BN17.1 - Coverage Options by Plan Use BN17.1 (Coverage Options By Plan) to define coverage options for a benefit plan and to indicate whether dependents are eligible for coverage under each option. You can define coverage options for employees, COBRA participants, and retirees. An example of a plan with coverage options is a health plan offering the coverage options Single, Family, and Employee + 1. Even if different groups of employees can elect different coverage options, define all the possible options for the plan on this form. You can define an unlimited number of coverage options for a benefit plan. After you add the plan's coverage options in this form, the system takes you to BN17.2 (Coverage Option Defaults). Use this form only if the Coverage Type field is Coverage Options in BN15.1 (Benefit Plan) for the plan. Tip: The easiest way to access this form is by displaying the plan you want in BN15.1 (Benefit Plan) and choosing the Coverage button. The system transfers you to this form and displays the appropriate plan. Updated Files BNCOVDFT - The Benefit Coverage Default file is updated with the status and the default flag. BNCOVOPT - The Benefit Coverage Options file is updated with the student age and coverage options. BNPRMOPT - The Benefit Premium Options file is updated with the options flag. Referenced Files BENEFIT - The Employee Benefit file contains employee benefit records for all benefit types. The Benefits file is accessed to ensure options are not deleted if benefits exist. HRDEPBEN - The Dependent Benefits file is accessed by this program. PARTBEN - The COBRA Participant Benefits file ensures records are not deleted if COBRA participant benefits exist. PLAN - The Benefits Plan is accessed to retrieve the coverage type and flex plan. In addition, the file verifies the plan. PREMIUM - The Benefits Premium file is accessed to retrieve the coverage type, start date, and group name. PRSYSTEM - The HR Company and Process Levels file verifies the company. BN17.2 - Coverage Option Defaults Use BN17.2 (Coverage Option Defaults) to indicate who is eligible for coverage options and, if applicable, the default coverage option. This form must be completed before employees can enroll in the plan. If every coverage option can be elected by all employees eligible for the plan, you only need to complete this form once for the plan by leaving the Employee Group field blank. If the coverage options employees can elect differ by employee group, complete this form for each employee group for which coverage is unique. When you define the form for a plan leaving the Employee Group field blank, the system uses the coverage table for employees who do not meet the criteria for a specific employee group coverage record. If you define a default coverage option, benefit entry forms enroll eligible employees with the default coverage option if no coverage option is selected; if benefit update reports automatically enroll an employee in the plan, the employee is enrolled with the default coverage option. When you transfer to this form from BN17.1 (Coverage Options), the system displays the coverage options defined in that form. If you transfer to this form from a form other than BN17.1, inquire on the plan for which you want to define coverage option defaults. The system displays coverage options for the plan from BN17.1. Updated Files BNCOVDFT - The Benefit Coverage Defaults file is the primary file maintained by this program. Referenced Files BENEFIT - The Employee Benefit file contains employee benefit records for all benefit types. BNCOVOPT - The Benefit Coverage Options file retrieves the covered options and descriptions. BNPRMOPT - The Benefit Premium Options file is accessed to retrieve the options flag. PARTBEN - The COBRA Participant Benefits file ensures records are not deleted if COBRA participant benefits exist. PERSGROUP - The Employee Group Header file validates the employee group and group name. The file also validates the Benefits flag to ensure the group can be used for benefits. PLAN - The Benefit Plan file retrieves the plan description. PREMIUM - The Benefits Premium file is accessed to retrieve the coverage type, start date, and group name. PRSYSTEM - The HR Company and Process Levels file verifies company information. BN17.3 - Coverage Amounts Use BN17.3 (Coverage Amounts) to define the method for determining coverage amounts, coverage limits, and coverage defaults. Examples of coverage amounts include a life insurance plan offering coverage as a multiple of employee salary, flat amount, or supplemental; or a disability plan that is a percent of an employee's salary. If the plan does not offer coverage that is unique to particular employee groups, you only need to complete this form once for the plan by leaving the Employee Group field blank. If the plan offers different coverage amounts for different groups of employees, complete this form for each employee group for which coverage is unique. When you define the form for a plan leaving the Employee Group field blank, the system uses the coverage table for employees who do not meet the criteria for a specific employee group coverage record. Use this form only if the Coverage Type field is Coverage Amounts in BN15.1 (Benefit Plan) for the plan. Tip: The easiest way to access this form is by displaying the plan you want in BN15.1 (Benefit Plan) and choosing the Coverage button. The system transfers you to this form and displays the appropriate plan. Updated Files BNCOVERAGE - The Benefit Coverage file is the primary file maintained by this program. The file is also accessed to verify benefit coverage and retrieve coverage information. Referenced Files BENEFIT - The Employee Benefit file contains employee benefit records for all benefit types. The Employee Benefit file is accessed to ensure coverage options are is not deleted if a benefits plan exists. HRDEPBEN - The Dependent Benefits file is accessed by this program. PARTBEN - The COBRA Participant Benefits file ensures records are not deleted if COBRA participant benefits exist. PERSGROUP - The Employee Group Header file validates the employee group and group name. The file also validates the Benefits flag to ensure the group can be used for benefits. PLAN - The Benefits Plan file checks to ensure the coverage type is not equal to 2 (can only have coverage amounts). PRSYSTEM - The HR Company and Process Levels file verifies company information. RATETBLDTL - The Rate Table Detail file contains coverage reduction information which is stored by age. RATETBLHDR - The Rate Table Header file is used to verify rate table codes. INVOKED Programs HRFN |