Benefit Coverage
The Benefit Coverage file contains coverage parameters for benefit plans with a coverage type of Coverage Amount.
REFERENCED BY
BN145 | BN150 | BN245 | BN331 | BN340 | BN45.1 |
BN53.1 | BN532 | BN65.1 | BN71.1 | BN72.1 | BS09.1 |
BS10.1 | BS11.1 | BS12.1 | BS13.1 | BS14.1 | BS15.1 |
ZB01.1 | HR13.1 | HR13.2 | HR13.3 | HR13.4 | HR513 |
PA218 | BN220 | PRBN.1 |
FIELD NAME | DESCRIPTION/VALID VALUES | UPDATED BY | ||||||||
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CVR-COMPANY Element: Company Hr | Numeric 4 Contains the company number. |
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CVR-PLAN-TYPE Element: Plan Type | Alpha 2 Contains the plan type. HL = Health DN = Dental DI = Disability EL = Employee Life DL = Dependent Life DC = Defined Contribution DB = Defined Benefit VA = Vacation RS = Spending Account SB = Savings Bond SP = Stock Purchase |
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CVR-PLAN-CODE Element: Plan Code | Alpha 4 Contains the user-defined code that represents a benefit plan. |
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CVR-GROUP-NAME Element: Group Name | Alpha 10 Contains the employee group for which the coverage record applies. If the group is blank, the system will use this coverage record for all employees who do not qualify for coverage for a specific group. |
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CVR-START-DATE Element: Start Date | Numeric 8 (yyyymmdd) Contains the date the coverage parameters begin. |
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CVR-CALC-TYPE Element: Calc Type | Alpha 1 Defines how the coverage amount will be determined for the plan. F = Flat Amount M = Multiple Salary P = Percent S = Supplemental X = Custom Calculation N = Fixed Multiple of Salary |
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CVR-LIFE-ADD-FLG Element: Covered Individual | Alpha 1 Contains a value that determines who is covered under the plan. Employee is not a valid value for Dependent Life plans. Spouse, Dependent, and Both Spouse and Dependent are not valid values for Employee Life plans. E = Employee S = Spouse D = Dependent B = Both Spouse and Dependent |
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CVR-STUDENT-AGE Element: Student Age | Numeric 2 Contains the age coverage terminates for dependents who are flagged as students. If the dependent is a student, this age overrides the dependent age. |
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CVR-DEP-AGE Element: Dep Age | Numeric 2 If the plan covers dependents or spouses and dependents, this field contains the age dependent coverage terminates for dependents if the dependent is not flagged as a student. |
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CVR-FLAT-AMT-1 Element: Flat Amt 1 | Signed 11.2 For a plan with a calculation type of flat amount, this is the flat amount of coverage. If a plan covers both spouses and dependents, this is the spouse coverage amount. |
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CVR-FLAT-AMT-2 Element: Flat Amt 2 | Signed 11.2 If the calculation type is flat amount and the plan covers both spouses and dependents, this is the dependent coverage amount. |
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CVR-INCREMENTS Element: Increments | Signed 11.4 If the coverage calculation type is supplemental, this field defines the increments of coverage an employee may elect. Coverage under this plan will be a multiple of this amount. |
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CVR-MULT-SALARY Element: Mult Salary | Signed 6.3 If the coverage calculation type is a multiple of salary, this field defines the valid multiples the employee may elect. Coverage under this plan will be a multiple of this increment. |
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CVR-SALARY-PCT Element: Salary Pct | Signed 5.2 If the coverage calculation type is a percent, this the percent of the employee's salary which will be used to calculate coverage. |
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CVR-SALARY-TYPE Element: Salary Type | Alpha 2 If the coverage calculation type is a percent of salary, a multiple of salary, or if the coverage limit is a multiple of salary, this field defines which field is used to define the salary to be used in calculations. EM = HR11 Salary B1 = Benefit Salary 1 B2 = Benefit Salary 2 B3 = Benefit Salary 3 B4 = Benefit Salary 4 B5 = Benefit Salary 5 E1 = HR11 and Ben Sal 1 E2 = HR11 and Ben Sal 2 E3 = HR11 and Ben Sal 3 E4 = HR11 and Ben Sal 4 E5 = HR11 and Ben Sal 5 ET = Total Emp Salary T1 = Total Emp and Sal 1 T2 = Total Emp and Sal 2 T3 = Total Emp and Sal 3 T4 = Total Emp and Sal 4 T5 = Total Emp and Sal 5 X = Custom Calculation |
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CVR-SALARY-DATE Element: Salary Date | Numeric 4 (mmdd) If the coverage is based on the employee's salary, and the salary is determined on a specific month and day, this field contains the date the salary is determined. |
