EmployerBenefitPlanGroup
The table contains information about your employer groups. An employer group is a unit of a corporation or company made up of employees who share the same benefit plan.
| Column Name | Type | Description |
|---|---|---|
| EmployerGroupCorporationIdentifier | VARCHAR | The ID of the corporation to which the employer group is linked. |
| BenefitEligibilityStartDate | DATETIME | The earliest date on which the employees who make up the group are eligible for benefits. |
| EmployerGroupDistrictCategoryIdentifier | INTEGER | The district category ID for the employer group. |
| RepriceClaimsForNonEnrolledMemberIndicator | VARCHAR | Specify if the employer group supports to reprice claims without a member. |
| IndividualPremiumBillingIndicator | VARCHAR | Specifies whether the employer group uses individual premium billing (where invoices are sent to individual subscribers as opposed to the group). |
| EmployerGroupGracePeriod | NUMERIC | Grace period for the employer group. |
| IdentificationCardDefaultPrintQuantity | INTEGER | Specifies the default number of ID cards to print for members of the employer group. |
| RequestExclusionProgrammingPointIdentifier | NUMERIC | Specifies a programming point that is used to exclude certain requests for ID cards from actually creating the ID cards.The name of the programming point is specified in the column RQST_EXCL_PPT_NM. |
| HraRiskPoolIdentifier | NUMERIC | The HRA risk pool used for the HRA payment. |
| IsIdentificationCardPrintingEnabledForGroup | INTEGER | Specifies whether ID card printing has been turned on for the employer group. |
| EmployerGroupTransferStatus | INTEGER | Stores the current status of the employer group transfer that the Employer Group Transfer Coverage utility is doing. |
| FederallyFacilitatedMarketplaceStandardGroupIdentification | VARCHAR | This column stores the standard employer group used for Federally-facilitated Marketplace (FFM) cost-sharing reduction (CSR) reconciliation. |
| ClaimsExpenseGeneralLedgerCode | VARCHAR | Claims expense GL code segment |
| ExplanationOfBenefitsRichTextFormatSmartTextIdentifier | VARCHAR | Contains the SmartText format used by EOB Reports. |
| EmployerGroupMedicareAdvantageSubtypeCategoryId | INTEGER | The Medicare Advantage plan subtype category ID for the employer group. |
| EmployerGroupAddressLineTwo | VARCHAR | Street address line 2 of the employer group address. |
| EmployerGroupRecordStatus | INTEGER | Record status. |
| CalculatePremiumRateUsingCoverageEffectiveDateFlag | INTEGER | Determines how the age is calculated for a member during premium rate calculation. |
| InitialPayorIdentification | NUMERIC | The ID of the payor to which the employer group was initially linked. |
| EmployerGroupAccountType | INTEGER | Account type of the employer group. |
| EnrollmentCustomizationSmartformIdentifier | VARCHAR | LQF record for customizable additional items for enrollment. Populating this on the Employer Group will add a customized activity with additional required items to the enrollment process. |
| EmployerGroupName | VARCHAR | This is the outward-facing name of the employer represented by this employer group. |
| EmployerGroupTransferCopyCoveredThroughIndicator | VARCHAR | Stores the checkbox value of the "Copy Covered Through information" checkbox in the Employer Group Transfer Coverage utility. |
| PremiumBillingExpenseGeneralLedgerCodeSegment | VARCHAR | Premium billing expense GL code segment |
| GroupProductUsageCategory | INTEGER | The product usage category ID that indicates whether the group's product is administered within Tapestry (i.e. can be used in AP claims and/or premium billing workflows) or non-administered (i.e. used only for enrollment and eligibility). |
| EmployerGroupHealthReimbursementArrangementCategoryIdentifier | INTEGER | The Use HRA category ID that is associated with the employer group. |
| EmployerGroupTransferTerminationReason | INTEGER | Stores the "Reason for termination from previous PPG" in the Employer Group Transfer Coverage utility. |
| PremiumBillingCycleIdentifier | VARCHAR | Specifies the unique ID of the premium billing cycle to which the employer group belongs (if set up for individual billing). |
| GenerateIdentificationCardOnTransferIndicator | VARCHAR | Stores the checkbox value of the "Generate ID card request" checkbox in the Employer Group Transfer Coverage utility. |
| PremiumRateAgeCalculationMethod | INTEGER | Select the method to determine the ending date for age calculation during premium rate calculation |
| EmployerGroupIsRepresentativeIndicator | VARCHAR | Indicates whether an Employer Group is representative of other Employer Groups for Price Transparency purposes. 'Y' indicates that the Employer Group is representative. 'N' or NULL indicate that it is not representative. |
| QuarterlySummarySmartTextIdentifier | VARCHAR | Contains the SmartText format used by Quarterly Summaries |
