Building Benefit Programs

COBRA Surcharge % (COBRA surcharge percentage)

Enter the percentage amount of the benefit cost that you want added to the benefit cost. For example, if the cost of medical coverage is 100 USD and the COBRA surcharge % is 30%, the cost for medical coverage for someone on COBRA would be 130 USD.

COBRA Disabled Surcharge % (COBRA disabled surcharge percentage)

If you want a different percentage amount for a disabled person, enter that percentage amount. If you leave the field blank, the surcharge amount entered in the COBRA Surcharge % field will be applied to a disabled person with COBRA coverage.

Flexible Spending Acct Run ID (flexible spending account run ID)

For FSA Administration users. Enter the FSA run ID that you created on the FSA Run Table.

FSA Maximum Annual Pledge

Enter the maximum amount that an employee can contribute across all flexible spending accounts within the Benefit Program for a plan year.

FMLA Plan ID (FMLA plan identification)

Enter the FMLA plan ID that you created on the FMLA Plan Table.

Apply Excess Credits to

The system can convert excess flexible credit amounts to:

C (Cash)

D (FSA-Dependent Care)

F (Forfeit Excess Credit)

H (FSA-Health Care)

R (FSA Retirement Counseling)

S (Savings-401(k))

Show Credits on Enrollmnt Form (show credits on enrollment form)

Select if you want credit amounts to appear on the enrollment form. If you do not offer flexible credits, you may not want this heading to appear on the form.

Include Can Sales Tax on Form (include Canadian sales tax on form)

Select if you want Canadian sales tax information to appear on the eBenefits Enrollment Summary page.

Show Employer Costs on Form

Select to display the employer's contributions (costs) on the enrollment form

Alert to Tax Impacts on Form

Select to alert the employee to any potential tax impacts (due to the employer's contributions) on the enrollment form. Most typically, this would be if a T-Tax (imputed income) component existed.

Cost Freq on Enrollment Form (cost frequency on enrollment form)

This defines how the cost of the benefits appears on the enrollment form. Values are

Annual: Displays the costs as annual amounts.

Deduction: Displays the costs as per-pay-period amounts.

Handbook URL ID (handbook uniform resource locator identification)

Enter the URL ID that connects to your benefit handbook. URL IDs are set up in the URL Table.

Collect Dependent/Beneficiary

Select this check box when you want the system to collect information pertaining to dependents and benefits and display that information on the eBenefit Summary and the eBenefit Detail Information pages.

This works in conjunction with the Ignore Dep/Ben Edits check box on the Event Rules page.

Collect Fund Allocations

When this check box is selected, the system collects the information pertaining to savings plans and displays that information on the eBenefit Savings Summary and the Detail Information pages.

Show if no choice

This check box controls whether a plan type appears on the enrollment when the employee has no option to choose and cannot waive out of the option. A good example is paid vacation. Employees receive the benefit, but you don't display it on the enrollment form.

If the check box is selected, the system displays the plan type in the enrollment form summary. When the check box is deselected, the system will not display the plan type.

This setting is not relevant to 6x plans (flexible spending accounts) and 9x plans (vacation buy/sell), which are always shown in self-service.

Handbook URL

If you have a special handbook for this plan type, you can enter the URL ID. URL IDs are set up in the URL Table.

Update Dependent Information check box

This check box controls if updating dependent information is allowed or not.

Update Beneficiary Designation check box

This check box controls if changing the beneficiary allocations is allowed or not.

Update Fund Allocations check box

This check box controls if changing the fund allocations on 4X plans are allowed or not.

Show Latest Deductions check box

This check box controls if the latest deductions section (displaying deduction data from North America Payroll) should be shown or not.

Update Beneficiary Information check box

This check box controls if updating and adding beneficiary information is allowed or not.

Update Savings Contributions check box

This check box controls if changing the savings allocations on 4X plans are allowed or not.

Show Plan Details check box

This check box controls if drill down is available to show more details of a plan type or not.

Optn ID (option ID)

As you define options for each of the plan types that are offered, the system automatically enters the option ID.

Optn Type (option type)

Each option row needs to have an option type designation. The Manage Base Benefits business process enables you to select from the following list of values:

O: At least one option is required per plan type, except for plan type 01. Plan type 01 is used only for Benefits Administration. It is also called the Program level of the benefits program and is used only by programs that run in conjunction with Benefits Administration.

G: Designates that this option is a general credit and used only in Benefits Administration.

P: This is used only for plan type 01. It designates that this is a program and is required for automated benefit programs. Only one P row is allowed per benefit program.

W: Designates that waiving coverage is an option and is used only in Benefits Administration.

Benefit Plan

Enter the code for a benefit plan that was defined on the Benefit Plan Table. If it is something other than a health plan, provide added detail in one of the various benefit plan detail pages.

Covrg Code (coverage code)

This applies only to health plan types. Indicate the level of coverage for health plans. This is a required field for those plan types. Coverage codes are defined on the Coverage Code Table.

Deductn Cd (deduction code)

Links the deduction code to the option.

Option Code

This field is available if the COBRA Plan check box is selected, or if this is a Benefits Administration (Automated) benefit program.

Default Option

Applies to Benefits Administration. Select this check box if you want this option to be used as the default when the Benefits Administration process validates, loads, or finalizes participant elections.

The default option is the benefit plan option that is given to employees who do not make an election and is used if the associated event rule has a default method of Option or Current Else Option. Plan type defaults are used as substitutes for a participant's election when you finalize the event. Here are some guidelines for setting default options:

• Select a default option only for plan types 1x–3x, 5x, 7x, and 8x.