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CVR-SAL-FIRST-MO Element: Sal First Mo | Alpha 1 If coverage is based on salary, and the salary should be the salary in effect on the first of the month for which a benefit is created, the salary will be flagged as first of month. The As Of date is defined in the Salary Date and Salary Year fields. The Flex Calc date is the same as the date on which flex dollars are calculated. C = Current M = First of Month A = As Of Date F = Flex Calc Date |
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CVR-ROUND-METH Element: Round Meth | Alpha 1 If coverage is based on salary, this field defines how the salary amount should be rounded. H = High L = Low N = No Rounding R = Normal Rounding |
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CVR-BEF-AFT-FLAG Element: Bef Aft Flag | Alpha 1 If the coverage amount is based on salary this field defines whether the salary amount should be rounded before the coverage amount is calculated, or if the coverage amount should be rounded after the calculation is done. B = Before A = After |
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CVR-ROUND-TO Element: Round To | Signed 9.4 If the salary amount is rounded, this defines to what place the amount is rounded. |
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CVR-MIN-COVER Element: Min Cover | Signed 11.2 If a plan has a minimum coverage amount, the minimum is contained in this field. If the plan is a multiple of salary or a percent, and the calculated coverage amount is less than the minimum, the minimum will be used. If the plan is a supplemental plan and the elected amount is less than the minimum, the system will generate an error. |
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CVR-MAX-COVER Element: Max Cover | Signed 11.2 If the plan has a maximum coverage amount, the maximum is specified in this field. If the plan is a multiple of salary or a percent, and the calculated amount is greater than the maximum, the maximum amount will be used. If the plan is a supplemental plan, and the employee elects more than the maximum, the system will generate an error. |
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CVR-MIN-MULTIPLE Element: Min Multiple | Signed 5.2 If the plan is a multiple of salary, or if the plan has a minimum which is specified a multiple of salary, this is the minimum multiple. |
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CVR-MAX-MULTIPLE Element: Max Multiple | Signed 5.2 If the plan is a multiple of salary or if there is a limit defined as a multiple of salary, this field defines the maximum multiple. |
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CVR-RATE-TABLE Element: Rate Table | Alpha 4 If the plan specifies a reduction of coverage at specific ages, this is the rate table used to define the coverage reduction parameters. The table is defined in the Rate Table Header file which uses the Coverage Start Date and the Rate Table fields to connect the records. |
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CVR-AGE-DATE Element: Age Date | Numeric 4 (mmdd) If the plan has a coverage reduction table based on age, and the age is determined on a specific date, the employee or spouse's age on this date is calculated. |
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CVR-AGE-FIRST-MO Element: Age First Mo | Alpha 1 If the plan has a coverage reduction at specific ages, and the employee or spouse's age should be calculated for the first of each month, first of month will be yes. C = Current M = First of Month A = As of Date F = Flex Calc Date |
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CVR-COV-ROUND-METH Element: Cov Round Meth | Alpha 1 If the coverage amount is to be rounded, this defines coverage amount should be rounded. H = High L = Low N = No Rounding R = Normal Rounding |
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CVR-COV-ROUND-TO Element: Cov Round To | Signed 9.4 If the coverage amounts are to be rounded, this defines to what place the amount is rounded. |
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CVR-DEFAULT-COVER Element: Default Cover | Alpha 1 Indicates whether this is default coverage. If this is default coverage, the coverage will default on all benefit entry forms and all updates when a benefit is automatically added. Y = Yes N = No |
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CVR-DEFAULT-AMT Element: Default Amt | Signed 11.2 Contains the default coverage for employees who do not elect a coverage amount. This is used for supplemental plans only. |
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CVR-DEFAULT-MULT Element: Default Mult | Signed 5.2 If the default coverage flag is Yes, and if the plan coverage is a multiple of the salary, this field contains the salary multiple. |
