Maintain Benefit Plan

Select the “Maintain Benefit Plan” activity under the “Benefit Definition” business component.

The “Maintain Benefit Plan” page appears.

Note: Clicking this icon available near certain fields takes you to the help page of the respective field.

The system displays the following

Benefits Definition Unit	Select the organization unit in which you must create benefits plan. The drop-down list box displays all the organization units where you have permission to create benefits plan.
Date Format	The date format as applicable to the login user.

Enter the following details:

Plan Code	From the drop-down list box, select the code identifying the benefit plan and description.
Plan Short Description	A brief description to identify the benefit plan
Plan Long Description	The full description of the benefit plan. For example, if you have identified the benefit plan code as “MngPln002”, you can enter “Mngpln.” as the short description and “Manager Plan” as the long description.
Status	From the drop-down list box select the status of the benefit plan. By default, the status will be “Pending”. You can change the status to “Active” or “Inactive”
Plan Category	From the drop-down list box, select the category of the benefit plan.
Provider Code	The unique code that identifies the provider of the plan. You can enter the code of the provider for the plan or select the code from the help available.
Policy No.	From the drop-down list box select the policy number for which the plan is created.
Effective From Date	The date from which the benefit plan will be in effect.
Effective To Date	The date until which the benefit plan will be in effect.
Currency	From the drop-down list box, select the currency applicable to the benefit plan. By default the system will display US dollars.
Premium Basis	From the drop-down list box, select the option based on which premium is calculated. By default the system will display with “Select”. The drop-down list box displays “Rate Table” and “Rule”. Select one among them.
Rule	The rule name for computation of premium is computed. This field is mandatory if the premium basis is selected as “Rule”. Click the “Define Rule” hyperlink
Rate Table Code	The code of the rate table based on which the premium for the plan is computed This field is mandatory if the premium basis is selected as “Rate Table”.

To specify waiting period

Enter the following details in the “Waiting Period” group box:

Waiting Period

Enter the waiting period in the field and from the drop-down list box select the required unit. The drop-down list box contains the following values namely days, months, “First day of the Month After”, “First day of Year After”. Select one value. By default the drop-down list box will display with a blank value.

Reference Period

Reference period is the condition based on which the waiting period is considered. From the drop-down list box select the unit of the reference period. The drop-down list box will display the following values namely hire date, retire date, confirmation date, as on date etc. Enter the value of the reference period in the field. You must enter the date only if he selects the “As on Date” option.

To define eligibility rules for the plan

Eligibility indicates that the criteria that the person has to satisfy for joining in the benefit plan.

Enter the following details in the “Eligibility Rules” group box:

Eligibility Profile Code	The eligibility profile code of the benefit plan. As you specify the eligibility profile code, you indicate that a person can participate in the benefit plan only if he satisfies the eligible criteria defined in the eligibility profile. This is a help enabled field.
Primary Participant Eligibility Rule	Enter the rule name based on which the eligibility of the person is defined. You can define the rule by selecting the “Define Rule” hyperlink besides the field.
Dependent Eligibility Profile Code	The eligibility profile code of the specified dependent. The eligibility profile for various types of dependents is already defined in the “Create Dependent Eligibility Profile” Activity. You can select the eligibility profile code of the required dependents from the “Help” provided.
Dependent Eligibility Rule	Enter the rule name based on which the eligibility of the dependents can be defined. You can define the rule by selecting the “Define Rule” hyperlink besides the field.

Note: If multiple eligibility profiles for a plan are to be mapped, you are to leave the corresponding fields blank. I.e., to map multiple eligibility profile for the primary participant, you have to keep the “Eligibility Profile Code” and the “Primary Participant Eligibility Rule” must be kept blank. Similarly to map multiple eligibility profiles for a dependent, you have to leave the “Dependent Eligibility Profile Code” and the “Dependent Eligibility Rule” fields blank.

To specify participation details of the plan

You can specify the participation details for the plan. Participation details involve specifying the period for which participation in the plan is available, the period for which the plan is open for enrollment and the type of enrollment.

