Dependent Information Screen

Button Name Function New Dependent This will clear all data from the data entry fields so you can enter a new dependent. Save Changes This will save a newly entered dependent or an modifications to a current dependent to the database. Delete This will delete the currently displayed dependent. To change which dependent is currently displayed, you must select which dependent you wish to view, in the Employee Detail screen.   Parameter Name Function Last Enter the dependent's surname here. First Enter the dependent's first name here. MI Enter the dependent's middle initial here. DOB Enter the dependent's date of birth here, in MM/DD/YYYY format. SSN Enter the dependent's SSN here. Sex Enter the dependent's Sex here. Rel Enter the dependent's Relationship to employee (SPO- spouse, SON- son, DAU- daughter, OTH- other). Dependent General Notes (* for claims flag) Enter any miscellaneous information here. The maximum size of the note is 99 characters. Dep Beg Enter the date the individual became a dependent of the employee here, in MM/DD/YYYY format. Dep End If there is one, enter the date the individual stopped being a dependent of the employee, here, in MM/DD/YYYY format. Access Flex Plans When this is selected, all changes to employee information will also be changed in their flex account. Plan #1 Indiciate if coverage of the other insurance provider covers the dependent. Plan #2 Indiciate if coverage of the second other insurance provider covers the dependent. Other Coverage Notes Enter any other notes regarding coverage here. The maximum size of the note is 120 characters. Student Indicate if the dependent currently has student status. School Enter which school the dependent is attending, if any. Verified to Enter the date which the dependent has been verified as a student to, in MM/DD/YYYY format. Reg. Phone Enter the phone number including area code, of the school where the dependent studies. Student Comments Enter any other comments regarding the dependents student status here. The maximum size of the note is 99 characters. Disabled Indicate if the dependent is disabled. Verified to Enter the date which the dependent has been verified as disabled to, in MM/DD/YYYY format. Disabled Comments Enter any other comments regarding the dependent's disabled status. The maximum size of the note is 99 characters.