BN - Benefits Coverage Codes Job Aid

GENERAL DESCRIPTION:

When enrolling an employee into benefits using Benefit Administration or On-Demand Event Maintenance, Benefit Administrators will use these coverage codes to ensure employees and dependents are enrolled in the proper plans.

PROCESS CONSIDERATIONS:
  • The information listed below is effective 1/1/2018. For historical Health Coverage Code information, please reference the Additional Resources section below.
Untitled Document

Plan Type Code and Plan Type Name - These numbers and plan names appear on the enrollment pages.
Relationship Code and Description - is required when entering the dependents and is selected from a drop-down list for each dependent.
Minimum and Maximum Number of Covered Dependents -  determines the Coverage Code applicable.
Coverage Codes and Description - The appropriate coverage code is required for entry on the enrollment pages.

Plan Type Code and
Plan Type Name


Relationship  Code and  Description


Minimum and Maximum Number of Covered Dependents


Coverage Code and
Coverage Code Description


10 - State Group Health
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance
E - Employee



Max number of dependents = 0



1 - Single



10 - State Group Health




















EE - Employee Min Number of dependents = 1
Max Number of dependents = 99



















15 - Family




















SP - Spouse
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance


EE - Employee Minimum and Maximum Number of dependents = 1




16 - Employee & Spouse/DP




SP - Spouse
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance














EE - Employee Min Number of dependents = 1
Max Number of dependents = 99















18 - Employee & Children
















C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance


















EE - Employee Min Number of dependents = 2
Max Number of dependents = 99:

1 Dependent must be Spouse and at least 1 Child

















21 - Family




















SP - Spouse
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward


ADDITIONAL RESOURCES:

Related KBs:

Related Links:






Keywords:Health Vision Dental Dental & Excess Medical Dental Wisconsin Union Dental VSP EPIC Benefits+ option code, benefit plan, benefit plans; relationship code, plan type, covered dependents, imputed income option code, benefit plan   Doc ID:16838
Owner:Joanna B.Group:Human Resource System (HRS)
Created:2011-02-08 19:00 CDTUpdated:2017-09-22 15:47 CDT
Sites:Human Resource System (HRS)
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