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.
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.
You may need the assistance of your system administrator to add additional Coverage Codes or change the eligible benefit types for a coverage code.
The following coverage codes are often defined in a system. Your system may have different coverage codes.
Code |
Description |
Notes |
---|---|---|
1.5X |
1.5 times Salary |
Often for life benefit types |
1X |
1 times Salary |
Often for life benefit types |
200K |
200K Optional Life |
Often for life benefit types |
2X |
2 times Salary |
Often for life benefit types |
50K |
50,000 Benefit Amount |
Often for life benefit types |
BENEFIT |
Benefit Hours |
For the BENEHOURS benefit type and hours-accrual plans |
D1 |
Employee Only Coverage |
Often for dental benefit type |
DEF1 |
Flat $ Amt Contribution |
Often for deferred compensation plans. Use for dollar amounts only. |
DEF2 |
% of Pay Contribution |
Often for deferred compensation plans. Use for percentage contributions only. |
DF |
Family Coverage |
Often for dental benefit type |
EE |
Employee Only |
|
EECH |
Employee Plus Child |
|
EECHN |
Employee Plus Children |
|
EECHRN |
Employee Plus Child(ren) |
|
EESP |
Employee Plus Spouse |
|
FAMILY |
Family |
|
FSAEEF |
Family and Employee Coverage |
Only for FSA plans |
LTD60 |
LTD60 |
|
WAIVED |
Waived Coverage |
Coverage for a waived plan option |