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HCM 8.9 Benefits Administration Processing Guide DRAFT
Business Process Guide
REVISION CONTROL
Document Title: HCM 8.9 Business Process Guide: Ben Admin Processing Guide
Review/Approval History
Table of Contents
Page
Introduction.................................................................................................................................................. 1
Business Process Workflow Diagram.......................................................................................................... 2
Process Prerequisites/Assumptions............................................................................................................. 2
1.0 Fields used by Ben Admin - Ben Admin Triggers.............................................................................3
2.0 Ben Admin Triggers - Personal Information.......................................................................................5
2.1 Personal Information............................................................................................................... 5
3.0 Ben Admin Triggers - Job................................................................................................................. 6
3.1 Job Information....................................................................................................................... 6
4.0 Ben Admin Triggers - CSU Job........................................................................................................ 8
4.1 CSU Job.................................................................................................................................. 8
5.0 Ben Admin Triggers – Benefit Program Participation........................................................................9
5.1 Benefit Program Participation.................................................................................................. 9
6.0 Processing Overview....................................................................................................................... 10
7.0 Reviewing BAS Activity................................................................................................................... 10
7.1 BAS Activity........................................................................................................................... 11
8.0 Batch Processing............................................................................................................................. 12
9.0 Ben Admin Daily Tasks................................................................................................................... 13
10.0 Event Maintenance.......................................................................................................................... 17
10.1 Using the CSU Benefit Summary.......................................................................................... 17
10.2 Using the Processing Controls Update Pages......................................................................20
10.3 Event Coordination................................................................................................................ 21
10.4 Voiding Disconnected Events................................................................................................22
10.5 Reprocessing........................................................................................................................ 23
11.0 Transactional/ Processing Impacts.................................................................................................. 27
11.1 Use of Correction Mode........................................................................................................ 27
11.2 Impact of Entering Retroactive Transactions.........................................................................27
12.0 Manual Events Using BAS_ACTIVITY............................................................................................ 27
13.0 Troubleshooting............................................................................................................................... 27
Introduction
The Ben Admin Processing Guide provides an overview of the Benefits Administration processing rules.
Benefits Administration allows you to manage your benefit enrollment activity through automated
processes. This guide is designed for staff in central Human Resources (HR) and Academic Personnel
offices that enter job data information into the Oracle/PeopleSoft application for HR. It will review key
processing fields used to determine eligibility.
There are four basic phases in the Benefits Administration process:
Prepare Schedule - determine the population;
Assign Program - determine benefit program eligibility
Prepare Options - prepare enrollment options
Validate and finalize - validate and load the elections to Base Benefits.
All data keyed into Personal and Job data, once saved, is used to determine benefits eligibility. Therefore,
data must be entered accurately the first time. As of the effective date of a new hire in the system, all
fields should be entered, including current local address, SSN and date of birth. Any omission of this data
will impact the timely enrollment of the employee into their benefits. When data is saved, a
BAS_ACTIVITY row is created which will be used in the automated benefits process.
NOTE: Once a campus has implemented Benefits Administration, access to update the Base Benefits
tables manually should be restricted or eliminated. This is due to the fact that Ben Admin will process
events and write the results to the Base Benefits tables. In addition, Ben Admin processing tables stores
information related to the event processed. If the Base Benefits tables are updated manually, this will
cause the Ben Admin processing tables to be out-of-sync and may create issues with other integrated
processes that rely on this information, i.e. SCO Interface process.
As stated in the Ben Admin Implementation Guide, CMS only recommends that a campus allow the Base
Benefits tables to be updated manually for enrollments prior to the Ben Admin Start Date. If a campus
has a need to update this Base Benefits tables manually they should LOG A HELP DESK TICKET and report
the issue to CMS.
