BN - How to Change Benefits Coverage Level Using On Demand

GENERAL DESCRIPTION:

When enrolling employees into benefits plans, or updating those benefits plans through On-Demand, knowing the appropriate Coverage Code values for each situation is critical. Coverage Codes affect health premiums, coverage level such as employee + spouse/DP, employee + children, family, tax dependents, and non-tax dependents. This documents shows which Coverage Code to select for certain years and time-frames.

PROCESS CONSIDERATIONS:
  • Coverage Codes have changed over time.  Please be sure to reference the correct Coverage Code list for the time period you are working in.

Examples of different Coverage Codes:

1. 4/10/2011 Coverage Begin Date is using Coverage Codes from spreadsheet 4-10-2011 to 07-02-2011. Coverage Code below is 27. It is using 27 for employee + spouse (tax dependent)

EPIC Health Row


2. 01/01/2015 Coverage Begin Date is using Coverage Codes from spreadsheet 11-02-2014 to Present. Coverage Code below is 16. It is using 16 for employee + spouse (tax dependent)


EPIC Health Row 2


3. Coverage Codes are selected in On-Demand via ADM Event when selecting Health Benefit election.


ADM Event

ADM Dental WI

Option Codes


Coverage Code Current Reference Sheet:

CoverageCode 11-2-2014 to Present - Please use the attached spreadsheet for any coverage changes effective 11-2-2014 or later.
 
Coverage Code Historical Reference Sheets:

CoverageCode 10-01-2013 to 11-01-2014 - Please use the attached spreadsheet for any coverage changes effective between 10-1-2013 to 11-1-2014.

CoverageCodes 7-3-2011 to 9-30-2013 - Please use the attached spreadsheet for any coverage changes effective between 7-3-2011 to 9-30-2013.

CoverageCodes 4-10-2011 to 7-02-2011 - Please use the attached spreadsheet for any coverage changes effective between 4-10-2011 to 7-2-2011.

DEPENDENT RELATIONSHIPS:

For Benefit purposes, these are the defined relationships which qualify someone for insurance according to insurance plan rules. Some dependents are not eligible for benefits and cannot be enrolled. Please see table for benefit eligible and non-eligible dependents.  BN - Add/Update Dependents

The UW has defined the following relationships:

 Relationship to Employee  Eligible for Insurance?  Imputed Income?
 Adult Child  No  No
 Child Non Tax Dependent  Yes  No
 Child Tax Dependent  Yes  No
 DP Child Non Tax Dependent Yes Yes
 DP Child Tax Dependent Yes No
 Dom Partner Non Tax Dependent Yes Yes
 Dom Partner Tax Dependent Yes No
 Emergency Contact No No
 Employee Yes No
 ExDomestic Partner No No
 ExSpouse No No
 Grandchild Yes No
 Legal Ward Non Tax Dependent Yes No
 Legal Ward Tax Dependent Yes No
 Qualified Stepchild Yes No
 Spouse Yes No
 Stepchild Non Tax Dependent Yes No



ADDITIONAL RESOURCES:

Related KBs:

Related Links:




Keywords:Benefits On-Demand Coverage Options Family Single Training Employee & Spouse/DP Employee & Children Employee + 1 Employee + 2 or more Employee Spouse Tax Qualified Domestic Partner Tax Qualified Dom Partner Tax Non Qualified Dom Partner Tax Non Qualified Domestic Partner Tax Qualified Child Grandchild Tax Qualified Legal Ward Child Tax Qualified Stepchild Tax Qualified DP Child Tax Non Qualified Child Tax Non Qualified Legal Ward Tax Non Qualified Stepchild Tax Non Qualified DP Child Plan Type Relationship   Doc ID:19156
Owner:Samantha Q.Group:Human Resource System (HRS)
Created:2011-07-17 18:00 CSTUpdated:2017-03-30 12:44 CST
Sites:Human Resource System (HRS)
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