Functional Description
This Named ER will determine whether online enrollment or changes are allowed for a specific benefit category for the enrollment events that are passed
into the NER.
enrollment, then the benefit category is considered to be open.
Setup Notes
Technical Specifications
Parameters-N0800074
Type of Program (Logic Class)
Data Item Data Item Description Input/Output Required Notes
SBGR Benefit CategoryInput R
EECD Enrollment Event Code Input
ACTF Open Category Flag Output (1=active, 0 =inactive)
Related Tables
Table Table Description
F08510Benefit Categories by Enrollment EventsInput
Processing
Special Logic
• For a non blank enrollment event code passed into the NER. Perform a Fetch Single on F08510
(Benefit Categories by Events), use benefit category and enrollment event code as the keys.
• If the Fetch Single is successful, set Active Category Flag = 1 (active) . NER ends when fetch is
successful, this will allow online enrollment. Benefit category is considered "open".
• If Fetch Single is still unsuccessful set Active Category Flag = 0 (inactive). This will indicate
that Enrollment is not open.
D0800074 - Determine Open Benefit Category
| Parameter Name | Data Item | Data Type | Req/Opt | I/O/Both |
|---|---|---|---|---|
| szBenefitGroupCategory | SBGR | char | REQ | INPUT |
The category of a benefit group. The category is used to group benefit plans according to the type and/or rule. For
| ||||
| szEnrollmentEventCode01 | EECD | char | OPT | INPUT |
The user defined code (08/BE) that you use to denote an enrollment event such as marriage. | ||||
| szOpenCategoryFlag | ACTF | char | OPT | OUTPUT |
A code which indicates whether an Activity Code must be entered against the Item being processed. | ||||
| None |
| None |