Commonly Used Lookups in Benefits

This topic identifies the benefits lookups that are most commonly user-defined. Review these lookups, and edit them as appropriate to meet your enterprise requirements. Use the Manage Benefit Lookups task in the Setup and Maintenance work area.

Relevant benefits lookups are categorized as follows:

• Benefits relationships

• Person factors

• Process name

• Regulations

• Health care services and primary care physician

• Certification

Benefits Relationships Lookup

This table describes the benefits relationships lookup used when configuring default benefits relationships on the Configure Default Benefits Relationships page. You also use the lookup when overriding default benefits relationships on the Manage Benefits Relationship page in the Enrollment work area.

Lookup Type	Description
BEN_BENEFIT_RELATION_NAME	Name of a benefits relationship, such as default or unrestricted

Person Factors Lookups

This table describes the person factors lookups used when adding or editing contacts for benefits.

Lookup Type	Description
BEN_STUDENT_STATUS	Student type, such as full-time or part-time
REGISTERED_DISABLED	Registered disabled values, such as yes, yes-fully disabled, yes-partially disabled, or no

Process Name Lookups

This table describes the process name lookup used when running evaluation processing and reports.

Lookup Type	Description
BEN_PROCESS	Benefits process name, such as Evaluate Scheduled Event Participation or Close Enrollment

Regulations Lookups

This table describes the regulations lookups used when setting up regulations in the Manage Regulations task. You also use the lookups when associating regulations with benefits plan basic details.

Lookup Type	Description
BEN_REGN_ADMN	The type of regulatory administration by a governing agency, such as enforced by or issued by
BEN_REGY_PL_TYP	The type of regulatory plan, such as fringe, other, pension, or welfare
BEN_REGY_PRPS	The purpose of a regulatory body associated with a benefits object, such as audit, enforces, qualifies, or requires plan disclosure

Health Care Services and Primary Care Physician Lookups

This table describes the health care services type and primary care physician lookups used in the primary care physician step of the plan configuration process. You also use these lookups on the self-service enrollment pages.

Lookup Type	Description
BEN_PRDCT	Provider category, such as exclusive provider organization, medium, point of service, or premium
BEN_PCP_CD	Requirement or ability of participants to select a primary care physician during enrollment, such as optional
BEN_PCP_DSGN	Primary care physician designation status for a plan, such as none, optional, or required
BEN_PCP_SPCLTY	Primary care physician specialty, such as emergency medicine
BEN_PCP_STRT_DT	Primary care physician started date, such as first of next month, first of next month occurring after 15 days, later of enrollment start or when designated
BEN_PRMRY_CARE_PRVDR_TYP	Primary care physician type, such as dentist, general practitioner, cardiologist, or pediatrician

Certification Lookups

This table describes the certification lookups used during plan configuration, when configuring certification action items for enrollments, dependent and beneficiary designations, and benefits or coverage restrictions.

Lookup Type	Description
BEN_BNF_CTFN_TYP	Beneficiary certification type, such as adoption or birth certificate, as well as notarized spousal consent
BEN_PRTN_CTFN_TYP	Participation certification type, such as a canceled check or proof of timely payment
BEN_ENRT_CTFN_TYP	Enrollment certification type, such as domestic partner affidavit as well as proof of external coverage, good health, or other coverage
BEN_DPNT_CVG_CTFN_TYP	Dependent coverage certification type, such as adoption, birth, domestic partner, legal custody, or marriage certificate