1 Overview to Human Resources - Benefits

This chapter contains these topics:

The JD Edwards World Human Resources Benefits Administration system enables you to provide and support benefits packages for your company or organization. With the Human Resources Benefits Administration system, you can enroll employees in the benefit plans your company offers. You can end enrollment whenever employment changes or your company changes benefit plans. You can also add new benefit plans, change the cost of current plans, and remove old plans from the system.

The Benefits Administration system assists you in notifying employees, former employees, and their qualified beneficiaries when they become eligible to enroll in coverage provided under the Consolidated Omnibus Budget Reconciliation Act (COBRA). COBRA requires employers who sponsor group health plans to offer employees and their dependents continuation of coverage at group rates that the employee would otherwise have forfeited from a qualifying event. For example, employees who have terminated from the company are entitled to COBRA coverage. Their qualified beneficiaries are also entitled to this coverage. Additionally, the system helps you handle claims and benefits for COBRA participants.

With the Benefits Administration system, you enter dependents and beneficiaries to make them eligible to receive benefits or to be designated as a qualified beneficiary for COBRA.

Flexible spending accounts are another major feature of benefits administration. Flexible spending accounts allow employees to use pre-tax dollars to cover certain expenses. These expenses include dependent care and non-reimbursed medical care. Employees can choose to have their employers deduct pre-tax dollars from their paychecks and place the money into one or more flexible spending accounts. After employees incur an expense and make a claim against the corresponding flexible spending account, they are reimbursed.

A deferred contribution plan, such as a 401(k), helps employees save for retirement. With this type of plan, employees can set aside monies on a pre-tax basis. This type of plan is subject to special government regulations, known as nondiscrimination tests. These tests ensure that highly paid employees do not take substantially greater advantage of this tax savings than lower-paid employees. The Benefits Administration system provides tests that are designed specifically calculate the nondiscrimination tests.

This section contains the following:

  • System Integration

  • Features

  • Terms and Concepts

  • Tables and Descriptions

1.1 System Integration

The Benefits Administration system is one module of the JD Edwards World Human Resources system. The Benefits Administration system fully integrates with other JD Edwards World systems, especially the JD Edwards World Payroll system. This integration reduces costs by reducing redundant data entry and making employee and benefit information instantly available.

1.2 Features

The Benefits Administration system provides you with the tools to manage your company's benefit plans and flexible spending accounts with online integration to other human resource information and payroll processing. With the Benefits Administration system, you can respond to employees' requests for information about their benefits.

You can also:

  • Administer any number of plans with varying amount or rate options

  • Separate the employer's and employee's portions of the costs of the plans and options

  • Administer both pre-tax and post-tax benefits

  • Maintain and track employee, dependent, and beneficiary information

  • Track non-cash benefits, such as use of a company car or health club dues

  • Determine benefit eligibility based on system or user defined criteria

  • Generate payroll deductions

  • Access payroll history

For flexible spending accounts, you can:

  • Access account balance summaries

  • Display detailed claim information

  • Print reimbursement checks with the JD Edwards World Payroll system

  • Review a single claim, whether paid with one check, multiple checks, or automatic deposit

  • Produce account statements

  • Generate integrity reports to reconcile detail and summary balance information

  • Set up accounts by dollar allotment or by non-dollar monetary point allotments

For 401(k) plans, you can:

  • Automatically generate payroll deductions and benefits

  • Track employee contributions and employer matches

  • Manage allocations

  • View histories online

  • Establish key employee test criteria

  • Determine highly compensated employees

  • Assist your compliance officer with built-in average contribution percentage (ACP), average deferral percentage (ADP), and 415 nondiscrimination tests

Profile data is an additional feature of the Benefits Administration system. With profile data you can store and retrieve user defined information tailored to your needs. For example, you can store and retrieve information on dependents and beneficiaries or insurance claims.

1.3 Terms and Concepts

The following terms and concepts are used to administer your benefit program:

Term/Concept Description
401(k) Plan A 401(k) plan is a benefit that allows employees to contribute pre-tax dollars into a retirement fund.
Allocation An allocation is the fund, or investment program, that an employee chooses for a 401(k) plan.
Average Contribution Percentage (ACP) The ACP is the average amount, expressed as a percentage, of the employer matching and employee post-tax contributions to a 401(k) plan divided by eligible compensation. This calculation is a part of nondiscrimination testing.
Average Deferral Percentage (ADP) The ADP is the average amount of money, expressed as a percentage, deferred into a 401(k) plan and allocated to the employee's account divided by eligible compensation. This calculation is a part of nondiscrimination testing.
Beneficiary A beneficiary is anyone who is entitled to receive benefits from a benefit plan, flexible spending account, or COBRA plan.
Benefit Category A benefit category determines the election criteria for a category within a benefit group. For example, a benefit category can be medical, dental, or 401(k).
Benefit Group A benefit group is a group of employees who, for benefit purposes, are enrolled in the same benefit plan. For example, a benefit group can be salaried, hourly, or executive.
Benefit Plan A benefit plan is a plan that provides a benefit for the employee. For example, a benefit plan can be medical, medical plus family, vision, dental, and so forth.
COBRA (Consolidated Omnibus Reconciliation Act) COBRA coverage is a health plan coverage that employers offer employees, former employees, and their qualified beneficiaries at group rates that the employee would have otherwise forfeited due to a qualified event.

