Parameter Name
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Function
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Last
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Enter the dependent's surname here.
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First
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Enter the dependent's first name here.
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MI
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Enter the dependent's middle initial here.
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DOB
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Enter the dependent's date of birth here, in MM/DD/YYYY format.
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SSN
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Enter the dependent's SSN here.
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Sex
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Enter the dependent's Sex here.
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Rel
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Enter the dependent's Relationship to employee (SPO- spouse, SON- son, DAU- daughter, OTH- other).
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Dependent General Notes (* for claims flag)
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Enter any miscellaneous information here. The maximum size of the note is 99 characters.
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Dep Beg
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Enter the date the individual became a dependent of the employee here, in MM/DD/YYYY format.
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Dep End
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If there is one, enter the date the individual stopped being a dependent of the employee, here, in MM/DD/YYYY format.
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Access Flex Plans
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When this is selected, all changes to employee information will also be changed in their flex account.
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Plan #1
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Indiciate if coverage of the other insurance provider covers the dependent.
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Plan #2
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Indiciate if coverage of the second other insurance provider covers the dependent.
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Other Coverage Notes
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Enter any other notes regarding coverage here. The maximum size of the note is 120 characters.
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Student
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Indicate if the dependent currently has student status.
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School
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Enter which school the dependent is attending, if any.
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Verified to
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Enter the date which the dependent has been verified as a student to, in MM/DD/YYYY format.
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Reg. Phone
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Enter the phone number including area code, of the school where the dependent studies.
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Student Comments
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Enter any other comments regarding the dependents student status here. The maximum size of the note is 99 characters.
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Disabled
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Indicate if the dependent is disabled.
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Verified to
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Enter the date which the dependent has been verified as disabled to, in MM/DD/YYYY format.
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Disabled Comments
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Enter any other comments regarding the dependent's disabled status. The maximum size of the note is 99 characters.
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