Enroll in health plan

This page used to select a plan type in which you want to enroll.

Date format

The date format of the previous page.

SSN

The social security number of the employee.

Employee Code

The employee code and name.

Plan Category

The plan category selected in the previous page.

Plan Type

The description of the selected plan type.

Plan Code

The code of the plan selected in the previous page.

Premium Frequency

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

Currency

The currency in which the employee pays the premium amount.

Event

The drop-down list box displays “ New Enrollment”, if you have not yet enrolled. 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".

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 level that is applicable to the employee in the plan. The system displays a list of all the coverage levels applicable to the selected plan.  These levels are defined in the “ Create Benefit Plan activity.

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

To enter remarks

Note that you can select this pushbutton only if you and save the details.

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