This field displays the ID of the employee that made benefits elections through a life event user flow in ESS. 

This field displays the life event code assigned to the employee record.

This field displays the benefit package that is used to determine an employee's enrollment options in the life event's user-flow in ESS.

This field displays the date of the life event.

Enter, or click to select, the code for the benefit plan you want assigned to this employee's benefit elections. The benefit plan must already exist in the package that has been assigned to the employee on the Manage Employee Benefit Elections screen.

This field displays the name assigned to the code in the Benefit Plan field.

Enter, or click to select, the coverage option for this employee's benefit plan. The Lookup result load from the Coverage Options subtask of the Manage Benefit Plans screen.

This field displays the name of the Coverage Option.

This check box is selected to indicate that dependents are required for the benefit plan. You can change the value in this field in the Dependent Required field on the Coverage Options subtask of the Manage Benefit Plans screen.

This check box is selected to indicate that dependents are elected to the employee's benefit plan in the Assign Dependents to Benefit Plans screen.

If the Dependent Required field displays Yes, this field displays the dependent eligibility code selected on the Manage Benefit Plans screen. This field does not display unless you are licensed for ESS 7.15 or greater.

Selected dependents must have the same benefit plan as the employee. Valid values are:

• One: This option is selected for one dependent of any type.
• Spouse: This option is for a spouse.
• Children: This option is for any qualified children or step-children.
• Family: This option is for a spouse and at least one child.
• Group: This option is for two or more of any type of dependent.
• Any: This option is for anything else. Costpoint checks to make sure that one or more dependents of any type have been selected.

This field defaults with the date from the Life Event Date. Enter, or click to select, another date if the start date is not the same as the Life Event Date.

This field defaults with the date from the Current Plan Year End Date field on the Manage ESS Company Settings screen for the taxable entity that is assigned to the employee. 

This field displays the coverage amount for which the employee is eligible. Costpoint calculates this value using the settings for the coverage option from the Coverage Options subtask of the Manage Benefit Plans screen.

This field displays the name of the benefit type.

This field displays the premium amount that is deducted from the employee's paycheck. Costpoint calculates this value using the settings for the coverage option from the Coverage Options subtask of the Manage Benefit Plans screen.

Enter the primary care physician's name or identifying information in this field.

Enter the primary care physician number in this field.

This check box is selected if the ESS election is saved in the system.

This check box is selected if the ESS election was confirmed in the system by the ESS Administrator in this screen or by the employee in ESS.

If the benefit plan requires approval (that is, the Requires Approval check box is selected for the benefit plan on the Manage Benefit Plans screen), this field displays Yes or No to indicate whether or not the ESS election was approved by the ESS Administrator. You can change this value. However, if the benefit plan does not require approval (that is, the Requires Approval check box is not selected for the benefit plan), this field displays N/A (Not Applicable), and cannot be changed to Yes or No. If you set this field to Yes for the selected benefit option line and save the record, the Approved field in the Edit Dependent Elections subtask is also set to Yes for all dependent election lines.