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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 12/1/2022. 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
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

Related KBs:

Related Links:

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KeywordsHealth Vision Dental Union Dental VSP option code, benefit plan, benefit plans; relationship code, plan type, covered dependents, imputed income option code, benefit plan BN, Benefits BN, Benefits   Doc ID16838
OwnerJack R.GroupUW–Shared Services
Created2011-02-08 18:00 CSTUpdated2023-08-15 09:19 CST
SitesUW–Shared Services
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