HEALTH_PLAN_TBL

(SQL Table)
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Health Plan Parameters

HEALTH_PLAN_TBL is a record wich defines the Health Plans offered by a company. It is used to define the basic attributes wich control enrollment validation and processing. It is populated online in the Health Plan Table panel.

# PeopleSoft Field Name PeopleSoft Field Type Database Column Type Description
1 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.

Prompt Table: HEALTH_PLAN_VW

2 BENEFIT_PLAN Character(6) VARCHAR2(6) NOT NULL Benefit Plan

Prompt Table: BENEF_PLAN_TBL

3 EFFDT Date(10) DATE NOT NULL Effective Date

Default Value: %date

4 HLTH_PROVIDER_REQD Character(1) VARCHAR2(1) NOT NULL This Field defines wheter a Health Benefit Plan requires the entry of a Health Provider ID upon enrollment
N=Not Required
R=Required

Default Value: N

5 WAIT_PERIOD_DD Number(3,0) SMALLINT NOT NULL Wait Period Days
6 ACA_SELF_INSURED Character(1) VARCHAR2(1) NOT NULL Self-Insured Plan

Y/N Table Edit

Default Value: N

7 ACA_COVERAGE_VALUE Character(4) VARCHAR2(4) NOT NULL Benefit Plan Coverage Value
HRAS=Employer HRA Contribution
MCMV=MEC and Minimum Value
MCNV=MEC and Not Minimum Value
NMEC=Not Minimum Essential Coverage
8 ACA_LOW_COST Signed Number(21,2) DECIMAL(19,2) NOT NULL Lowest-Cost Monthly Premium
9 ACA_HRA_AMT Signed Number(21,2) DECIMAL(19,2) NOT NULL HRA Montlhly Comverage Amount