Defining HIPAA plan details

Select whether records should be created to identify when enrollment change occurs in this plan. The records created will be used to create the EDI transaction file.

Specify a plan sponsor ID. By HIPAA mandate, the ID should be the Federal Tax ID number assigned by the IRS to the company.

This field can be used to override the Plan Sponsor ID entered on Benefits Company (BN00.1). If different process levels offer different benefit plans, then they can have unique sponsor identification numbers.

If different plans require different plan sponsor ID numbers, then this number can be overridden at the plan level on BN15.1.

If you will not be sending EDI transactions, or will be using the Company ID on BN00.1, then you can leave this field blank.

Select whether to use the employee's social number or the employee or dependent number as an identifier for the subscriber when passing enrollment data to the carrier.

Select the line of insurance product that corresponds to this plan.