HEALTH_BENEFIT (SQL Table)	Index Back
EE Health Benefit Elections HEALTH_BENEFIT is a record that identifies all health-related benefit elections for an employee. These benefits are related to the plan types in the '1x' series such as Medical, Dental, and Vision. Warning! For technical reasons, this record's schema shows that it is keyed by EMPL_RCD. This is not logically or functionally accurate. Throughout all of Base Benefits, when in the context of benefit enrollment, EMPL_RCD must be interpreted as an alias for BENEFIT_RCD_NBR. All benefit enrollment-related records are logically keyed by BENEFIT_RCD_NBR, so here EMPL_RCD actually contains the value of the appropriate BENEFIT_RCD_NBR. It is CRITICAL that all joins, comparisons, and updates to this record be against BENEFIT_RCD_NBR. Thus a typical driving join for benefit participation is PS_PER_ORG_ASGN.BENEFIT_RCD_NBR = PS_BEN_PROG_PARTIC.EMPL_RCD, and a typical join for benefit enrollment is PS_PER_ORG_ASGN.BENEFIT_RCD_NBR = PS_HEALTH_BENEFIT.EMPL_RCD. The security and search views used in Base Benefits perform this "mapping" internally.

HEALTH_BENEFIT

(SQL Table)

EE Health Benefit Elections

HEALTH_BENEFIT is a record that identifies all health-related benefit elections for an employee. These benefits are related to the plan types in the '1x' series such as Medical, Dental, and Vision. Warning! For technical reasons, this record's schema shows that it is keyed by EMPL_RCD. This is not logically or functionally accurate. Throughout all of Base Benefits, when in the context of benefit enrollment, EMPL_RCD must be interpreted as an alias for BENEFIT_RCD_NBR. All benefit enrollment-related records are logically keyed by BENEFIT_RCD_NBR, so here EMPL_RCD actually contains the value of the appropriate BENEFIT_RCD_NBR. It is CRITICAL that all joins, comparisons, and updates to this record be against BENEFIT_RCD_NBR. Thus a typical driving join for benefit participation is PS_PER_ORG_ASGN.BENEFIT_RCD_NBR = PS_BEN_PROG_PARTIC.EMPL_RCD, and a typical join for benefit enrollment is PS_PER_ORG_ASGN.BENEFIT_RCD_NBR = PS_HEALTH_BENEFIT.EMPL_RCD. The security and search views used in Base Benefits perform this "mapping" internally.

Parent record: BENEFIT_PARTIC

# PeopleSoft Field Name PeopleSoft Field Type Database Column Type Description

1 EMPLID Character(11) VARCHAR2(11) NOT NULL Employee ID
Prompt Table: PERSON

2 EMPL_RCD Number(3,0) SMALLINT NOT NULL Empl Rcd Nbr
Prompt Table: PER_ORG_ASGN_VW

3 COBRA_EVENT_ID Number(3,0) SMALLINT NOT NULL Uniquely identifies a COBRA event within an employee's benefits records, and is system-generated.

4 PLAN_TYPE Character(2) VARCHAR2(2) NOT NULL Identifies a category of benefit plan, such as Medical, Dental, and Life (Insurance). A set of plan type codes, as well as rules for creating new codes, is provided by PeopleSoft. Plan Type codes determine how the system processes and defines eligibility for the various benefit plans.
Default Value: 10

5 BENEFIT_NBR Number(3,0) SMALLINT NOT NULL Note! Although this field is part of the index schema for most Base Benefits enrollment-related records, it was in fact never functionally implemented. As such, it is CRITICAL that this field always be set to zero 0.

