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Benefits Coverage Codes Job Aid for HRS

Overview

When enrolling an employee into benefits using Benefit Administration or On-Demand Event Maintenance, Benefit Administrators will use these coverage codes to ensure employees and dependents are enrolled in the proper plans.

Process Considerations:

The information listed below is effective 12/1/2021. For historical Health Coverage Code information, please reference the Additional Resources section below.

Plan Type Code and Plan Type Name - These numbers and plan names appear on the enrollment pages. Relationship Code and Description - is required when entering the dependents and is selected from a drop-down list for each dependent. Minimum and Maximum Number of Covered Dependents - determines the Coverage Code applicable. Coverage Codes and Description - The appropriate coverage code is required for entry on the enrollment pages.
Plan Type Code and Plan Type Name	Relationship Code and Description	Minimum and Maximum Number of Covered Dependents	Coverage Code and Coverage Code Description
10 - State Group Health 11 - Supplemental Dental 14 - Vision Insurance 1D - Preventive Dental	E - Employee	Max number of dependents = 0	1 - Single
10 - State Group Health 1D - Preventive Dental	EE - Employee	Min Number of dependents = 1 Max Number of dependents = 99	15 - Family
	SP - Spouse
	C - Child (Under Age 26)
	GC - Grandchild
	SC - Stepchild (Under Age 26)
	W - Legal Ward
11 - Supplemental Dental 14 - Vision Insurance	EE - Employee	Minimum and Maximum Number of dependents = 1	16 - Employee & Spouse/DP
	SP - Spouse
11 - Supplemental Dental 14 - Vision Insurance	EE - Employee	Min Number of dependents = 1 Max Number of dependents = 99	18 - Employee & Children
	C - Child (Under Age 26)
	GC - Grandchild
	SC - Stepchild (Under Age 26)
	W - Legal Ward
11 - Supplemental Dental 14 - Vision Insurance	EE - Employee	Min Number of dependents = 2 Max Number of dependents = 99: 1 Dependent must be Spouse and at least 1 Child	21 - Family
	SP - Spouse
	C - Child (Under Age 26)
	GC - Grandchild
	SC - Stepchild (Under Age 26)
	W - Legal Ward

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Additional Resources

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