GetCurrentandNewBenefitCoverage

Retrieve current and new coverage for a benefit category

Minor Business Rule

Object Name: N0800075

Parent DLL: CHRM

Location: Client/Server

Language: NER

Functional Description

Purpose
This Named Event Rule fetches the Current or New Elections for employee Benefit Enrollment Self
Service.

Setup Notes and Prerequisites

Special Logic

Technical Specification

1.  Fetch from F08510 to determine if the selected benefit group has automaic enrollment in current
elections.
2.  If there is auto enroll in current elections and the flag is set to inquire on new plans, or if
the flag is set to inquire on current plans, read through the F08330WF for current elections.  If there
is one found, add its amounts to the Current amounts totals and if there is defaulting, populate the
default variables for the plan.
3.  If the flag is set to inquire on new plans, read through the Enrollment (B0800078) cache for
selected plans.
4.  If there are no plans in the cache yet and the flag is set to inquire on new plans, the read
through the F08320WF for selected or mandatory plans.  If a mandatory or a selected plan is found, then
add the record to cache with a selected flag = 1.
5.  Finally, if the flag is set to inquire on new plans, the Category Type is not equal to 1 (not
open), and no plans were found in the cache, then read through the F08330WF for any future enrollments.
If they are found, then write the record to cache with a selected flag = 1.
^

