When you select the Edit Dependent/Beneficiary button, you will be taken to the Edit Dependents/Beneficiaries screen. You can edit your dependent/beneficiary information on this page.
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.
This field displays the relationship of the dependent/beneficiary to you.
In this field, you can edit the other relationship of the dependent/beneficiary to you. This field will be enabled if you select "Other" in the Relationship drop-down box.
Select the gender of the dependent/beneficiary from the drop-down box.
Select the appropriate 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 if 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 field shows how the postal code shall 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 that coincides with 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.