Use this subtask to enter additional information about this benefit plan.
Because this subtask is primarily a continuation of the Benefit Plan Setup screen, you must enter coverage detail information before you can establish benefit packages or benefit package defaults. Entering information on this screen is part of the first step in setting up any new benefit package.
These non-editable fields display the benefit plan code you entered on the main screen and the code description.
Use this group box to define how an employee's age is calculated when the Premium Rates by Age and Coverage Amounts by Age tables (set up in the Premium and Coverage Tables menu) are used during the Compute Payroll process (in Costpoint Payroll).
Use this group box to define which date should be used to determine an employee's age.
Select this radio button to use the employee's age at the beginning of the calendar year when computing payroll. This is the system default.
Select this radio button to use the employee's age at the end of the year when computing payroll.
Select this radio button to use the employee's age at the beginning of the pay period when computing payroll. The pay period date is determined in the Pay Periods screen in Costpoint Payroll.
Select this radio button to use the employee's age at the end of the pay period when computing payroll. The pay period end date is determined in Pay Periods screen in Costpoint Payroll.
Select this radio button to use employee's age at the provider's policy start date when computing payroll. The provider's policy start date is determined in the Providers screen.
Select this radio button to use employee's age as of the system (current) date when computing payroll.
Select this radio button to base the age calculation on the employee's age.
Select this radio button to base the age calculation on the age of the spouse or dependent.
Use the selections in this group box to control how an employee's salary is calculated when the Coverage Amounts by Salary table or the Premium Amounts by Salary table are used during the Compute Payroll process (in Costpoint Payroll).
Select this radio button if you want the rate calculated on the employee's salary at the end of the prior year. The system determines the prior year by subtracting one year from the pay period end date in the Pay Periods screen in Costpoint Payroll. This is the system default.
Select this radio button to use the employee's salary at the beginning of the pay period. The start date of the pay period is determined in the Pay Periods screen in Costpoint Payroll.
Select this radio button to use the employee's salary at the end of the pay period. The end date of the pay period is determined in the Pay Periods screen in Costpoint Payroll.
Select this radio button to use the employee's salary as of the system (current) date.
Use the selections in this group box to control how coverage amounts are rounded.
Select this radio button to round coverage amounts to the nearest whole dollar. This is the system default.
Select this radio button to round coverage amounts to the nearest $10.
Select this radio button to round coverage amounts to the nearest $100.
Select this radio button to round coverage amounts to the nearest $500.
Select this radio button to round coverage amounts to the nearest $1,000.
Select this radio button to round coverage amounts to the nearest $10,000.
Use this group box to define the benefit plan type. This designation is for information only.
Select this radio button if the employee can choose from a network of doctors and hospitals.
Select this radio button if the employee is required to choose a primary care physician and facility.
Select this radio button if this benefit plan partially reimburses employees for their medical expenses.
Select this radio button if none of the above are applicable (as for a Life Insurance benefit plan). This is the system default.
Use this table to enter any copayments, deductibles, or out-of-pocket amounts that are required for this benefit plan. These fields are for information only, and this table is optional.
Enter up to 15 alphanumeric characters to uniquely identify the type of copayment or deductible. For example, you might specify a copayment for an expense that is "In the Network" or one that is "Out of Network." This is a required field if you enter information in this table.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the copay amount this benefit plan requires for an office visit. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the copay amount this benefit plan requires for a specialist visit. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the copay amount this benefit plan requires for a preventive care visit. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the copay amount this benefit plan requires for a brand prescription. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the copay amount this benefit plan requires for a generic prescription. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the annual deductible amount this benefit plan requires for an individual. You can enter an amount as large as $9,999,999,999.00. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the annual deductible amount this benefit plan requires for a family. This is an optional field.
Enter up to three digits, plus up to two digits to the right of the decimal (not to exceed 100.00%), for the percentage the employee must pay for medical expenses incurred after the annual deductible has been met. This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the maximum annual amount this benefit plan requires an individual to pay "out-of-pocket." This is an optional field.
Enter up to 10 digits, plus up to two digits to the right of the decimal, for the maximum annual amount this benefit plan requires a family to pay "out-of-pocket." This is an optional field.
Enter any additional comments about this benefit plan.