Overview On Demand
Ben Admin
Event
COBOL Snap Shot
Processing Processing
Process Events
CSU Pre-
Processing
Schedule Assign Program Prepare Options Election Entry Validate & Finalized Finalize Enrolled CSU Printing A
Vis
PSBARUN
io
BAS003.SQR
n
O
CSUBAS01.SQR Disability CSU SCO Dental
nl
y
PSBARUN Benefits Form
CSUBAS02.SQR
CSUBAS06.SQR
BAS003.SQR Print CSU Batch
BAS008.SQR Dental Form
BAS027.SAR
Life AD/D CSU Flex Cash Form
Benefits
Savings
Plans
CSU SCO Interface CSU SCO FERP
Inquiry Vision Deduction
CSU TSA Form
USA FSA
Benefits
Process Prerequisites/Assumptions
Prerequisite/Assumption Detail
Ben Admin has been implemented Ben Admin is turned on the Installation Table and the Ben Admin Start date
has been set.
Effective Date
1. Many of the Event Rules are
running off of the date entered.
Note the date as you process
benefits and identify your
expected results.
Birth Date
2. This filed is used to
determine age limit processing.
It is required for proper
assignment of the Benefit
Program.
SSN
3. SSN
Gender
4. Gender
Postal Code
5. Postal Code is used to
determine eligibility based on
geographic location.
State
6. The State information is used to
determine eligibility based on
geographic location.
Job Code
5. This field is used to determine
eligibility. This value is stored in
Elig Config 2.
Empl Class
FTE
7. FTE used to determine
Benefit eligibility. For employees
with one active job, the system
will look at FTE to determine if
the minimum FTE requirement
has been met. For employees
with more than one active job,
the system will combine the
FTEs for all benefits-eligible jobs
and determine if the minimum
FTE requirement is met.
Union Code
8. This field is used to
determine eligibility. It auto
populates when a position is
entered. This field should not be
overridden.
Employee Type
9. Employee Type is one of the
factors used in looking at
multiple jobs to determine which
job is primary.
Pay Group
10. Pay Group used to determine
program eligibility. It drives
benefits for AY employees.
Duration of Appointment
This value is used to
determine if a temporary
employee meets the eligibility
criteria for duration. Elig Config
1 is updated to a “Y” (Yes) or “N”
(No).
Benefit System
2. This value will default to
Benefits Administration.
Eligibility Config 1
3. This field is automatically
populated after the custom Ben
Admin process is run. This field
will be set to a Y if the employee
meets the duration requirement,
otherwise it will be set to N.
Eligibility Config 2
4. This is the employee’s job
code. This field is populated on
the Save.
Benefit Program
6. This value should initially be
set to “NOB”. (Default is set to
“NOB” in Pay group). It will be
populated with the appropriate
benefit program after the Ben
Admin process runs.
Delete unprocessed activities—a capability used on a very exceptional basis. It may become
useful to delete certain transactions prior to processing. For example, if a person’s hire date is
corrected on the same day it is entered the incorrect transaction can be deleted to avoid a
disconnected event.
The Business Process guide for reviewing BAS Activity is located on the CMS Website at:
http://cms.calstate.edu/T2hr89bp.asp
EmplID
2. The ID of the employee you
are adding a manual event for.
Name
3. Name: The name of the
employee you are adding a
manual event for.
4. Action Source: This will default
to Manual whenever you key a
manual event. In the example
above, you also see sources of
JobChg and MultJobChg,
indicating that changes on one
or more job records have caused
an update to occur.
5. Empl Rcd #: The Employment
Record Number from Job is
displayed.
6. Event Date: The Event Date is
the effective date of event.
7. Event Effseq: If there are
multiple events on the same day,
an effective sequence must be
used. If there is only one event,
the default of 0 can remain.
8. BAS Action: This is the Benefits
Administration System action –
mapped to Job action/reasons.
Depending on the type of event,
only certain benefits can be
updated/added. When entering
AS - Program Eligibility Participant event is Typically an event will not Event will continue on in the
Assigned assigned to a benefit stay in an AS status. It will process through the prepare
program. – Process continue on in the options step. The outcome
Successful process. However, if you will depend on the
see an event at the AS associated participant's
process status after Event eligibility for benefit options.