| EmployerGroupGovernmentProgramCategory | INTEGER | The category ID for the government program to which the employer group belongs. |
| EmployerIdentifier834Transaction | VARCHAR | Stores the employer identifier for the in the sponsor loop in ANSI 834. |
| CapitationPaymentExpenseGeneralLedgerCode | VARCHAR | Capitation payment expense GL code segment |
| EmployerGroupZipCode | VARCHAR | ZIP Code of the employer group address. |
| PlanGroupFamilyComposition | INTEGER | For example, for a tiered deductible product, distinguishing Employee Only vs Employee + Spouse, etc. |
| IndividualBillingInvoiceFormatIdentification | VARCHAR | Specifies the unique ID of the premium billing invoice format to use (if set up for individual billing). |
| EmployerGroupTransferEffectiveDate | DATETIME | Stores the "Effective Date" in the Employer Group Transfer Coverage utility. |
| EmployerPlanIdentifier | VARCHAR | External identifier of this group, defined by the employer. |
| EnrollmentLineOfBusinessIdentifier | VARCHAR | The unique ID of the line of business used for enrollment in this employer group. |
| EmployerGroupPhoneNumber | VARCHAR | Phone number of the employer group. |
| Ansi834IssuerGroupNumber | VARCHAR | The issuer group number in the coverage loop in the ANSI 834 file. |
| OnDemandIdCardFormatIdentifier | VARCHAR | Specifies the ID of the ID card format to be used when requesting ID cards on-demand for members of the employer group.The name of the ID card format is specified in the column IDCARD_DMND_LRP_NM. |
| PlanWebEnrollmentType | VARCHAR | Web enrollment plan type for this plan group. |
| EmployerGroupAnniversaryDate | DATETIME | Anniversary date for the employer group. |
| EmployerGroupIdentifier | VARCHAR | The unique ID assigned to the employer group. |
| EmployerGroupCountryCategoryIdentifier | VARCHAR | The country category ID for the employer group |
| RidersTrackedAtCoverageLevelIndicator | VARCHAR | Yes/No flag to indicate that riders are tracked at the coverage level |
| PremiumBillingAccountIdentifier | VARCHAR | The unique ID of premium billing account to which the employer group belongs. |
| PhysicalDeploymentOwnerIdentifier | VARCHAR | ID of the physical deployment owner for this record. Physical owners will be where the data is hosted, either on the cross-over server or the owner deployment. |
| EmployerGroupIdentificationCardType | INTEGER | Specifies the type of ID card used for the employer group. |
| QuarterFourCarryoverIndicator | INTEGER | Indicates whether coverages created with this employer group do Q4 carryover. Always indicates Q4 carryover is performed. Never indicates Q4 carryover is not performed. NULL indicates that the coverage will determine whether to perform Q4 carryover based on settings in the MOOP/Deductible definition. |
| BenefitCarryoverNumberOfDays | INTEGER | If the override carryover method is number of days this item stores the number of days that should be used to determine carryover. |
| EmployerGroupAddressLine1 | VARCHAR | Street address line 1 of the employer group address. |
| EmployerGroupTerminationReason | INTEGER | If the employer group is terminated, reports the reason for the termination. |
| EmployerGroupName | VARCHAR | The name of the employer group record |
| EnrollmentPopulationType | VARCHAR | The type of employees expected to be enrolled. For example: IT Non-Executive, Hourly, or Retiree |
| EmployerGroupCarryoverOverrideType | INTEGER | The carryover override type for the employer group. |
| EmployerGroupCity | VARCHAR | City of the employer group address. |
| EmployerGroupHouseNumber | VARCHAR | The house number for the location of a employer group. |
| BatchIdentificationCardFormatIdentifier | VARCHAR | Specifies the ID of the ID card format to be used when requesting ID cards in a batch for members of the employer group.The name of the ID card format is specified in the column IDCARD_BTCH_LRP_NM. |
| LogicalDeploymentOwnerIdentification | VARCHAR | ID of the logical deployment owner for this record. Logical owners show the deployment where the record was created but doesn't represent if the record is a part of version skew. |
| EmployerGroupSalesExecutiveUserIdentifier | VARCHAR | Unique user ID of sales executive for the employer group. |
| PaidClaimExplanationOfBenefitsSmartTextIdentifier | VARCHAR | SmartText record to use as a template to generate Explanation of Benefits (EOB) document for a paid claim. |
| PlanBenefitPackageSegmentIdentifier | VARCHAR | This column contains the identification number of the segment of the Plan Benefit Package. |
| EmployerGroupAddressState | VARCHAR | State of the employer group address. |
| DefaultMemberNetworkIdentification | VARCHAR | The default network used for the members linked to this coverage if Use Member Selected Networks (HDF 18885) is set to Yes. This network is used if the member has not yet selected a Network in their coverage. |