See also the definitions for Qualified Beneficiary and Qualifying Event.

Deductions, Benefits, and Accruals (DBAs) A deduction is a dollar amount deducted from the employee's pay. For example, this deduction can contribute towards a benefit, such as life insurance or medical coverage.

A benefit is something the employees receive for working for the employer. For example, a benefit can be a medical insurance plan, a 401(k) program, or a supplemental life insurance plan.

An accrual, typically, is sick time, vacation, or holiday time that can be accrued by the employee and used at a later date.

Flexible Spending Account (FSA) A flexible spending account is a benefit that allows employees to use pre-tax dollars to cover certain expenses, such as dependent care and non-reimbursed medical care.
Key Employee A key employee is an owner, officer, or other highly compensated employee of the company.
Nondiscrimination Test A nondiscrimination test helps you identify key from non-key employees. The key employees are then tested to ensure that they have not overly contributed to a 401(k) plan.
Plan Option A plan option further defines the benefit plan. For example, the benefit plan medical plan options could be Blue Cross, Kaiser, or Northwestern National Life.
Qualified Beneficiary A qualified beneficiary is anyone who is entitled to receive benefits from a COBRA plan.
Qualifying Event A qualifying event is any occurrence that causes an employee or qualified beneficiary to lose group medical coverage.

1.4 Tables and Descriptions

The Benefits Administration system contains the following tables:

Table Description
Employee Master (F060116) Contains all significant employee information for the Human Resources and Payroll systems.
Plan Master (F08320) Contains provider/trustee data, effective dates, payroll DBA integration codes, and eligibility tables for benefit plans.
Plan Master Text (F083201) Contains the plan ID and its description.
Plan Additional Options (F083202) Contains additional options that are variations of the plan.
Payroll Transaction (F069116) Contains details of DBA, payroll, and pay type setup specifications.
Employee Enrollment (F08330) Contains the detail information for the online enrollment of employee benefits processing.
Category within Benefit Groups (F08350) Contains information regarding categories within benefit groups, as well as category and group rates.
Plans within Benefit Categories (F08351) Contains information regarding plans linked to categories, as well as pertinent plan enrollment rules.
Eligibility (F08390) Contains the eligibility criteria for a benefit plan and the action to be taken when an employee tests either eligible or ineligible.
Pay Type Tables (F08393) Contains the definition of groups of pay type ranges that affect the payment of various benefit amounts.
Enrollment Date Terms (F08395) Contains the date terms that determine plan enrollment effective beginning and effective ending dates.
Batch Enrollment Parameters (F08392) Contains parameters to process employee enrollment through the Batch Enrollment and the Benefit Group Selections programs.
401(k) Elections Setup (F08345) Contains a list of valid 401(k) investment funds by plan.
401(k) Elections (F08346) Contains a list of employee 401(k) fund elections and the percent allocated to each available investment fund.
Veteran/Disability Responses (F085590) Contains veteran and disability self-identification response information.
COBRA General Constants (F08900) Contains company-specific COBRA coverage defaults for coverage loss dates and election periods.
COBRA Qualifying Event Constant (F08991) Contains details of specific coverage for a qualifying event and for specific taxing authorities.
Participant (F08901) Contains dependents, beneficiaries, and COBRA qualified beneficiaries data.
Dependent/ Beneficiaries Cross Reference (F08336) Contains the definition of dependents and beneficiaries, as well as their relationship to employees.
COBRA Qualified Beneficiary (F08910) Contains the method that assigns a qualified beneficiary to a qualified event.
COBRA Coverage (F08920) Contains the detail coverage of beneficiary elections.
COBRA Subsequent Qualified Event Information (F089101) Contains information relating to any subsequent COBRA qualifying event.
Flexible Spending Account Balances (F08370) Contains the employee's spending account balances, the sum of flex dollars allocated, and the sum of claim details.
Flexible Spending Account Claims (F08371) Contains details of individual employee claims.
FSA-Pay Instruction (F08372) Contains the program that provides the ability to maintain auto-deposit instructions for flexible spending accounts.
Key Employee Test Heading (F08396) Contains the definition of the nondiscrimination employee tests.
DBA Pay Types (F083931) Contains the definition of groups of DBA type ranges that affect the nondiscrimination tests for compensation and contribution.
NDT-Company Selection Criteria (F08367) Contains the companies that are used in the nondiscrimination tests.
NDT-Test Criteria Heading (F08365) Contains the criteria used to determine key and non-key employees.
Key Employee Review (F08360) Contains all pertinent nondiscrimination data and all employees included in a nondiscrimination test.
Key Employee Test Detail (F08397) Contains all nondiscrimination data for an individual employee, as well as compensation and contribution data for each employee.