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.

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.
After Tax Deductions or Imputed - Tax treatment is based on the number of non-qualifying dependents to determine if imputed income taxes apply or the employee will pay deductions after federal and state taxes have been deducted from gross pay.

Plan Type Code and
Plan Type Name


Relationship  Code and  Description


Minimum and Maximum Number of Covered Dependents


Coverage Code and
Coverage Code Description


After Tax Deductions (No/Yes) or Imputed
10 - State Group Health
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance
E - Employee



Max number of dependents = 0



1 - Single



No



10 - State Group Health




















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



















15 - Family




















No




















SP - Spouse
QD - Tax Qualified Domestic Partner
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance


EE - Employee Minimum and Maximum Number of dependents = 1



16 - Employee & Spouse/DP




No




SP - Spouse
QD - Tax Qualified Domestic Partner
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance

EE - Employee Minimum and Maximum Number of dependents = 1


17 - Employee & Spouse/DP



After Tax



DP - Non-Tax Qualified Domestic Partner
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
















No
















GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
12 - EPIC Benefits+
13 - Dental Wisconsin
14 - VSP Vision Insurance

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


19 - Employee & Children



After Tax



ZN - Non-Tax Qualified Domestic Partner Child
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 a Tax-Qualified Child and at least 1 Dependent must  be a Non-Tax Qualified Child














20 - Employee & Children



















After Tax



















ZN - Non-Tax Qualified Domestic Partner Child
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 or a Tax Qualified Domestic Partner and at least 1 Dependent must be a Tax Qualified Child














21 - Family




















No




















SP - Spouse
QD - Tax Qualified Domestic Partner
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 a Spouse or Tax Qualified Domestic Partner and at least 1 Dependent must be a Non-Tax Qualified Domestic Partner Child

















22 - Family























After Tax























SP - Spouse
QD - Tax Qualified Domestic Partner
ZN - Non-Tax Qualified Domestic Partner Child
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 a Tax Qualified Domestic Partner and at least 1 Dependent must be a Tax Qualified Child














23 - Family




















No




















SP - Spouse
QD - Tax Qualified Domestic Partner
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 a Tax-Qualified Domestic Partner and at least 1 Dependent is a Non-Tax Qualified Domestic Partner Child

















24 - Family























After Tax























SP - Spouse
QD - Tax Qualified Domestic Partner
ZN - Non-Tax Qualified Domestic Partner Child
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 a Non-Tax Qualified Domestic Partner
and at least 1 Dependent must be a Tax-Qualified  Child













25 - family



















After Tax



















DP - Non-Tax Qualified Domestic Partner
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
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 a Non-Tax Qualified Domestic Partner, at least 1 Dependent must be a Tax-Qualified  Child and at least 1 additional Dependent must be a Non-Tax Qualified Domestic Partner Child













26 - Family





















After Tax





















DP - Non-Tax Qualified Domestic Partner
ZN - Non-Tax Qualified Domestic Partner Child
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
10 - State Group Health



















EE - Employee Min Number of dependents = 1:

Dependent must be a Non-Tax Qualified Domestic Partner
















41 - Family with Non Tax Qualified Domestic Partner


















Imputed Income


















DP - Non-Tax Qualified Domestic Partner
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild
10 - State Group Health





















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

1 Dependent must be a Non-Tax Qualified Domestic Partner
and at least 1 Dependent is a Non-Tax Qualified Domestic Partner Child















42 - Family with Non Tax Qualified Domestic Partner and Non Tax Qualified Domestic Partner Child(ren)


















Imputed Income




















DP - Non-Tax Qualified Domestic Partner
ZN - Non-Tax Qualified Domestic Partner Child
GC - Grandchild
QC - Tax Qualified Child
QC - Tax Qualified Legal Ward
QC - Tax Qualified Stepchild
QC - Tax Qualfiied Domestic Partner Child
CN - Non-Tax Qualified Child
NW - Non-Tax Qualified Legal Ward
SN - Non-Tax Qualified Stepchild


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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:2017-05-12 15:19 CDT
Sites:Human Resource System (HRS)
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