6 EFFDT Date(10) DATE NOT NULL Effective Date
Default Value: HEALTH_BENEFIT.COVERAGE_BEGIN_DT

7 DEDUCTION_END_DT Date(10) DATE Deduction End Date

8 COVERAGE_BEGIN_DT Date(10) DATE NOT NULL Coverage Begin Date

9 COVERAGE_END_DT Date(10) DATE Coverage End Date

10 COVERAGE_ELECT Character(1) VARCHAR2(1) NOT NULL Coverage Election
E=Elect
T=Terminate
W=Waive
Default Value: E

11 COVERAGE_ELECT_DT Date(10) DATE NOT NULL Coverage Elect Date
Default Value: %date

12 BENEFIT_PLAN Character(6) VARCHAR2(6) NOT NULL Benefit Plan
Prompt Table: %EDITTABLE

13 COVRG_CD Character(2) VARCHAR2(2) NOT NULL Coverage Code
Prompt Table: BEN_PROG_BENCVC

14 HIPAA_REPORT_DT Date(10) DATE HIPAA Report Date (Emp)

15 PRETAX_CD Character(1) VARCHAR2(1) NOT NULL Allow Pre-Tax Medical Premium
Y/N Table Edit
Default Value: Y

16 MED_PREM_PRETAX Number(7,2) DECIMAL(6,2) NOT NULL Pre-Tax Medical Premium Value

17 HLTH_PROVIDER_ID Character(30) VARCHAR2(30) NOT NULL Health Provider ID

18 PREVIOUSLY_SEEN Character(1) VARCHAR2(1) NOT NULL Previously Seen
Y/N Table Edit
Default Value: N

19 HIPAA_DEP_RPT_DT Date(10) DATE HIPAA Report Date (Dep)

20 OTH_INSURANCE_IND Character(1) VARCHAR2(1) NOT NULL This is a yes/no flag that will indicate if the employee has an insurance other than the one provided by the employer.
Y/N Table Edit
Default Value: N

21 OTH_INSURANCE_NAME Character(30) VARCHAR2(30) NOT NULL This edit box is directly related to the OTH_INSUR_IND field. If OTH_INSUR_IND is 'Y' then this will provide a place to put the name of the provider.

#	PeopleSoft Field Name	PeopleSoft Field Type	Database Column Type	Description
1	EMPLID	Character(11)	VARCHAR2(11) NOT NULL	Employee ID Prompt Table: PERSON
2	EMPL_RCD	Number(3,0)	SMALLINT NOT NULL	Empl Rcd Nbr Prompt Table: PER_ORG_ASGN_VW
3	COBRA_EVENT_ID	Number(3,0)	SMALLINT NOT NULL	Uniquely identifies a COBRA event within an employee's benefits records, and is system-generated.
4	PLAN_TYPE	Character(2)	VARCHAR2(2) NOT NULL	Identifies a category of benefit plan, such as Medical, Dental, and Life (Insurance). A set of plan type codes, as well as rules for creating new codes, is provided by PeopleSoft. Plan Type codes determine how the system processes and defines eligibility for the various benefit plans. Default Value: 10
5	BENEFIT_NBR	Number(3,0)	SMALLINT NOT NULL	Note! Although this field is part of the index schema for most Base Benefits enrollment-related records, it was in fact never functionally implemented. As such, it is CRITICAL that this field always be set to zero 0.
6	EFFDT	Date(10)	DATE NOT NULL	Effective Date Default Value: HEALTH_BENEFIT.COVERAGE_BEGIN_DT
7	DEDUCTION_END_DT	Date(10)	DATE	Deduction End Date
8	COVERAGE_BEGIN_DT	Date(10)	DATE NOT NULL	Coverage Begin Date
9	COVERAGE_END_DT	Date(10)	DATE	Coverage End Date
10	COVERAGE_ELECT	Character(1)	VARCHAR2(1) NOT NULL	Coverage Election E=Elect T=Terminate W=Waive Default Value: E
11	COVERAGE_ELECT_DT	Date(10)	DATE NOT NULL	Coverage Elect Date Default Value: %date
12	BENEFIT_PLAN	Character(6)	VARCHAR2(6) NOT NULL	Benefit Plan Prompt Table: %EDITTABLE
13	COVRG_CD	Character(2)	VARCHAR2(2) NOT NULL	Coverage Code Prompt Table: BEN_PROG_BENCVC
14	HIPAA_REPORT_DT	Date(10)	DATE	HIPAA Report Date (Emp)
15	PRETAX_CD	Character(1)	VARCHAR2(1) NOT NULL	Allow Pre-Tax Medical Premium Y/N Table Edit Default Value: Y
16	MED_PREM_PRETAX	Number(7,2)	DECIMAL(6,2) NOT NULL	Pre-Tax Medical Premium Value
17	HLTH_PROVIDER_ID	Character(30)	VARCHAR2(30) NOT NULL	Health Provider ID
18	PREVIOUSLY_SEEN	Character(1)	VARCHAR2(1) NOT NULL	Previously Seen Y/N Table Edit Default Value: N
19	HIPAA_DEP_RPT_DT	Date(10)	DATE	HIPAA Report Date (Dep)
20	OTH_INSURANCE_IND	Character(1)	VARCHAR2(1) NOT NULL	This is a yes/no flag that will indicate if the employee has an insurance other than the one provided by the employer. Y/N Table Edit Default Value: N
21	OTH_INSURANCE_NAME	Character(30)	VARCHAR2(30) NOT NULL	This edit box is directly related to the OTH_INSUR_IND field. If OTH_INSUR_IND is 'Y' then this will provide a place to put the name of the provider.