Setting Up Health Plans

To set up health plans, use the Health Plan Table (HEALTH_PLAN_TABLE) component.

This section discusses how to enter health plan details.

Page Name

Definition Name

Usage

Health Plan Table Page

HEALTH_PLAN_TABLE

Enter health plan details.

Use the Health Plan Table page (HEALTH_PLAN_TABLE) to enter health plan details.

Image: Health Plan Table page

This example illustrates the fields and controls on the Health Plan Table page. You can find definitions for the fields and controls later on this page.

Health Plan Table page

Field or Control

Definition

Health Provider Required

Select whether an employee must declare a health provider when enrolling in this plan through self-service.

Wait Period Days

Enter the number of days an employee must wait to be eligible for the plan.

Self-Insured Plan

Select this check box if the health plan is employer-sponsored self-insured health coverage.

Benefit Plan Coverage Value

Options include MEC and Minimum Value, MEC and Not Minimum Value, and Not Minimum Essential Coverage.

Lowest-Cost Monthly premium

This cost is the employee share of the lowest-cost monthly premium for self-only minimum essential coverage providing minimum value that is offered to the employee. (This field is only used for employees using the Base Benefits product.)