SmartFusion Modules -> Human Resources -> Insurance And Benefits -> Parameters > Benefits

Last Update: 5.21 
- Added 'multiemployer arrangement benefit' checkbox
- Added 'employer-sponsored self-insured health plan' checkbox

Introduction

Benefits are the core key concept for the Insurance and Benefit module. They tie back to deductions in payroll to help you quickly roll out deduction changes and track offer's of coverage for Affordable Care Act Reporting.

Explanation

Detail Tab

Benefit Code - The unique identifier for each benefit
Benefit Type - determines which details are available on the Benefits Master Detail.

H - Health

L - Life

A - Additional

State Plan - only applies to South Carolina configurations. Used in conjunction with the SC EIP website. Contact Harris Support for the appropriate codes to be used.

Payroll Deduction - identifies which deduction will be updated by each benefit.

Computation Method - specify whether the benefit is calculated as a percent or a variable amount. This should be the same as the the computation method from the Payroll deduction.

Default employer cost - used when adding a new benefit to an employee.

Default premium - used when adding a new benefit to an employee.

Print/Display Order - determines the order that the benefits will appear on screens and reports.

Notes

Heath Benefit Details

Import code This field is used during the import of dependent benefit information. This field is UPPER case

Multi-employer arrangement benefit Visible for benefits with a benefit type of "Health Benefit". Check this option if the benefit meets the requirements of the Interim Guidance Regarding Multi-employer Arrangements for IRS form 1095-C. Employees with this benefit will use code 2E on box 16 of the 1095-C, if applicable and dependents won't be reported on the 1095-C part III.

Employer-sponsored self-insured health plan Visible for benefits with a benefit type of "Health Benefit". Check this option if this benefit meets the IRS requirements for an "Employer-sponsored self-insured health plan" for IRS form 1095-C. Employees with this benefit will have 1095-C part III filled out on the 1095-C report.

Rate Table Tab

Rate tables specify deduction amount changes to premium or employer cost and when to change them.

The effective date is very important and is used in the “Update Insurance Premiums/Benefit Amounts from Rate Tables” option when updating changes to the employee’s records.

Available Interfaces and Options

Interfaces are turned on via the license file using SFConf. Some options/interfaces are also turned on based on some other settings set in system parameters, configuration, or other places.

Colonial

Associated Detail Tab Fields

Colonial code 1
Colonial code 2
EDL code

Harris has added Colonial plan codes to the benefit parameter in order to download more complete information to them. Harris will set the Colonial flags automatically on many of the EIP benefits but there are some benefits that will be more detailed in Colonial and you will need to edit these flags.

These codes were cross-walked based on the EIP codes in the Benefits parameter:

Colonial Plan Code Description EIP Code Status
BASLIF Basic Life SL Cross-walked
BB SHP Standard BB Cross-walked
BD High Deduct Life BD Cross-walked
DD Dental DD Cross-walked
DP Dental Plus DP Cross-walked
ELTC Employee LTC LTC Cross-walked
HN Companion HMO HC Cross-walked
L2 Optional Life Spouse SDL Cross-walked
L4 Optional Life Child DL Cross-walked
SLD180 Supplemental LTD 180 day wait SLTD Verify
SLD90 Supplemental LTD 90 day wait SLTD Verify

These are the Colonial Plan Codes that do not cross-walk to an EIP Plan Code and will need to be set up manually in the Benefits parameter:

Colonial Plan Code Description
DEPC Dependent Care
L1A Optional Life, After tax
L1P Optional Life, Pre tax
GIA Guarantee Issue Optional Life, After tax
GIP Guarantee Issue Optional Life, Pre tax
MEDR Health Care FSA
MPLUS Money Plus
PC Choices POS
SLTC Spouse LTC
BASLTD Basic Long Term Disability

GA Organizations

There are two interfaces associated when the system is setup for GA clients: MPPI Interface and the SPA Enrollment Interface

Associated Detail Tab fields for both GA interfaces

Certified

Associated Detail Tab Fields for MPPI Interface

SHBP option
SHBP tier

Associated Detail Tab fields for SPA Enrollment Interface

SPA code

Troubleshooting

  • If an option isn't viewable, contact support to check the license file.

  • Option to display Additional Benefit Offsets

This option does not have a front end. To change this value must be changed in the database. To do so query the ConfigurationItem table for Category = IB and Name = ShowAdditionalBenefitOffsets. Change ConfigurationItemValue to TRUE or FALSE

Associated Detail Tab Fields - There are 5 amount fields for this on the screen. They do not have descriptive labels.

Reference

Insurance And Benefits
Enter/Edit Insurance and Benefits Master