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Using Health Insurance Coverage Codes and Relationships in HRS

Overview

When enrolling employees into benefits plans, or updating those benefits plans through On-Demand, knowing the appropriate Coverage Code values for each situation is critical. Coverage Codes affect health premiums, coverage level such as employee + spouse/DP, employee + children, family, tax dependents, and non-tax dependents. This documents shows which Coverage Code to select for certain years and time-frames.

Process Considerations:

  • Coverage Codes have changed over time.  Please be sure to reference the correct Coverage Code list for the time period you are working in.
You may click on the links below to navigate directly to a section:

Examples of Coverage Codes

1. 4/10/2011 Coverage Begin Date is using Coverage Codes from spreadsheet 4-10-2011 to 07-02-2011. Coverage Code below is 27. It is using 27 for employee + spouse (tax dependent)

EPIC Health Row

2. 01/01/2015 Coverage Begin Date is using Coverage Codes from spreadsheet 11-02-2014 to Present. Coverage Code below is 16. It is using 16 for employee + spouse (tax dependent)

EPIC Health Row 2

3. Coverage Codes are selected in On-Demand via ADM Event when selecting Health Benefit election.

ADM Event

ADM Dental WI

Option Codes


Coverage Code Current Reference Sheet:
 
Coverage Code Historical Reference Sheets:

Dependent Relationships

For Benefit purposes, these are the defined relationships which qualify someone for insurance according to insurance plan rules. Some dependents are not eligible for benefits and cannot be enrolled. Please see table for benefit eligible and non-eligible dependents.  Adding and Updating Dependents in HRS

The UW has defined the following relationships:

 Relationship to Employee  Eligible for Insurance?
 Adult Child  No
 Employee Yes
 Spouse Yes
 Child (as of 10/2/2017 )
 Yes
 Stepchild (as of 10/2/2017) Yes
 Legal Ward (as of 10/2/2017) Yes
 Grandchild Yes
 Child Non Tax Dependent (no longer used as of 10/2/2017)
 No
 Child Tax Dependent (no longer used as of 10/2/2017)  No
 DP Child Non Tax Dependent (no longer used as of 1/1/2018)
 No
 DP Child Tax Dependent (no longer used as of 1/1/2018) No
 Dom Partner Non Tax Dependent (no longer used as of 1/1/2018) No
 Dom Partner Tax Dependent (no longer used as of 1/1/2018) No
 Emergency Contact No
 ExDomestic Partner No
 ExSpouse No
 Legal Ward Non Tax Dependent (no longer used as of 10/2/2017) No
 Legal Ward Tax Dependent (no longer used as of 10/2/2017) No
 Qualified Stepchild (no longer used as of 10/2/2017) No
 Stepchild Non Tax Dependent (no longer used as of 10/2/2017)No



Additional Resources

Related KBs:

Related Links:

Get Help

  • Click HERE to contact UW Shared Services - Service Operations Department or HERE for the UWSS IT HelpDesk if you have any issues with these instructions.

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Keywords:Benefits Options Family Single Employee & Spouse DP Children Tax Qualified Domestic Partner Dom Non Child Grandchild Legal Ward Stepchild Relationship BN, Benefits BN, Benefits   Doc ID:19156
Owner:Joanna B.Group:UW–Shared Services
Created:2011-07-17 19:00 CDTUpdated:2020-07-24 11:06 CDT
Sites:Human Resource System (HRS), UW-La Crosse, UW–Shared Services
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