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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 1/1/2021. For historical Health Coverage Code information, please reference the Additional Resources section below.

Untitled Document

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 - EmployeeMin Number of dependents = 1
Max Number of dependents = 99



















15 - Family




















SP - Spouse
C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
11 - Supplemental Dental
14 - Vision Insurance


EE - EmployeeMinimum and Maximum Number of dependents = 1




16 - Employee & Spouse/DP




SP - Spouse
11 - Supplemental Dental
14 - Vision Insurance














EE - EmployeeMin Number of dependents = 1
Max Number of dependents = 99















18 - Employee & Children
















C - Child
GC - Grandchild
SC - Stepchild
W - Legal Ward
11 - Supplemental Dental
14 - Vision Insurance


















EE - EmployeeMin 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
GC - Grandchild
SC - Stepchild
W - Legal Ward


Additional Resources

Related KBs:

Related Links:

Get Help

  • Click HERE to contact UW Shared Services or HERE for the Office of Technology Services (OTS) Helpdesk if you have any issues with these instructions.


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Keywords:Health 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 ID:16838
Owner:Joanna B.Group:UW–Shared Services
Created:2011-02-08 19:00 CDTUpdated:2020-11-30 10:54 CDT
Sites:UW-La Crosse, UW–Shared Services
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