BENEFITS

U.S BENEFITS

HEALTH PLAN ( 0167 )

INSURANCE PLAN ( 0168 )

SAVINGS PLAN ( 0169 )

FLEXIBLE FUNDS PLAN ( 0170 )

General Benefits Information Screen

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 and the employer depending on the plan subscribed for. There are special rules for domestic partner. The amount that is paid by company for coverage of a domestic partner is taxable as it is considered as an income to the employee. This taxable income generated is referred to as imputed income.

HEALTH PLAN ( 0167 )

MEDICAL PLAN

DENTAL PLAN

VISION PLAN

Health Benefits are based on the zip code of the employees residence. Ex: http://www.latticesemi.com/corporate/careers/usbenefits/index.cfm

MEDICAL PLAN

Series: 1000

This plan covers the medical expenses of the employee. Co-pay is an important term used here. Suppose an employee has a medical plan for $40 a month. They get the doctors bill for $100. The organization will pay $95 on behalf of the employee and the employee itself will pay $5. This $5 that the employee pays is called as the co-pay. The value of the co-pay varies with the plan subscribed for.

DENTAL PLAN

Series: 1800

The dental plan covers the employees dental expenses. These are further classified as

With orthodontia ( with braces ) Without orthodontia (without braces).

VISION PLAN

Series: 1400

This plan covers the employees vision related expenses.

INSURANCE PLAN ( 0168 ) Series: 2000

STD SHORT TERM DISABILITY

LTD LONG TERM DISABILITY

ADD ACCIDENT AL DEATH

FLEXIBLE FUND PLAN ( 0170 )

FSA Flexible spending Account

HSA Health Spending Account

Ex:
For expenditure incurred while travelling in case of a transfer For initial apartment rent

Ex:
For payment of co-pay in medical expenses.

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.

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 )

Adjustment reasons / Events ( infotype : 0378 )

Annual enrollments / open enrollments

Use transaction code : hrben0001. Happens once in a year in a specified period.

Adjustment reasons / Events

Use infotype number: 0378.

Life Events/ Personal events Ex: Marriage Divorce Child Birth

Work Events Ex: Promotions Transfer Change from full time employment to part time employment.

Eligibility Matrix

This matrix contains the information about whether an employee is eligible for a particular plan and also shows the coverage area for that plan. It is based on the BENGR and BSTAT combination.

Enrollment/adjustment Process

Since this contains huge amounts of data, all the information about the enrollment 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 dual coverage 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 factsheet or requests further changes or corrections to it. If the employee accepts a factsheet a confirmation statement is generated 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.

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 (Functional Requirements) document and gives it to the DEV-Team. The DEV-team makes the QATO (Quality turn over) document and sends it to the QA-team.

Programs used

Zname_refresh Zname_factsheet_extract Zname_confirmation_extract

* Zname here could be the name of the client used.

Factsheet : Frontside

Factsheet : Backside

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

Thanks. Ayesha Majeeth