SR80551 Four-Tier Benefit Plan Coverage - Legal
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1 SR80551 Four-Tier Benefit Plan Coverage - Legal Submitted by Alice Plebuch Information Systems Staff Human Resources and Benefits July 10, 2003
2 Table of Contents 1 Background Current Coverage Levels Code Definitions Revised Coverage Levels Overview PPS Modifications Code Translation Table Coverage Level Code Derivation Derivation Logic Compute One-time Conversion Coverage Codes and Translations in Related Files/Reports and Systems Attachment I EDB Data Dictionary... i 5 Attachment II Code Translation Tables... iv
3 SR80551 Four Tier Plan Coverage Codes for Legal 1 Background For Open Enrollment 2003, Benefits changed Plan Coverage Codes from three tiers to four tiers for medical, dental and vision. Legal continued to be a two tiered plan, but replaced the old Family level code (UUU) with the new Self + Family code of (UAC). This service request is to adopt the full four tiers for Legal. 1.1 Current Coverage Levels The coverage levels for the legal benefit are defined and coded as follows: Chart A Two Tier Coverage Codes Code Description U UAC Self Self + Family 1.2 Code Definitions A three-character code should be used to describe the plan coverage. The plan code is constructed through a combination of four values: U = Employee (Adult) A = Adult C = Child[ren] M = Medicare The Adult category includes the employee and up to one dependent identified as spouse ( S ), same-sex domestic partner ( D ) or adult dependent relative ( A ). The Child[ren] category includes any dependent not in the Adult category, that is, Natural or Adopted Child ( C ), Grandchild ( G ), Child or Grandchild of a Domestic Partner ( K ), Other Child ( O ), Step Child ( P ), Legal Ward ( W ). 1
4 1.3 Revised Coverage Levels Chart B Four Tier Coverage Codes Code Description U UA UC UAC Self Self and adult Self and Children Self and Family 2 Overview 1. The EDB Data Dictionary will need to be updated to reflect the new coverage level codes and definitions and online field-level help should reflect these data dictionary changes. 2. The Code Translation Table (CTT) will need to carry the revised code translations. 3. The coverage code derivation logic should be modified to reflect the new four tier rate structure. Coverage level derivation is performed in the following processes: EDB explicit maintenance EDB daily maintenance that performs date driven derivations EDB daily maintenance that processes transactions from the IVR and web enrollment applications EDB monthly maintenance (?) Carrier file production Consolidated Billing 4. A one-time program to convert from the two-tiered coverage codes to 4-tiered coverage codes will be needed. 5. Additionally, the new coverage codes and/or translations must be correctly handled by: EDB inquiry and update screens (both CICS and web) Post Authorization Notification (PAN) (both CICS and web) Documents to Employees (IDOC) Carrier Files Corporate Personnel System/Benefits Counseling System (CPS/BCS) interface file History Database (HDB) 2
5 3 PPS Modifications The data dictionary will carry the values for the fields listed below. See Attachment I for the revised data dictionary pages. LEGAL PLAN COVERAGE CODE-EDB PENDING PREMIUM COVERAGE LEVEL LEGAL COVERAGE CODE-PAR PLAN COVERAGE CODE 3.1 Code Translation Table The Code Translation Tables (CTT) will be modified to reflect the new values. See Attachment II for CTT entries. 3.2 Coverage Level Code Derivation The four codes pertaining to enrollments will be derived. The valid codes and their definitions are: U UA UC UAC Self (no dependents are currently enrolled) Self and adult. There are no children enrolled. Self and children. There is no adult enrolled. Self and Family Employee, one adult and one or more children are enrolled. 3.3 Derivation Logic Using adult and child dependent categories, the system should evaluate for the existence of a covered adult and covered child[ren] and compare this to the existing plan coverage level whenever coverage derivation is triggered. 3.4 Compute The compute needs to be reviewed to confirm that the correct rates are retrieved for each of the coverage codes. 3.5 One-time Conversion A one-time program, using the derivation logic, will be needed to convert from the twotiered coverage codes to 4-tiered coverage codes. The one-time conversion should create an Employee Change File (ECF) for auditing purposes and capture in the HDB. 3.6 Coverage Codes and Translations in Related Files/Reports and Systems Existing processes will need to handle the new coverage codes and/or translations correctly. Although it is believed no changes are required, the following subsystems should be tested to ensure that unexpected interactions do not occur. EDB inquiry and update screens (both CICS and web) 3
6 Ensure that the revised coverage level codes are correctly displayed and translated on the EINS, IINS, IINP, IBNA, and IMEM CICS screens, and on the EDB Inquiry Web Benefits Enrollment Information page. PAN Ensure that the revised coverage level codes are correctly displayed and translated on the PAN notifications (both CICS and web). IDOC Ensure that the revised coverage level codes are correctly displayed and translated on the Benefits IDOC. Carrier Files Ensure that the revised coverage level codes are correctly displayed in positions of the Employee Record (Type 1). CPS/BCS Ensure that the revised coverage level codes are correctly handled by the interfaces to the Corporate Personnel System and the Benefits Counseling System. HDB Ensure that the revised coverage level codes are correctly displayed in the History Data Base. Reports The one time should produce an employee change file for recording in History. 4
7 4 Attachment I EDB Data Dictionary Attachment I
8 Attachment I System Number: EDB0354 User Access Name: Programming Name: LEGAL_COVERAGE IN PPBEN Revision Date: 01/01/03 Comments: HBN 4534 Legal Plan Coverage Code-HBN in HDB APS 2796 Legal Plan Coverage Code BCS 2796 Legal Plan Coverage Code CPS 2796 Legal Plan Coverage Code IPS 2796 Legal Plan Coverage Code OPP 2796 Legal Plan Coverage Code Name: Type: LEGAL PLAN COVERAGE CODE-EDB ALPHANUMERIC Length: 3 Format: General Description: Code indicating the level of legal plan coverage selected by the individual. Code Interpretation: U UC UA UAC Self only Self and Child[ren] Self and Adult Self and Family
9 Attachment I System Number: PAR0354 User Access Name: Programming Name: LEGAL_COVERAGE IN PPPPEB Revision Date: 01/01/03 Comments: Location(s) Name: Type: LEGAL COVERAGE CODE-PAR ALPHANUMERIC Length: 3 Format: General Description: Code indicating the legal plan coverage for which a premium was generated during a Compute process for which there was current pay. Code Interpretation: U UC UA UAC - Self only - Self and Child[ren] - Self and Adult - Self and Family
10 ECEN Screen Attachment IV 5 Attachment II Code Translation Tables Data Base/File ID Data Element Legal Plan Coverage Level Code Value Translation Length Code Translation EDB 354 U 9 Self EDB 354 U 21 Self Coverage EDB 354 UC 9 W/Childrn EDB 354 UC 21 Self/Children Covrage EDB 354 UA 9 W/Adult EDB 354 UA 21 W/Adult Coverage EDB 354 UAC 9 Family EDB 354 UAC 21 Family Coverage
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