Plan Type Code and Plan Type Name - These numbers and plan names appear 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 | ||||