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This page used to select a plan type in which you want to enroll.
The “Enroll in a FSA Plan ” page appears.
The system will display the following details for the employee selected in the previous page.
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Date format |
The date format of the previous page. |
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SSN |
The social security number of the employee. |
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Employee |
Your code and name. |
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Plan Category |
The category name to which the plan belongs. |
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Plan Type |
The description of the selected plan type. |
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Plan Code |
The code of the plan selected in the previous page. |
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Plan |
The description of the plan. |
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Premium Frequency |
The frequency at which the employee and /or Employer contributes to the plan. |
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Currency |
The currency in which the employee pays the premium amount. |
Enter or select the following to enroll in a 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: "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. |
To enter contributions for enrollment
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 contribution amount to enroll in the plan.
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Contribution Per Premium Period |
The amount to be paid for a premium period. |
Specify the following details of your PCP (primary care physician).
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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 to save details and enroll in the plan.
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.
To delete enrollment for an employee
Select the “Delete Enrollment” pushbutton to delete enrollment from the plan.
To enter contributions for enrollment
To delete enrollment for an employee