Forms Used to Work With Enrollment with Eligibility

Form Name

Form ID

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Usage

Work With Enrollment With Eligibility

W08334A

Daily Processing (G08BB1), Enrollment with Eligibility

Correct mistaken enrollment using eligibility.

Verify continuing eligibility in plans.

Stop - Override Date and Status

W08334B

On the Work With Enrollment With Eligibility form, select a plan for which you want to end enrollment, and then select Stop - Auto Dt/Sts from the Row menu.

End enrollment using eligibility.

Change Amount or Rate

W08334C

On the Work With Enrollment With Eligibility form, locate and select the employee's plans for which you need to change the amount or rate, and then select Change Amt or Rate from the Row menu.

Change an amount or rate using eligibility.

You can change the amount or rate only for plans that have a beginning status that starts with the letter A and that allow an amount or rate change.

Enrollment Event Code

W08334B

Daily Processing (G08BB1), Enrollment with Eligibility

On the Work With Enrollment With Eligibility form, select a record in the detail area and click Submit.

Change enrollment due to a life event.