PRINT COBRA ELECTIONS REPORT

Use this screen to print a report that presents employee/dependent information contained in the Track COBRA Elections screen in Costpoint Employee. You can print the report by employee ID or name, for all or a range of employees, for a certain coverage date or a range of coverage dates, and by employee status.

You can print this report any time after you have initialized the Track COBRA Elections screen in Costpoint Employee.

If you have not been set up to print Social Security Numbers (SSNs), blanks print instead of the numbers. The ability to print SSNs is controlled by the Suppress SSN checkbox in the Maintain Users screen in Costpoint System Administration.

Sort

Use the options in this group box to control the sort of the report.

Employee Name

To sort the report by employee name, select this radio button.

Employee ID

To sort the report by employee ID, select this radio button.

Select Status

Use the options in this group box to select which employees/dependents you want to include in the report, based on COBRA status.

Pending

Select this radio button to include employees/dependents whose COBRA coverage is pending. If you select this status, the Election Pd End Date in the Track COBRA Elections screen in Costpoint Employee will be used as the basis for the Select Dates group box in this screen.

Active

Select this radio button to include employees/dependents whose COBRA coverage is active. If you select this status, you will also need to select whether you want to use the COBRA Start Date or COBRA End Date (in the Active Status group box) as the basis for the Select Dates group box in this screen.

Declined

Select this radio button to include employees/dependents whose COBRA coverage is declined. If you select this status, the Accept/Decline Date in the Track COBRA Elections screen will be used as the basis for the Select Dates group box in this screen.

Terminated

Select this radio button to include employees/dependents whose COBRA coverage is terminated. If you select this status, the COBRA End Date in the Track COBRA Elections screen will be used as the basis for the Select Dates group box in this screen.

Select Employee

Use the fields in this group box to select the range of employees to include on this report. A drop-down box provides the following employee ID/name range selections: "All," "One," "Range," "From Beginning," and "To End."

Range Option

If you select "All," the From and the To fields are disabled; if you select "One," the To field is disabled; if you select "From Beginning," the From field is disabled; and if you select "To End," the To field is disabled.

From

If your range selection is "One," "Range," or "To End," enter, or use Lookup to select, the employee ID with which you wish to start this report.

To

If your range selection is "Range," or "From Beginning," enter, or use Lookup to select, the employee ID with which you wish to end this report.

Select Dates

Use the fields in this group box to select the range of coverage/election dates to include in this report.

Range Option

This drop-down box provides the following coverage/election date range selections: "All," "One," "Range," "From Beginning," and "To End."

If you select "All," the From and the To fields are disabled; if you select "One," the To field is disabled; if you select "From Beginning," the From field is disabled; and if you select "To End," the To field is disabled.

From

If your range selection is "One," "Range," or "To End," enter the coverage/election date with which you wish to start this report.

To

If your range selection is "Range," or "From Beginning," enter the coverage/election date with which you wish to end this report.

Active Status

The options in this group box are available only if you elected to print for the Active status in the Select Status group box.

Use COBRA Start Date

Select this radio button to base this report on the COBRA start date for active employees/ dependents per the Select Dates group box in this screen.

Use COBRA End Date

Select this radio button to base this report on the COBRA end date for active employees/ dependents per the Select Dates group box in this screen.

Hint: Use the COBRA start date as the basis of your report if you want to determine who became active within a given time period. Use the COBRA end date to determine whose COBRA coverage will end within a given time period.

Report Sources

Dependent SSN

Track Cobra Elections

H_COBRA_ELEC_EVNT

Name

Track Cobra Elections

H_COBRA_ELEC_EVNT

Qualifying Event

Track Cobra Elections

H_COBRA_ELEC_EVNT

Date (Represents the Event Date)

Track Cobra Elections

H_COBRA_ELEC_EVNT

Status

Track Cobra Elections

H_COBRA_ELEC_EVNT

Election Pd End Dt

Track Cobra Elections

H_COBRA_ELEC_EVNT

Active/Decline Date

Track Cobra Elections

H_COBRA_ELEC_EVNT

Cobra Start Date

Track Cobra Elections

H_COBRA_ELEC_EVNT

Mos Cov (Represents the Months of Coverage)

Track Cobra Elections

H_COBRA_ELEC_EVNT

Cobra End Date

Track Cobra Elections

H_COBRA_ELEC_EVNT

Health Benefit

Track Cobra Elections

H_COBRA_ELEC_EVNT

Premium

Track Cobra Elections

H_COBRA_ELEC_EVNT

Terminating Event

Track Cobra Elections

H_COBRA_ELEC_EVNT