Use this screen to set up actual insurance benefits for your company and define rules for eligibility, coverage, and enrollment. You can also use this screen to establish benefit cost and assign coverage options and deduction codes.
You must set up this screen before you can establish benefit packages or benefit package defaults. However, you can add to this table at any time, and you can establish an unlimited number of benefit plans.
Enter up to 12 alphanumeric characters to uniquely identify this benefit plan. This is a required field.
Enter up to 30 alphanumeric characters to describe this benefit plan. This field is required.
Enter, or use Lookup to select, the code for the provider that is associated with this benefit plan. The provider is the company or agency that provides the insurance policy associated with this benefit plan. The provider code is validated against the Provider table, which is set up in the Providers screen. This is a required field. The name of the provider is displayed in the field to the right.
Use the drop-down box to select the type of system benefit. Drop-down values include "Life Insurance," "Health Care Insurance," "Vision Insurance," "Dental Insurance," and "Long Term Disability." These codes are used by various benefits reports; this is a required field.
Enter, or use Lookup to select, the user benefit type code that is associated with this benefit plan. These codes are established in Benefit Types screen and are used only for internal tracking purposes. User benefits types are defined by the user and differ from the standard system benefit types listed above. The benefit type code is validated against the Benefit Types table. This is an optional field.
Enter the web location for information about this benefit plan for Employee Self Service exactly as you would type it in a web browser (e.g., http://www.(websitename).com). Employee Self Service is an add-on product for Costpoint that allows employees to view their benefits information online.
Use the selections in this group box to make this benefit plan active or inactive.
Select this radio button to make the benefit plan active.
Select this radio button to make the benefit plan inactive.
Use this group box to define who is eligible for enrollment in this benefit plan based on the employee status in the Salary Info and History screen. You will also define age requirements, if there is a waiting period, and how that waiting period is defined, if applicable.
Select this checkbox to sort by employee class.
If you select this checkbox, enter, or use Lookup to select, the employee class code by which you wish to sort in the adjacent unlabeled field. If you selected the Employee Class checkbox, this is a required field.
Use the selections in this group box to define who is eligible for this benefit plan based on the value in the Hourly/Salary field in the Salary Info and History screen in Costpoint Employee.
Select this checkbox if hourly employees qualify for this plan.
Select this checkbox if salaried employees qualify for this plan.
Select this checkbox if fluctuating hour employees qualify for this plan.
Use the selections in this group box to define who is eligible for this benefit plan based on the value in the Empl Type field in the Salary Info and History screen in Costpoint Employee.
Select this checkbox if regular employees qualify for this plan.
Select this checkbox if part-time employees qualify for this plan.
Select this checkbox if temporary employees qualify for this plan.
Enter up to three digits for the minimum age an employee must attain before becoming eligible for this plan. This is an optional field.
Enter up to two digits for the maximum age at which a non-student dependent can still be covered under this plan. Spouses are excluded from this age editing. This is a required field if you select the Dependents Eligible checkbox in the Coverage Rules group box.
Enter up to two digits for the maximum age at which a student dependent can still be covered under this plan. Spouses are excluded from this age editing. This is a required field if you select the Dependents Eligible checkbox in the Coverage Rules group box.
Enter up to four digits to indicate the minimum number of hours an employee must work before becoming eligible for this plan. This is an optional field.
Enter up to three digits to indicate the number of months an employee must wait before becoming eligible for this plan. This is an optional field.
Select this checkbox if this benefit is not available until the first of the month after the end of the waiting period. If you do not select this checkbox, this benefit is available immediately upon completion of the waiting period.
Select this checkbox if a rehired employee's benefit start date should be his rehire date. If you do not select this checkbox, a rehired employee’s benefit start date will be based on your selections in the Eligibility Rules group box.
Use this group box to specify whether the Benefit Plan should default and be validated based on the employee's postal code or state.
If you select this radio button, the Benefit Plan will default and be validated based on an employee's postal code. Selecting this radio button enables the Valid Postal Codes pushbutton and disables the Valid States pushbutton
If you select this radio button, the Benefit Plan will default and be validated based on an employee's state. Selecting this radio button enables the Valid States pushbutton and disables the Valid Postal Codes pushbutton.