Data Structure

D0800075 - Retrieve current and new coverage for a benefit category

Parameter Name	Data Item	Data Type	Req/Opt	I/O/Both
mnAddressNumber	AN8	MATH_NUMERIC	REQ	INPUT
A number that identifies an entry in the Address Book system, such as employee, applicant, participant, customer, supplier, tenant, or location.
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 example: MEDICAL Required Medical Selections DENTAL Optional Dental Selections LIFE Required Life Ins Selections Valid categories are set up in the Generic Rate and Message table (F00191) for system 08/type SG. Associated text for categories is stored in the General Message Detail table (F00192). For more information, see program P00191.
mnEnrollmentEventType	EVET	MATH_NUMERIC	REQ	INPUT
A field that indicates the event during which the enrollment occurs. Valid values include: 1 Open Enrollment 2 Enrollment for current plan year
szNewPlanID1	PLAN	char	OPT	NONE
An abbreviation or number that identifies a specific employee benefit. Examples are: o Employee Health Insurance o Accidental Death and Dismemberment o Health Club Expense Reimbursement o Employee Stock Appreciation Rights A benefit plan typically is associated with a deduction, benefit, or accrual. For example, a medical plan is a benefit that might also require a deduction to withhold premiums from an employee's pay.
szNewPlanOption1	AOPT	char	OPT	NONE
A code that identifies any additional options available for a benefit plan that have been defined in the Plan Additional Options table (F083202). Note: Additional options must have the same provider, policy number, and enrollment and eligibility rules as the benefit plan to which they are associated.
cNewPlanDepBenFlag1	DBEN	char	OPT	NONE
A code that indicates whether the person is a dependent or a beneficiary of the employee. Valid codes are: D The person is a dependent. B The person is a beneficiary. Blank The system automatically designates the person as a beneficiary or dependent, depending on the benefit plan type.
szNewPlanID2	PLAN	char	OPT	NONE
An abbreviation or number that identifies a specific employee benefit. Examples are: o Employee Health Insurance o Accidental Death and Dismemberment o Health Club Expense Reimbursement o Employee Stock Appreciation Rights A benefit plan typically is associated with a deduction, benefit, or accrual. For example, a medical plan is a benefit that might also require a deduction to withhold premiums from an employee's pay.
szNewPlanOption2	AOPT	char	OPT	NONE
A code that identifies any additional options available for a benefit plan that have been defined in the Plan Additional Options table (F083202). Note: Additional options must have the same provider, policy number, and enrollment and eligibility rules as the benefit plan to which they are associated.
cNewPlanDepBenFlag2	DBEN	char	OPT	NONE
A code that indicates whether the person is a dependent or a beneficiary of the employee. Valid codes are: D The person is a dependent. B The person is a beneficiary. Blank The system automatically designates the person as a beneficiary or dependent, depending on the benefit plan type.
szNewPlanID3	PLAN	char	OPT	NONE
An abbreviation or number that identifies a specific employee benefit. Examples are: o Employee Health Insurance o Accidental Death and Dismemberment o Health Club Expense Reimbursement o Employee Stock Appreciation Rights A benefit plan typically is associated with a deduction, benefit, or accrual. For example, a medical plan is a benefit that might also require a deduction to withhold premiums from an employee's pay.
szNewPlanOption3	AOPT	char	OPT	NONE
A code that identifies any additional options available for a benefit plan that have been defined in the Plan Additional Options table (F083202). Note: Additional options must have the same provider, policy number, and enrollment and eligibility rules as the benefit plan to which they are associated.
cNewPlanDepBenFlag3	DBEN	char	OPT	NONE
A code that indicates whether the person is a dependent or a beneficiary of the employee. Valid codes are: D The person is a dependent. B The person is a beneficiary. Blank The system automatically designates the person as a beneficiary or dependent, depending on the benefit plan type.
szNewPlanId4	PLAN	char	OPT	NONE
An abbreviation or number that identifies a specific employee benefit. Examples are: o Employee Health Insurance o Accidental Death and Dismemberment o Health Club Expense Reimbursement o Employee Stock Appreciation Rights A benefit plan typically is associated with a deduction, benefit, or accrual. For example, a medical plan is a benefit that might also require a deduction to withhold premiums from an employee's pay.
szNewPlanOption4	AOPT	char	OPT	NONE
A code that identifies any additional options available for a benefit plan that have been defined in the Plan Additional Options table (F083202). Note: Additional options must have the same provider, policy number, and enrollment and eligibility rules as the benefit plan to which they are associated.
cNewPlanDepBenFlag4	DBEN	char	OPT	NONE
A code that indicates whether the person is a dependent or a beneficiary of the employee. Valid codes are: D The person is a dependent. B The person is a beneficiary. Blank The system automatically designates the person as a beneficiary or dependent, depending on the benefit plan type.
szNewPlanID5	PLAN	char	OPT	NONE
An abbreviation or number that identifies a specific employee benefit. Examples are: o Employee Health Insurance o Accidental Death and Dismemberment o Health Club Expense Reimbursement o Employee Stock Appreciation Rights A benefit plan typically is associated with a deduction, benefit, or accrual. For example, a medical plan is a benefit that might also require a deduction to withhold premiums from an employee's pay.
szNewPlanOption5	AOPT	char	OPT	NONE
A code that identifies any additional options available for a benefit plan that have been defined in the Plan Additional Options table (F083202). Note: Additional options must have the same provider, policy number, and enrollment and eligibility rules as the benefit plan to which they are associated.
cNewPlanDepBenFlag5	DBEN	char	OPT	NONE
A code that indicates whether the person is a dependent or a beneficiary of the employee. Valid codes are: D The person is a dependent. B The person is a beneficiary. Blank The system automatically designates the person as a beneficiary or dependent, depending on the benefit plan type.
mnJobnumberA	JOBS	MATH_NUMERIC	OPT	BOTH
The job number (work station ID) which executed the particular job.
szEnrollmentEventCode_1	EECD	char	REQ	INPUT
The user defined code (08/BE) that you use to denote an enrollment event such as marriage.
mnNewPlanCost_1	PCOS	MATH_NUMERIC	OPT	NONE
The cost that the system calculates for a plan or plan option.
mnNewPlanCost_2	PCOS	MATH_NUMERIC	OPT	NONE
The cost that the system calculates for a plan or plan option.
mnNewPlanCost_3	PCOS	MATH_NUMERIC	OPT	NONE