Enter the following details in the “Participation Details” multiline:

Participation From Date	The date from which the employee can participate in the plan.
Participation To Date	The date until which the employee can participate in the plan.
Enrollment Type	The type of enrollment that is applicable for the plan By default the system will display with blank value. The drop-down list box displays two values namely, “Open Enrollment “ and “Unrestricted” You must select one among them.
Open From Date	The date from which the plan is open for enrollment.
Open To Date	The date until which the plan is open for enrollment.

If “Unrestricted” option from the “Enrollment” drop-down list box is selected, you must keep the “Open From Date” and Open TO Date” fields empty.

Contribution to Element Mapping

Enter the following details in the “Contribution To Pay Element Mapping” group box:

Employee Contribution	The pay element to which employee contribution is to be mapped.
Employee Matching Contribution	The pay element to which employee matching contribution is to be mapped.
Employer Contribution	The pay element to which employer contribution is to be mapped.
Employer Matching Contribution	The pay element to which employer matching contribution is to be mapped.

Enter the following details in the “Other Details” group box:

Pre Closure of Enrollment Allowed	Select the check box to indicate that you can end the enrollment before the pre defined date.
Premium Override Allowed	Select the check box to indicate that you can override the premium amount computed by the system for the benefit plan.
Life Event Driven Enrollment	Select the check box to indicate that the enrollment in the plan is driven by life events. Life events can be marriage, death, birth, etc.
Full Flex	Select the check box to indicate that the plan is of full flex in nature. Full flex is the option given to the employee to enroll in various plans that suits his needs based on various contributions given by the employer.
Pre-tax	Select the check box to indicate that the premium of the plan is deducted from the salary before it is computed for tax.
Imputed Income	Select the check box to indicate that the premium paid is dependent on imputed income. Imputed income is the coverage limit beyond which the premium paid is taxable to the employee.
"Coverage From Date" always First Day of Premium Processing Period	Select the check box to indicate that the employee will be covered in the plan from the first date of the premium processing period.
Auto Enrollment	From the “Auto Enrollment” drop-down list box, select the type of enrollment that is applicable to the plan. The drop-down list box contains the following values namely, “Only Auto Enrollment”, “Auto/ Manual Enrollment” and “No”. One among of them must be selected. By default the system will display with “NO”. No - Indicates that the auto enrollment is not applicable to the plan i.e., the employee can enroll in the plan only through manual enrollment. Only Auto Enrollment - Indicates that the employees are enrolled in the plans only through auto enrollment. Auto/ Manual Enrollment - Indicates that the employee can enroll in a plan both by auto enrollment and by manual enrollment.
Employees Self Service Option	From the “Employee Self Service” drop-down list box, specify whether the employee can enroll in the plan through employee self service option or not. The drop-down list box displays three values namely “No”, “With Authorization”, and “Without Authorization”.
Applicable to	Select one of the three options available in the drop-down list box: “All Org. Units”, “Login Org. Units” or “Selective Org. Units”. If you select “All Org. Units”, the benefit plan will be made available to all organizational units of the group company. “Login Org. Units”, the benefit plan record will be mapped to the organizational unit to which the login user is attached. “Selective Org. Units”, the benefit plan record will be available only to specific organizational units.
Comments	Any comments or remarks regarding the benefit plan.

Note: The actual mapping of the benefit plan to the organizational units is carried out in a separate page called “Map Org. Units”.

Select the “Save” pushbutton to create the new benefit plan.
Select the “Delete” pushbutton to delete the benefit plan.

To proceed, carry out the following

Click the “Create Rate Table” link to create the rate table details.
Click the “Map Benefit Year” link map the benefit year to the plan.
Click the “Specify Waive Reasons” link to specify the waive reason in the benefit plan.
Click the “Org. Unit Mapping” link to mapping of organization unit.
Click the “Map Multiple Eligibilities” link to map multiple eligibility for a program, plan type or a plan.
Click the “Specify Life Events” link to specify the life events that will drive a plan.
Click the “Cross Plan Validation” link to create and modify cross plan validation details.
Click the “Rules and Regulation” link to specify various terms and conditions applicable to a plan.
Click the “Map Plan - Account” link to map the plan contributions to an account.
Click the “Define Calculation Rules” link to define calculation rules for a benefit program, benefit plan type and benefit plan.