Ayesha Benefits

8/3/2019 Ayesha Benefits

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BENEFITS


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U.S BENEFITS

HEALTHPLAN

( 0167 )

INSURANCEPLAN

( 0168 )

SAVINGS

PLAN

( 0169 )

FLEXIBLEFUNDS

PLAN

( 0170 )


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General Benefits Information Screen


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Coverage Area

Coverage area could be for For employee For employee and spouse / domestic partner For employee and child For employee and family

Benefits amount is paid partly by the employee andthe employer depending on the plan subscribed for.

There are special rules for domestic partner. The

amount that is paid by company for coverage of adomestic partner is taxable as it is considered as anincome to the employee. This taxable incomegenerated is referred to as imputed income.


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HEALTH PLAN ( 0167 )

MEDICALPLAN

DENTALPLAN

VISIONPLAN

Ex: http://www.latticesemi.com/corporate/careers/usbenefits/index.cfm

Health Benefits are based on the zip code of the employees residence.


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MEDICAL PLAN

This plan covers the medical expenses of theemployee.

Co-pay is an important term used here.

Suppose an employee has a medical plan for $40 amonth. They get the doctors bill for $100. Theorganization will pay $95 on behalf of the employee

and the employee itself will pay $5. This $5 that theemployee pays is called as the co-pay. The value ofthe co-pay varies with the plan subscribed for.

Series: 1000


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DENTAL PLAN

The dental plan covers the employees

dental expenses. These are further classified as

With orthodontia ( with braces )

Without orthodontia (without braces).

Series: 1800


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This plan covers the employees vision

related expenses.

VISION PLAN Series: 1400


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INSURANCE PLAN ( 0168 )

STD

SHORTTERM

DISABILITY

LTD

LONGTERM

DISABILITY

ADD

ACCIDENTAL DEATH

Series: 2000


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FLEXIBLE FUND PLAN ( 0170 )

HSA

Health Spending Account

Ex:

For payment of co-pay inmedical expenses.

FSA

Flexible spending Account

Ex:

For expenditure incurredwhile travelling in case of a

transferFor initial apartment rent


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How does the employee make changes

to the benefits???

The employee can call the call center and

make changes. The employee can use the options in IVR (

Interactive voice response ).

The employee can use the Web.


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When do we make changes to the

benefits???

There are two scenarios in which we can

make changes to the benefits.

Annual Enrollments /Open enrollments

( transaction code:hrben0001 )

Adjustmentreasons / Events

( infotype : 0378 )


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Annual enrollments / open enrollments

Use transaction code : hrben0001.

Happens once in a year in a specified period.


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Adjustment reasons / Events

Use infotype number: 0378.

Life Events/Personalevents

Ex:MarriageDivorceChild Birth

Work EventsEx:

Promotions

TransferChange from fulltime employment topart timeemployment.


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Eligibility Matrix

This matrix contains the information about

whether an employee is eligible for aparticular plan and also shows the coveragearea for that plan.

It is based on the BENGR and BSTAT

combination.


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Enrollment/adjustment Process

Since this contains huge amounts of data, all the information about theenrollment and adjustments are stored in an excel sheet.

Then this sheet is converted into a factsheet using the program

zname_refresh. This refresh program checks for any errors like dualcoverage and over-age dependent. This factsheet is then sent to the employee to review the benefits

enrolled or adjusted. The employee then either accepts the factsheetor requests further changes or corrections to it.

If the employee accepts a factsheet a confirmation statement isgenerated using the program zname_confirmation_extract and send

to the employee. If the employee requests modifications then an excel sheet is

generated and the process continues.


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Enrollment/adjustment Process

This process involves the following: BA Business Analyst

FA - Functional team Development Team QA-team. The BA gets the specification from the client and gives it to the

FA-team. The FA-team then makes a FR (FunctionalRequirements) document and gives it to the DEV-Team. The

DEV-team makes the QATO (Quality turn over) document andsends it to the QA-team.


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Programs used

Zname_refresh

Zname_factsheet_extract Zname_confirmation_extract

* Zname here could be the name of the clientused.

F h F id


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Factsheet : Frontside


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Factsheet : Backside


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Important Tables

T5UB3 -- Benefit area

T5UBA -- Benefit plan

T5UBW -- Benefit provider

T5UBU -- Benefit program

T5UBI -- Benefit cost rule

T5UBG -- Benefit Flexible Spending Account

T74HA -- Benefit adjustment reason

T74HJ -- Benefit zip code group

T74HK -- Benefit zip code group assignment


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Thanks.

Ayesha Majeeth

Ayesha Benefits

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