Maintenance Runs, it
means that there are
employees being
processed who have
more than one event
Program Assignment
AN - Program Eligibility Participant event is not You should not see Events with an AN status will
Assigned None assigned to a benefit events in a status of AN. continue on through the
program. Run the Eligible process and end at a
Participants report to finalized – Assigned None
evaluate employees who (FA) status if current
are eligible but not being elections have not been
assigned to a program. made. If elections exist in
Base Benefits the system will
assign them to a prepared
status for action on the
elections. All employees
should fall into a program
assignment.
AE - Program Eligibility Participant event is Employee is eligible for The system cannot process
Assigned Error assigned to multiple more than one Benefit the participant event through
programs. Program. You'll most the next stage (Option
likely need to make Preparation) until you correct
corrections to participant the errors. Each time you run
personal, employment or Benefits Administration, the
job information or to system will reevaluate events
program eligibility with an AE designation and
information. Check (try to) move them along in
Benefit Record number the process.
assignment and evaluate
job data for cross
bargaining unit instances.
If the employee is
qualified for more than
one program EmplID
override is necessary.
Prepare Options
PR - Prepared The system has Event requires Election The batch process that runs
calculated eligible options Entry or finalization. at night will force finalize
for the participant prepared events so that
associated with the event, automated benefits can be
and current elections written to base benefits. The
have been identified for system will bring the event to
default processing. a process status of FE
(Finalized - Enrolled)
When processing manual
events this status will be
viewed in On Demand.
Enrollment processing will
stop until elections are
entered.
Prepare Options
FP - Finalized - System has assigned Event did not change No further processing will
Prepared None participant event to a eligibility. Prepared none occur for this participant
benefit program, but the should indicate no event. The online page
associated participant is change in benefits. No description for this process
ineligible to elect any new further action required. status (on the Schedule
options. Summary page, for example)
is Prepare None.
PE - Prepare Error The system has To correct, you should Each time you run Benefits
encountered an error make corrections to the Administration, the system
during option preparation personal/employment/job will reevaluate events with a
for the participant information of the PE designation and (attempt
associated with the event. associated participant or to) move them along in the
Events are given a PE to plan and option Benefits Administration
process status during eligibility information. process.
option eligibility
determination or
calculation of credits.
Entering Elections
ET – Entered A benefits administrator Event needs finalization. If the validation process finds
has entered the no errors with the elections,
participant's new the elections will be posted
elections into the system to the appropriate benefit
and they are ready for and payroll tables, and the
validation by the Benefits system will update the
Administration process. process status to FE
(Finalized - Enrolled).
On the other hand, if there
are errors with the elections,
if any of the employee's
choices are invalid, event
rules will be consulted to
determine whether current
elections or defaults should
be loaded. The system will
set the process status to EE
(Elections Error).
EE - Election Error System encountered an You will need to correct No further processing will
error in processing the the errors by reentering occur for this participant
elections for the employee elections. event. When the Benefits
Entering Elections
list the benefits the employee is currently enrolled in and future benefit enrollments. The current benefit
enrollments are highlighted in blue for easy reference.
The Review Employee Benefits-CSU Benefits Summary Business Process Guide provides instructions
for the user to review employee and benefits information through the custom CSU Benefits Summary
page.
The Business Process guide for reviewing the CSU Benefits Summary pages is located on the CMS
Website at: http://cms.calstate.edu/T2hr89bp.asp.
Navigation: Home > Benefits> Review Employee Summary >CSU Benefits Summary
Employee Summary
The employee summary gives a recap of job data key fields that are used to determine benefits eligibility.
Event out of Sequence flag indicates that the eligibility information for this event may have changed and
therefore the event might need to be reprocessed.
Disconnected
This flag indicates that the Job, Personal Data, or Job Labor record that created this event has been
deleted, or one or more of the eligibility records does not exist.
