Enroll in health plan

Date format

The date format of the previous page.

Benefits Enrollment Unit

The benefits enrollment unit selected in the previous page.

Employee Code

The code of the employee selected in the previous page.

Exception

The box appears checked, if you have already selected this option.

Plan Code

The code of the plan selected in the previous page.

Employee Name

The name of the employee

SSN

The social security number of the employee.

Program

The description of the benefit program to which the plan is mapped.

Currency

The currency in which the employee pays the premium amount.

Plan Type

The description of the selected plan type.

Premium Frequency

The frequency at which the employee and /or Employer contributes to the plan.

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".

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.

Coverage Level

From the drop-down list box select the coverage levels that is applicable to the employee while he is covered under the plan. The system will display list of all the coverage levels that are applicable to the selected plan.  These levels are defined in the “Create Benefit Plan” activity

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.

To compute premium for the plan

Employee

The amount to be paid by the employee if any.

Employer

The amount to be paid by the employer if any.

Employee Contribution so far

The total premium amount contributed by the employee till date for the enrolled plan.

Employer Contribution so far

The total premium amount contributed by the employer till date for the enrolled plan.

PCP Category

From the drop-down list box select 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

 

To enter remarks

To save the modified details

To delete enrollment for an employee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What you can do in this page

To compute premium for the plan

To enter remarks

To save the modified details

To delete enrollment for an employee