Part III Covered Individuals Subtask
Use the Part III - Covered Individuals subtask to list covered individuals which can either be an employee or a dependent.
Part III data should not be added for non-self-insured employer plans unless the reporting state is New Jersey.
Contents
Field | Description |
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Exclude from Part III in Federal Filing |
This checkbox displays if the Part III data will be included in the federal filing. A Part III record is created for New Jersey employees with a non-self-insured employer plan. This data is reported to New Jersey but should not be included in the federal filing. |
Individual Type |
Use these options to indicate whether the covered individual type is an Employee or a Dependent.
|
Dependent Name |
If this record is used to indicate a covered dependent, then enter, or click to select, the Dependent. Dependents are entered in the Manage Employee Dependents/Beneficiaries screen and must have a type of Dependent or Both in that screen to be entered here. |
Social Security Number (SSN) |
If this record is used to indicate a covered dependent and a Social Security Number is assigned to the dependent in the Manage Employee Dependents/Beneficiaries screen, then this field will be populated with the dependent’s SSN. Otherwise, if the Individual Type is Employee, then this field will be populated with the employee’s SSN from the Manage Employee Information screen. If SSN Suppression is selected for the logged-in User, then only the last four digits of the SSN will be displayed. The other values will be shown as x (example: xxx-xx-1234). |
Date of Birth |
If this record is used to indicate a covered dependent and a Social Security Number is not assigned to the dependent in the Manage Employee Dependents/Beneficiaries screen, this field loads the dependent’s Date of Birth. If the individual type is Employee, then this field will not be populated since the Social Security Number (SNN) field will always display a value for employees. |
Covered All 12 Months |
Use this check box to indicate whether the individual (employee or dependent) was covered under employer provided self-insured coverage for the entire calendar year. If this check box is selected, the individual month check boxes will be disabled. |
Months of Coverage (January - December) |
Select the appropriate check boxes to indicate whether the individual (employee or dependent) was covered under employer provided self-insured coverage for the month. These check boxes can only be selected if the Covered All 12 Months check box is not selected for the individual. |