Coverage Codes

Related Topics

About Codes

Benefit Costs Codes Table

A coverage is selected to define the benefit-coverage costs and to filter an employee's contacts for possible enrollment. A coverage applies to individuals, whether for employee (self coverage) and/or spouse/domestic partner, child dependents, family of spouse/domestic partner and one or more child dependents, or beneficiaries only. The Coverage Codes Table defines these coverages according to who can be covered and the type of benefit.

Where it's used: The Coverage Code field is selected on the Benefit Costs Codes Table when defining costs, during self-service benefit enrollment, and on the Employee Benefits Detail.

Business Scenario

Some benefit carriers may require specific coverage codes.

The system Coverage Code records include who the coverage is for, the applicable Benefit Types (listed using specific syntax), the relevant maximum number of covered individuals, and a text description to help employees know who the coverage can include.

Coverage Codes Table

You may need the assistance of your system administrator to add additional Coverage Codes or change the eligible benefit types for a coverage code.