When the system flags a participant event as being disconnected, it means that information that the
system uses to track and/or process the event was deleted at some point after the event was triggered.
Once an event is disconnected, it can no longer be processed by the system, except to be voided. There
are two ways a participant event can become disconnected: when the changed HR record that previously
triggered the event is deleted, and when one or more HR records needed for eligibility processing do not
exist. A common example of a disconnected event is a correction to the effective date. Generally, once a
participant event becomes disconnected, it will no longer be picked up by the system. The disconnection
needs to be analyzed to determine what impact it might have on the benefit processing of the employee
associated with the event. However, if an event is disconnected after it is finalized, you may want to void
the event through reprocessing.
Example: The effective date on an employee's HIR job row is changed from June 1, 2008 to June 5, 2008.
Two Bas Activity rows are created: one for the soon-to-be-disconnected June 1, 2008 row, and one for the
about-to-be-created June 5, 2008 row. The original June 1,2008 row will be disconnected, and the new
June 5, 2008 row will be set to open and prepared.
If the original (now disconnected) event is in a Finalized-Enrolled (FE) status, then the employee has
already made their benefit elections. Any disconnected events in FE status need to be voided so that the
elections posted by that event will be rolled back. Be sure to write down the employee's benefit choices
before voiding the event, as these elections will be lost once the void is complete.
10.5 Reprocessing
Reprocessing can be necessary in a number of instances. For example, you may want to reprocess an
event when it is processed out of order or when eligibility information related to the event has been
changed. You might also need to reprocess the event when a family status change occurs. You can
reprocess the employee’s event to any previous stage of the Benefits Administration cycle.
Analyze the situation carefully before you reprocess: for example, if you have an ET (Entered) event and
you reprocess it to an AS (Assigned) status, the system backs out all the election information you entered
for the event.
The system moves the event through the process again. If an event is reprocessed back to AS process
status, the system then attempts to process the event all the way to the Prepared ( PR) process status, where
it will await the printing of enrollment forms and data entry of employee elections. Option eligibility,
costs, credits, defaults, and pre-entry values are rechecked.
Listed below you will find steps to reprocess the following events:
A job reclassification changing employees benefits eligibility.
A family status change such as marriage, birth, divorce or dependent turns over age 23.
Example: Job Reclassification occurs changing employees benefits eligibility.
Steps to reprocess an open enrollment event back to Assigned:
1). Change the Event Status to “Assigned” and “Open” and save.
2). Reprocess the event through on-demand and re-enter the benefits elections:
Benefits Administration gives you the capability to reprocess an event to any stage of the Benefits
Administration cycle, as long as the stage you want to reprocess it to precedes the stage the event is
currently at. For example, if you have an event at the PR (prepared) process status, you can arrange to
reprocess it back to the AS (assigned) process status, but you can't reprocess it to an ET (elections
entered) process status. In short, you can't reprocess an event to a future process state.
When a participant event is reprocessed, the system backs the event out to the stage indicated on either
the process status Update - Controls page or the Event Status Update page essentially returning the event
to the exact state it was in when it was last at the specified process status. So if an event at ET (elections
entered) status and you reprocess it to an AS (assigned) status, the system backs out all of the election
information you entered for it, disregards all of the options it had prepared for the event, and takes the
event back to the stage it was in when it was simply scheduled and assigned to a benefit program.
When you reprocess an event, the system takes the event back to the state you've indicated, and then it
runs the event through the process again. The system will attempt to move the event as far along the
process status flow as it can. For example, if you tell the system to reprocess an event back to the AS
process status, the system will first back the event out to the AS status and then attempt to process the
event all the way down through the process status flow. During this time, option eligibility, defaults, and
pre-entry values will be rechecked.
When you tell the system to reprocess events that have already been finalized and loaded the system will
bring the event to an interim process status called RE (reenter). You'll reenter data entry for the
participant event and then the system will attempt to validate and load the elections to get the event back
to the ET status.
You control reprocessing for selected participants by your entries on the participant event control fields.
