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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.

PROCESS CONSIDERATIONS:

  • The information listed below is effective 1/1/2020. For historical Health Coverage Code information, please reference the Additional Resources section below.
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.
Plan Type Code and
Plan Type Name
Relationship  Code and  Description
Minimum and Maximum Number of Covered Dependents
Coverage Code and
Coverage Code Description
10 - State Group Health
11 - Supplemental Dental
14 - VSP Vision Insurance
1D - Preventive Dental
 E - Employee



 Max number of dependents = 0



 1 - Single
10 - State Group Health
1D - Preventive Dental



















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



















 15 - Family
SP - Spouse
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
11 - Supplemental Dental
14 - VSP Vision Insurance


 EE - Employee Minimum and Maximum Number of dependents = 1




 16 - Employee & Spouse/DP
SP - Spouse
11 - Supplemental Dental
14 - VSP Vision Insurance














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















 18 - Employee & Children
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
11 - Supplemental Dental
14 - VSP Vision Insurance


















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

1 Dependent must be Spouse and at least 1 Child

















 21 - Family
SP - Spouse
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward

ADDITIONAL RESOURCES

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Keywords:Health Vision Dental Union Dental VSP 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:2019-08-27 10:03 CDT
Sites:Human Resource System (HRS)
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