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CVR-COVERAGE-CHG Element: Coverage Chg | Numeric 1 Indicates that the coverage is changed. If the coverage is Non Updated, BN105 (Plan Update) must be run before PR140 (Earnings and Deductions Calculation) is run. 0 = Non Updated 1 = Updated |
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CVR-SALARY-YEAR Element: Salary Year | Numeric 4 Contains the year if salary calculations are based on a specific year. |
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CVR-AGE-YEAR Element: Age Year | Numeric 4 Contains the year if age calculations are based on an age. |
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CVR-BENEFIT-PCT Element: Benefit Pct | Signed 5.2 If coverage is limited to a percent of coverage under another benefit, this is the percent limit. |
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CVR-BN-PLAN-TYPE Element: Bn Plan Type | Alpha 2 If coverage is limited to a percent of coverage under another benefit, this field contains the plan upon which coverage limits are placed. DB = Defined Benefit DC = Defined Contribution DI = Disability DL = Dependent Life DN = Dental EL = Employee Life HL = Health RS = Spending Account SB = Savings Bond SP = Stock Purchase VA = Vacation |
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CVR-BN-PLAN-CODE Element: Bn Plan Code | Alpha 4 If coverage is limited to a percent of coverage under another benefit, this field contains the plan code upon which coverage limits are placed. |
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CVR-COVER-TYPE Element: Cover Type | Alpha 1 Indicates the coverage is for employees, retirees, or COBRA participants for each premium record. E = Employees R = Retirees C = COBRA |
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CVR-STATUS Element: Status | Numeric 1 Contains the coverage status. When PR180 (Manual Payment Print) is run for a payment date, BN105 must also be run to update employee coverage records if a record of - New Group, New Date; - Existing Group, New Date; or - Change Existing Record exists for any date before or on the payment date. 0 = New Group New Date 1 = Existing Group New Date 2 = Change Existing Record 3 = Updated |
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CVR-RET-STATUS Element: Ret Status | Numeric 1 Indicates the retiree's coverage status. 0 = New Group New Date 1 = Existing Group New Date 2 = Change Existing Record 3 = Updated |
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CVR-COBRA-STATUS Element: Cobra Status | Numeric 1 Contains the COBRA participant's status. 0 = New Group New Date 1 = Existing Group New Date 2 = Change Existing Record 3 = Updated |
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CVR-COVER-FREQ Element: Cover Freq | Alpha 2 This field is not used. AN = Annual MO = Monthly SM = Semi-monthly BW = Bi-weekly WK = Weekly |
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CVR-PT-STUDENTS Element: Pt Students | Alpha 1 N = No Y = Yes |
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CVR-MAX-AGE-FLAG Element: Max Age Flag | Alpha 1 |
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CVR-TERM-OPT Element: Term Opt | Alpha 1 1 = Birthdate of Maximum Age 2 = Last Day of Month of Max Age |
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NAME | KEY FIELDS | DESCRIPTION / SUBSET CONDITION | USED IN | ||||||||||||||||||||||||||||||||||||
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CVRSET1 |
COMPANY PLAN-TYPE PLAN-CODE COVER-TYPE START-DATE GROUP-NAME |
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CVRSET2 |
COMPANY PLAN-TYPE PLAN-CODE COVER-TYPE START-DATE* GROUP-NAME |
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CVRSET3 |
COMPANY COVER-TYPE RATE-TABLE START-DATE PLAN-TYPE PLAN-CODE GROUP-NAME |
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CVRSET4 |
COMPANY PLAN-TYPE PLAN-CODE COVER-TYPE GROUP-NAME START-DATE* |
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RELATION NAME |
RELATED FILE | INTEGRITY RULES / FIELD MATCH | |||||||||||||||
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Cov Limit Plan | PLAN |
Not Required
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Coverage 0 | PLAN |
Required
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Coverage 1 | PLAN |
Required
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Coverage 2 | PLAN |
Required
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Coverage User | PLAN |
Required
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Persgroup | PERSGROUP |
Not Required
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Plan | PLAN |
Required
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Prsystem | PRSYSTEM |
Required
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Ratetblhdr | RATETBLHDR |
Required
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