If you select this radio button, the Benefit Plan will default and be validated based on an employee's postal code or state. Selecting this radio button disables the Valid States and Valid Postal Codes pushbuttons.
Use the selections in this group box to define additional rules for this plan.
Select this checkbox if this benefit is automatically granted to an employee, unless specifically waived.
Select this checkbox to indicate that this benefit needs to be offered as a part of COBRA continuation. This is for information only.
Select this checkbox if dependents can be covered under this plan. If you do not select this checkbox, you cannot assign employee dependents to this benefit plan.
Select this checkbox if only the spouse or child of the employee are the only dependents eligible for this plan. This will be used when assigning dependents to plans.
Select this checkbox if you selected "Life Insurance" in the System Benefit Type field and you require beneficiaries to be assigned to life insurance plans. This checkbox is for information only.
Select this checkbox if disabled persons are excluded from this benefit plan. This checkbox is for information only.
Select this checkbox if the plan requires approval before it is effective.
If you select this checkbox, employees will be required to specify the Primary Care Physician (PCP) name and number when the benefit plan is elected in ESS or when the benefit plan is assigned to the employee in Costpoint.
Use this group box to define the open enrollment period and which events allow for different times of enrollment. This group box is for information only.
Select this checkbox if there is no time restriction on enrollment for this benefit plan. If you select this checkbox, the remaining checkboxes and fields in this group box are disabled.
Select this checkbox if an employee should be enrolled in this plan upon being hired. Your entry in the Grace Period Days field will be used to define the grace period for enrolling after the hire date.
Select this checkbox if the enrollment can be changed because of a qualifying life event.
Select this checkbox to if you want to define a period during which employees may enroll for this benefit. If you selected this checkbox, both the Open Enroll Date and Grace Period Days fields are enabled and required.
Enter the date, in MM/DD format, on which open enrollment in this benefit plan begins. This field is required only if you selected the Open Enrollment Period checkbox.
If you selected the Open Enrollment Period checkbox, you must enter up to three digits for the number of days an employee has beyond the open enrollment date to enroll in this benefit plan. If you selected the On Hire checkbox, you must enter up to three digits for the number of days an employee has to enroll.
Select this checkbox to exclude the benefit plan from ESS Current Elections.
Select this checkbox to exclude the benefit plan from ESS Benefit Options
Use this pushbutton to open the Coverage Detail subtask, where you can enter additional information about this benefit plan
Use this pushbutton to open the Coverage Options subtask, where you can set up an unlimited number of coverage options for this plan. You can enter coverage and premium amounts either by specifying the rate/coverage table or by entering the actual amount.
Select this pushbutton to access the Postal Codes subtask, where you can enter valid postal codes for the benefit plan. Use this subtask to enter the Postal Code ranges that are eligible for the Benefit Plan in this subtask. Employee Self Service will use these ranges to default the Benefit Plan for the employee and also to validate the Benefit Plan for the employee.
Select this pushbutton to access the Valid States subtask, where you can enter valid states and/or provinces for the benefit plan. Use this subtask to enter the States/Provinces that are eligible for the benefit plan. Employee Self Service will use these ranges to default the Benefit Plan for the employee and also to validate the Benefit Plan for the employee.
Changes to this screen update the following tables:
Benefit Plan Header - HB_BEN_PLAN_HDR
Benefit Plan Line - HB_BEN_PLAN_LN
Benefit Plan CoPay - HB_BEN_PLAN_COPAY
Deductions - DED_CD
Coverage Amounts by Age - HB_AGE_CVG
Coverage Rates by Age - HB_ABE_RT
Benefit Types - HB_BEN_TYPE
Coverage Options - HB_COV_OPT
Employee Package Elections - HB_EMPL_PKG_ELEC
Providers - HB_PROVIDER
Coverage Amounts By Salary - HB_SAL_CVG
Coverage Rates by Salary - HB_SAL_RT
Pay Types - PAY_TYPE