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8/3/2019 Ayesha Benefits
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BENEFITS
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U.S BENEFITS
HEALTHPLAN
( 0167 )
INSURANCEPLAN
( 0168 )
SAVINGS
PLAN
( 0169 )
FLEXIBLEFUNDS
PLAN
( 0170 )
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General Benefits Information Screen
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Coverage Area
Coverage area could be for For employee For employee and spouse / domestic partner For employee and child For employee and family
Benefits amount is paid partly by the employee andthe employer depending on the plan subscribed for.
There are special rules for domestic partner. The
amount that is paid by company for coverage of adomestic partner is taxable as it is considered as anincome to the employee. This taxable incomegenerated is referred to as imputed income.
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HEALTH PLAN ( 0167 )
MEDICALPLAN
DENTALPLAN
VISIONPLAN
Ex: http://www.latticesemi.com/corporate/careers/usbenefits/index.cfm
Health Benefits are based on the zip code of the employees residence.
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MEDICAL PLAN
This plan covers the medical expenses of theemployee.
Co-pay is an important term used here.
Suppose an employee has a medical plan for $40 amonth. They get the doctors bill for $100. Theorganization will pay $95 on behalf of the employee
and the employee itself will pay $5. This $5 that theemployee pays is called as the co-pay. The value ofthe co-pay varies with the plan subscribed for.
Series: 1000
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DENTAL PLAN
The dental plan covers the employees
dental expenses. These are further classified as
With orthodontia ( with braces )
Without orthodontia (without braces).
Series: 1800
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This plan covers the employees vision
related expenses.
VISION PLAN Series: 1400
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INSURANCE PLAN ( 0168 )
STD
SHORTTERM
DISABILITY
LTD
LONGTERM
DISABILITY
ADD
ACCIDENTAL DEATH
Series: 2000
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FLEXIBLE FUND PLAN ( 0170 )
HSA
Health Spending Account
Ex:
For payment of co-pay inmedical expenses.
FSA
Flexible spending Account
Ex:
For expenditure incurredwhile travelling in case of a
transferFor initial apartment rent
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How does the employee make changes
to the benefits???
The employee can call the call center and
make changes. The employee can use the options in IVR (
Interactive voice response ).
The employee can use the Web.
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When do we make changes to the
benefits???
There are two scenarios in which we can
make changes to the benefits.
Annual Enrollments /Open enrollments
( transaction code:hrben0001 )
Adjustmentreasons / Events
( infotype : 0378 )
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Annual enrollments / open enrollments
Use transaction code : hrben0001.
Happens once in a year in a specified period.
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Adjustment reasons / Events
Use infotype number: 0378.
Life Events/Personalevents
Ex:MarriageDivorceChild Birth
Work EventsEx:
Promotions
TransferChange from fulltime employment topart timeemployment.
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Eligibility Matrix
This matrix contains the information about
whether an employee is eligible for aparticular plan and also shows the coveragearea for that plan.
It is based on the BENGR and BSTAT
combination.
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Enrollment/adjustment Process
Since this contains huge amounts of data, all the information about theenrollment and adjustments are stored in an excel sheet.
Then this sheet is converted into a factsheet using the program
zname_refresh. This refresh program checks for any errors like dualcoverage and over-age dependent. This factsheet is then sent to the employee to review the benefits
enrolled or adjusted. The employee then either accepts the factsheetor requests further changes or corrections to it.
If the employee accepts a factsheet a confirmation statement isgenerated using the program zname_confirmation_extract and send
to the employee. If the employee requests modifications then an excel sheet is
generated and the process continues.
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Enrollment/adjustment Process
This process involves the following: BA Business Analyst
FA - Functional team Development Team QA-team. The BA gets the specification from the client and gives it to the
FA-team. The FA-team then makes a FR (FunctionalRequirements) document and gives it to the DEV-Team. The
DEV-team makes the QATO (Quality turn over) document andsends it to the QA-team.
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Programs used
Zname_refresh
Zname_factsheet_extract Zname_confirmation_extract
* Zname here could be the name of the clientused.
F h F id
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Factsheet : Frontside
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Factsheet : Backside
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Important Tables
T5UB3 -- Benefit area
T5UBA -- Benefit plan
T5UBW -- Benefit provider
T5UBU -- Benefit program
T5UBI -- Benefit cost rule
T5UBG -- Benefit Flexible Spending Account
T74HA -- Benefit adjustment reason
T74HJ -- Benefit zip code group
T74HK -- Benefit zip code group assignment
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Thanks.
Ayesha Majeeth