If you are accessing the Dependents/Beneficiaries screen from within a Life Event or Benefits Enrollment process, you can select the Add Dependent/Beneficiary button to open the Add Dependents/Beneficiaries screen, where you can add new dependent/beneficiary information.
This field displays the first name of the dependent/beneficiary.
This field displays the middle name of the dependent/beneficiary.
This field displays the last name of the dependent/beneficiary.
This field displays the dependent/beneficiary's social security number or government ID number.
Use this drop-down box to select the relationship of the dependent/beneficiary to you.
Other Relationship
In this field, you can enter the other relationship of the dependent/beneficiary to you. This field will be enabled if you select "Other" in the Relationship drop-down box.
Use this drop-down box to select the gender of the dependent/beneficiary.
Select the applicable radio button: Dependent & Beneficiary, Beneficiary Only, or Dependent Only.
Select the Student and Handicapped checkboxes, if applicable, for the dependent/beneficiary.
This field displays the date of birth (or date of legal agreement/document) of the dependent/beneficiary.
Select this checkbox when the dependent/beneficiary's mailing address is the same as yours.
Enter up to a 30-character, alphanumeric street address, line 1, for the dependent/beneficiary.
Enter up to a 30-character, alphanumeric street address, line 2, for the dependent/beneficiary.
Enter up to a 30-character, alphanumeric street address, line 3, for the dependent/beneficiary.
Enter up to a 25-character, alphanumeric city for the dependent/beneficiary.
Use the drop-down box to select the state/province of the address entered/displayed on the screen. The valid values are the states/provinces set up in Costpoint for the selected country.
Enter up to a 10-character, alphanumeric postal code for the dependent/beneficiary.
This display field will show how the postal code should be entered on the screen (if the code is validated per the setup in the Self Service Configuration screen)
Use the drop-down box to select the country of the address entered/displayed on the screen. The valid values are the countries set up in Costpoint. If you change the Country field, the State/Province drop-down box will repopulate with valid values.
Enter up to 25 alphanumeric characters for the dependent/beneficiary’s home telephone information.
Enter up to 25 alphanumeric characters for the dependent/beneficiary’s business telephone information.
Select this button to return to the Dependents/Beneficiaries screen (no changes saved).
Select this button to reset any changes made and return to what was in the system when you first entered the screen (before making any changes).
Select this button to save any changes to the database and return to the Dependent/Beneficiaries screen, which will display the updated record.