The events allow you to enter values for process indicator and event status. Benefits Administration will
use your entries to reprocess the participant's event. The table below lists the processing completed by the
system in response to your reprocess request in the Process Indicator field.
Assign Pgm (assign benefit program) Event Status must be equal to Open.
Schedule assignment will not be reviewed.
Elections for participant events will be rolled back (deleted) from the
Base Benefit enrollment tables. Elections will not be retained (in
BAS_PARTIC tables) for the participant events.
Program eligibility will be rechecked.
Option eligibility, defaults and pre-entry will be recalculated.
The system will attempt to reprocess participants to a PR (prepared)
Process Status.
Re-Enter You'll use this Process Indicator value to correct election errors for
finalized events with enrollment information that has been loaded to
benefit tables.
Event Status must be equal to Open.
Schedule assignment, program assignment and option eligibility will not
be reviewed.
The system will roll back elections back from Base Benefit enrollment
tables. It will retain your elections for this event in the BAS_PARTIC
table. The system will leave the event at a Process Status of RE
(Reenter).
When you post election changes to the Data Entry component, the
system will update the Process Status to ET (entered).
Void The system will update the Event Status to Void, and will remove the
event from processing. The system will not review schedule assignment,
program assignment and option eligibility. If the event is in a Process
Status of Enrolled, elections will be rolled back from Base Benefit
enrollment tables. The system will retain your prior elections for this
event in the BAS_PARTIC table. The system will leave the event at a
Process Status of Re-Enter.
Note: Based on the event classification, paperwork not submitted and/or returned in a timely manner,
may be subject to a 90 day waiting period for enrollment. Ben Admin does NOT calculate this
information for you. Follow current procedure to calculate the date and enter the Event Date accordingly.
13.0 Troubleshooting
The Ben Admin Troubleshoot Guide is provided to detail actions to take and what to look for during the
Benefits Administration process. The guide provides actions to take against errors or reports and details
the Benefits custom reports that have been incorporated into the delivered PeopleSoft Benefits
Administration process. The troubleshooting guide provides information on each of the reports to provide
as assistance in resolving problems identified on these reports.
The Ben Admin Troubleshooting guide contains information on the reports that fall within the Ben
Admin process, information about the report, and some tips and tricks on what to look for and how to
handle an error situation. Users who review the reports will need to thoroughly review reports to make
sure nothing is missed on a daily basis. The processes and reports are listed according to the different
levels of processing that occur throughout the nightly batch process:
Benefits Administration Pre-Processing
CSUBAS01 – CSU Benefits Administration Pre-Processing
Benefits Administration Post-Processing
CSUBAS02 – CSU Benefits Administration Post-Processing
•Eligible for Benefits but Terminated Plans
•JOB Changes Prior to Ben Admin Start Date
Benefits Administration Audit Reports
BAS003 – Benefits Administration Preparation and Election Errors Report
CSUBAS27 - Employee Processing Status Report Summary
CSUBAS08 – Report on Flagged Items
The Ben Admin Troubleshooting guide also contains information on the following delivered reports:
BAS010 – Ineligible Participants Report
BAS001 – Eligible Participants Report
BAS006 – Missing Elections Report
The Ben Admin Troubleshooting guide is located on the CMS Website at:
http://cms.calstate.edu/T2hr89bp.asp.
Ben Admin processing guides are available on the CMS website and provide steps to investigate
exceptions, review eligibility results, perform participant election entry, print enrollment statements,
process on-demand event maintenance, review BAS Activity, run automated event processing, review
processing results and on running the various CSU reports and interfaces. The Ben Admin processing
guides listed below are located on the CMS Website at: http://cms.calstate.edu/T2hr89bp.asp.
Investigate Exceptions-Review Eligibility Results
Participant Enrollment-Perform Election Entry
Participant Enrollment-Print Enrollment Statement
Process Events-CSU On-Demand Event Maintenance
Process Events-CSU On-Demand Pre-Processing