Understanding Eligibility and Proration Calculation

Here are the basic steps you use to calculate eligibility and proration:

  1. Set up plan membership.

  2. Set up proration-related control tables (for prorated plans).

  3. Run the Determine Eligibility/Proration Application Engine process (VC_ELIG_PRO).

    • The process generates a list of workers who are eligible under the plan and calculates the eligibility status.

    • For prorated plans, it calculates a proration factor that the system applies when it calculates the award allocation.

  4. View and adjust plan member eligibility.