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Date: | Fri, 1 Jul 2005 13:17:19 -0700 |
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Release 1651 introduces a new means by which employees/
dependents who do not meet the eligibility rules as set forth in
the Group Insurance Regulations Supplement 6 can be
de-enrolled from health and welfare plans. Currently, when
UCOP HR&B identifies ineligible family members, 'a report is
sent to campus and laboratory locations where the ineligible
dependents are manually de-enrolled.' The new, more automated,
process has two PPS components:
1 - HR&B will create X1 transactions with a de-enrollment indicator
of 'Y' that will flow through the daily IVRNH/benefits/web update
process that we run in the evening after production CICS
comes down. That special PPP130 update is restricted to
processing only certain data elements, and in r1651 is
modified to 'add 'X1' transaction processing for medical,
dental, vision, and legal de-enrollment indicator fields ...
and post to the EDB.'
2 - Monthly periodic maintenance will perform the actual
de-enrollment and will treat the 'Y' code just like the existing
'X' code except that a reason code of 'AD' (Administrative
De-enrollment) will be assigned.
TABLE UPDATES
Transactions are provided with which to update:
- the data element table, to add the 'AD' code
- the code translation table, to add the 'AD' code and also to
change the description for 'XD' from simply 'De-enrolled' to
'Deenrolled-suspension of Premiums or ineligible dependent'
IMPLEMENTATION
Installation is date-mandated to occur by July 15th. Although
the release documents don't explicitly say so, I assume that is
when the new transactions will begin to flow through to PPS.
May we have your ok to install?
bvb
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