maximum contribution that the employee can contribute to continue the benefit plan. |
Enter the amount that the employee has to contribute for enrolling the benefit plan.
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Contribution Per Premium Period |
The amount to be paid by the employee for a premium period. |
Specify the following details of the primary care physician of the employee.
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PCP Category |
From the drop-down list box select the category to which the PCP belongs. For example Orthopedics, Cardiologists, Neurologists, etc. |
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PCP Second Name |
The second name of the primary care physician. |
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PCP First Name |
The first name of the primary care physician |
You can enter opinions, comments and other details if any, in the "Remarks" field.
You can also view these details, if they were entered previously select the book icon. The system displays a pop up dialogue box containing the content that has been entered previously.
Select the “Save New Enrollment” pushbutton.
If the details are entered previously, the system will display these details at the launch of the page. You can make necessary changes.
Select the “Save Amendments” pushbutton to save the modified details.
Select the “Delete Enrollment” pushbutton to delete enrollment of the employee from the plan.
To enter contributions for enrollment
To delete enrollment for an employee