• For 2x plan types, do not define options that require coverage to be specified at the employee level as defaults.

• Only the Waive Option Type is allowed as a default for plan types 4x, 6x, and 9x.

• Options requiring proof should not be set as defaults, although it is an option.

Opt Level (option level)

Applies to Benefits Administration. Option level refers to the level of benefits coverage provided by the option. For example, suppose you're setting up a set of supplemental life options that will enable employees to choose a coverage of 1, 2, 3, or 4 times their annual salary. Set option level values for these options of 1, 2, 3, and 4, respectively.

The option level values are used by the system during event processing. The event rule, linked to the plan type to which these options belong, checks the option level when evaluating its change level rules. When an employee elects new coverage, the system compares the option level of the employee's new option election in that plan type with the employee's current option election. If the new election violates the associated event rule's Participate and Waive change level rules, the system rejects the employee's benefit option selection.

If, for example, the associated event rule's maximum number of change levels is 2, the system prevents employees from changing their coverage more than two option levels in either direction. Therefore, an employee with coverage equal to 1 times her annual salary would not be allowed to select coverage equal to 4 times her annual salary during open enrollment.

Option Seq (option sequence)

Applies to Benefits Administration. Indicates the order in which benefit options appear. The default value is the plan type.

Geog Locn (geographic location)

Applies to Benefits Administration. If you want to link a geographic location rule to this option, enter the code. Geographic location rules are set up on the Geographic Location Table.

Elig ID (eligibility ID)

Applies to Benefits Administration. If you want to link an eligibility rule to this option, enter the eligibility rule ID. Eligibility rules are created on the Eligibility Rules Table.

Optn ID (option identification)

As you define options for each of the plan types that are offered, the system automatically enters the option ID.

Covrg Code (coverage code)

This applies only to health plan types. Indicate the level of coverage for health plans. It is a required field for those plan types. Coverage codes are defined on the Coverage Code Table.

Deductn Cd (deduction code)

Links the deduction code to the option.

Option Code

Displays the information created in the Eligibility section.

Cross Plan Type

If a cross-plan requirement exists for this option, enter the other plan type that must have an enrollment.

Cross Benefit Plan

This field is for automated benefit programs and indicates that enrollment in this option depends upon enrollment in a particular benefit plan entered in the Cross-Plan Type field.

Coverage Limit

This field is for automated benefit programs and indicates that coverage is limited to a percentage of the employee's coverage amount in the other plan type.

Check Dependents

This field is for automated benefit programs and tells the system to check the dependent's enrollment in this plan against the dependent enrollments in the other plan type.

Plan Type

01 (Plan type 01 not allowed within Base Benefits)

1x−9x

Display Plan Sequence

NA

Not allowed

Event Rules ID

NA

Not allowed

Waive Coverage

NA

Not allowed

COBRA Plan

NA

Allowed for plan types 1x and 6x

HIPAA Plan

NA

Allowed for 1x plan types

Option Type

NA

O - Only option type allowed for plan types 1x–9x

Benefit Plan

NA

Required

Coverage Code

NA

Required for plan type 1x,

Not allowed for plan types 2x–9x

Default Option Indicator

NA

Not allowed

Deduction Code

NA

Required

Option Sequence

NA

Not allowed

Option Code

NA

Not allowed, unless plan type 1x or 60 has been designated as a COBRA plan, in which case the option code is required.

Option Level

NA

Not allowed

Geographic Location Table ID

NA

Not allowed

Eligibility Rules ID

NA

Not allowed

Cross-PlanType

NA

Not allowed

Cross-Plan

NA

Not allowed

Cross-Plan Limit Percentage

NA

Not allowed

Cross-Plan Dependent

NA

Not allowed

Cost Type

Identifies the cost type for this plan type and benefit option combination. For Base Benefits, the value is always Price. The system calculates deductions for employees who select this option according to the deduction code linked to this benefit option.

For Benefits Administration, the value can be Price or Credit. When you define a cost type as a credit, you must enter the appropriate earnings code. Use the earnings code to tell the system how to calculate the flexible credit earnings for a participant. Use a different earnings code for each benefit plan type within a benefit program. The system assigns the frequency of the additional pay based on the deduction code that you identify for this benefit option.

Cost ID

When you enter a new cost row, this value is assigned automatically by the system and cannot be updated.

Benefit Rate Type

Identifies the type of rate (flat amount, age-graded, and so on) associated with this plan type and benefit option combination.

Rate ID (rate identification)

Identifies which specific rate table is linked with this plan type and benefit option combination. You need the identification number because you may have established multiple tables for a particular rate type. Only plan types 01 through 3X can use rates.

Earnings Code

Applies only to credits. Identifies the earning code that might be tied to the plan type.

Calc TblID (calculation table identification)

Identifies the calculation rule linked to the plan type and benefit option combination.

01

For Benefit Administration only.

For Benefit Administration only.

For Benefit Administration only.

For Benefit Administration only.

1X

Yes

Yes

Yes

Yes

2X

Yes

Yes

Yes

Yes

3X

Yes

Yes

Yes

Yes

4X−9X

Not Used

Not Used

Not Used

Not Used

01

Required

Dependent on rate type.

1x

Required

Required

2x

Required

Required

3x

Required

Required

4x

No

Required

5x

No

Required (reserved for future use), but not applied during calculations.

6x

No

Not Used

7x

No

Not Used

8x

No

Not Used

9x

No

Not Used