Understanding Benefit Programs

Use the Benefit Program table to bring together all of the information that relates to a benefit program and to set up your benefit programs for automatic enrollment processing.

First, build the foundation by setting up base benefit information:

  1. Define benefit deductions using the Deduction Table - Setup page.

  2. Identify benefit plans using the Benefit Plan Table page.

  3. Identify benefit providers using the Provider and Vendor Table - Vendor Information page.

  4. Define benefit coverage using the Coverage Codes - Health Coverage Codes page.

  5. Establish rate tables using the benefit rates tables.

  6. Establish calculation rules using the Calculation Rules Table - Calculation Rules page.

Next, build your Automated Benefits program:

  1. Define the benefit program using the Benefit Program Table pages.

  2. Link your plan types and options.

  3. Attach event and eligibility rules.

  4. Define costs and credits.