The cost that the system calculates for a plan or plan option.
mnNewPlanCost_4	PCOS	MATH_NUMERIC	OPT	NONE
The cost that the system calculates for a plan or plan option.
mnNewPlanCost_5	PCOS	MATH_NUMERIC	OPT	NONE
The cost that the system calculates for a plan or plan option.
mnNewPlanCredit_1	PCRE	MATH_NUMERIC	OPT	NONE
The credit that the system calculates for a plan or plan option.
mnNewPlanCredit_2	PCRE	MATH_NUMERIC	OPT	NONE
The credit that the system calculates for a plan or plan option.
mnNewPlanCredit_3	PCRE	MATH_NUMERIC	OPT	NONE
The credit that the system calculates for a plan or plan option.
mnNewPlanCredit_4	PCRE	MATH_NUMERIC	OPT	NONE
The credit that the system calculates for a plan or plan option.
mnNewPlanCredit_5	PCRE	MATH_NUMERIC	OPT	NONE
The credit that the system calculates for a plan or plan option.
cCoverageTypeFlag	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
szCurrentPlanElectionDescr1	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szCurrentPlanElectionDescr2	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szCurrentPlanElectionDescr3	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szCurrentPlanElectionDescr4	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szCurrentPlanElectionDescr5	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szNewPlanElectionDescr1	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szNewPlanElectionDescr2	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szNewPlanElectionDescr3	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szNewPlanElectionDescr4	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
szNewPlanElectionDescr5	TXT1	char	OPT	NONE
The title that appears at the top of the report. It can include up to three lines with 40 characters each. The lines are automatically centered on the report.
cSelectionChangedFlag1	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
cSelectionChangedFlag2	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
cSelectionChangedFlag3	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
cSelectionChangedFlag4	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
cSelectionChangedFlag5	EV01	char	OPT	NONE
An option that specifies the type of processing for an event.
mnDeductionAmtRate1	DRTM	MATH_NUMERIC	OPT	NONE
The value of this field is either a percentage, a dollar amount or an hourly rate depending upon where it is being used; A When used in conjunction with a Deduction, Benefit or Accrual Type this field may represent many of the above values depending upon the value of the D/B/A method code (DEDM).
mnDeductionAmtRate_2	DRTM	MATH_NUMERIC	OPT	NONE
The value of this field is either a percentage, a dollar amount or an hourly rate depending upon where it is being used; A When used in conjunction with a Deduction, Benefit or Accrual Type this field may represent many of the above values depending upon the value of the D/B/A method code (DEDM).
mnDeductionAmtRate_3	DRTM	MATH_NUMERIC	OPT	NONE
The value of this field is either a percentage, a dollar amount or an hourly rate depending upon where it is being used; A When used in conjunction with a Deduction, Benefit or Accrual Type this field may represent many of the above values depending upon the value of the D/B/A method code (DEDM).
mnDeductionAmtRate_4	DRTM	MATH_NUMERIC	OPT	NONE
The value of this field is either a percentage, a dollar amount or an hourly rate depending upon where it is being used; A When used in conjunction with a Deduction, Benefit or Accrual Type this field may represent many of the above values depending upon the value of the D/B/A method code (DEDM).
mnDeductionAmtRate_5	DRTM	MATH_NUMERIC	OPT	NONE
The value of this field is either a percentage, a dollar amount or an hourly rate depending upon where it is being used; A When used in conjunction with a Deduction, Benefit or Accrual Type this field may represent many of the above values depending upon the value of the D/B/A method code (DEDM).
mnNewPCPNumberFlag1	PCPF	MATH_NUMERIC	OPT	NONE
An option that specifies whether the benefit plan or benefit plan option tracks primary care physician numbers. If you choose this option, then the system displays a form during the enrollment process for an employee to enter the number for a primary care physician.
mnNewPCPNumberFlag2	PCPF	MATH_NUMERIC	OPT	NONE
An option that specifies whether the benefit plan or benefit plan option tracks primary care physician numbers. If you choose this option, then the system displays a form during the enrollment process for an employee to enter the number for a primary care physician.
mnNewPCPNumberFlag3	PCPF	MATH_NUMERIC	OPT	NONE
An option that specifies whether the benefit plan or benefit plan option tracks primary care physician numbers. If you choose this option, then the system displays a form during the enrollment process for an employee to enter the number for a primary care physician.
mnNewPCPNumberFlag4	PCPF	MATH_NUMERIC	OPT	NONE
An option that specifies whether the benefit plan or benefit plan option tracks primary care physician numbers. If you choose this option, then the system displays a form during the enrollment process for an employee to enter the number for a primary care physician.
mnNewPCPNumberFlag5	PCPF	MATH_NUMERIC	OPT	NONE
An option that specifies whether the benefit plan or benefit plan option tracks primary care physician numbers. If you choose this option, then the system displays a form during the enrollment process for an employee to enter the number for a primary care physician.
mnCurrentPlanCost	PCOS	MATH_NUMERIC	OPT	NONE
Returns the Total Current Plan Payroll Deduction amount for all plans the employee is currently enrolled in. ^
mnCurrentEmployeeFlexCost	EEFC	MATH_NUMERIC	OPT	NONE
Returns the Total Current Flex Cost amount for all plans the employee is currently enrolled in. ^
mnCurrentPlanCredit	PCRE	MATH_NUMERIC	OPT	NONE
Returns the Total Current Flex Credit amount for all plans the employee is currently enrolled in. ^
mnNewEmployeeFlexCost_1	EEFC	MATH_NUMERIC	OPT	NONE
The amount of flex credits given to an employee by the employer when the employee chooses the benefit plan.
mnNewEmployeeFlexCost_2	EEFC	MATH_NUMERIC	OPT	NONE
The amount of flex credits given to an employee by the employer when the employee chooses the benefit plan.
mnNewEmployeeFlexCost_3	EEFC	MATH_NUMERIC	OPT	NONE
The amount of flex credits given to an employee by the employer when the employee chooses the benefit plan.
mnNewEmployeeFlexCost_4	EEFC	MATH_NUMERIC	OPT	NONE
The amount of flex credits given to an employee by the employer when the employee chooses the benefit plan.
mnNewEmployeeFlexCost_5	EEFC	MATH_NUMERIC	OPT	NONE
The amount of flex credits given to an employee by the employer when the employee chooses the benefit plan.
szCategoryDescription	DL01	char	OPT	NONE
A user defined name or remark.
szCurrentConcatDescription	KN	char	OPT	NONE
The data dictionary field name which is a key for the file.

Related Functions

None

Related Tables

None