Terminating a Subscriber's Coverage
Changing a Subscriber’s Termination Date
Reinstating a Subscriber
Communication Logs II: Creating Logs
Troubleshooting Eligibility Problems
The dependent's record must be active before a change can be made. If the Subscriber's record is terminated, should be active, and needs one or more changes, first use the Reinstate function, then return here to make the necessary changes.
A Subscriber's SSN cannot be changed using the Change Subscriber's Information function. If a Subscriber's SSN is incorrect, use the Add A Subscriber function.
If the Subscriber is terminating ALL coverages, use the Terminate a Subscriber function.
Information required to make a change to a Subscriber's coverage.
Date format: All dates must be entered in YYYYMMDD format.
Field level help: Each input field offers field level help which provides information concerning what data should be entered.
PF keys: Several helpful functions offered in *SGELIG are accessed through the PF keys. PF1 lists these keys and functions.
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Access the 111 Screen |
Type ‘111’ in the command line, a space and the Subscriber's SSN. Press ‘Enter.’ | |
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Access the CHANGE Subscriber function screens |
Type ‘CHANGE’ in the ACTION Command line located in the center of the 111 Screen. Press 'Enter.' |
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BIOGRAPHICAL Screen |
If the Subscriber's name needs to be changed, enter the corrected
name in the appropriate fields.
If the Subscriber's date of birth needs to be changed, enter the corrected date in YYYYMMDD format. If the Subscriber's gender code is incorrect, enter the corrected gender code, M or F, in the GENDER field. If the Subscriber's US citizenship status needs to be changed, enter a 'Y' for 'Yes, a US citizen,' an 'N' for 'No, not a US citizen,' or leave blank if citizenship is unknown. Press 'Enter.' |
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DEMOGRAPHIC Screen |
If the Subscriber's address information needs to be changed, enter the corrected information in the appropriate spaces. Street address, city, state and zip code are required for domestic addresses. If the Subscriber's address is foreign, type a 'Y' in the blank next to the question 'IS THIS A FOREIGN ADDRESS?' and zip code will not be required. If the street address is longer than the field immediately to the right of the word ADDRESS, use the second address field located directly below the first one. As needed, answer the questions by typing a 'Y' for 'Yes' in the blank to the right of the question, or by leaving blank for 'No.' IS THIS A PRIVATE ADDRESS? Answer yes, 'Y,' if the Subscriber has requested his/her address to be kept private and protected from public record requests. IS THIS A PRIVATE PHONE? Answer yes, 'Y,' if the Subscriber has requested his/her phone number to be kept private and protected from public record requests. If the Subscriber's smoker's designation has changed, enter 'Y' for 'Yes, a smoker,' 'N' for 'No, not a smoker,' or 'U' if smoker designation is 'Unknown.' Press 'Enter.' |
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EMPLOYMENT Screen |
If the Subscriber's eligibility status has changed or is incorrect, enter the corrected code in the ELIGIBILITY STATUS field. If you do not know the correct code for the Subscriber's eligibility status, access field level help to find the status that describes the Subscriber's situation. If the benefit and/or the employment effective dates are inaccurate, enter the correct dates in these fields in YYYYMMDD format. If any of the following information is incorrect or now available, enter it in the appropriate blank(s): JOB CLASS CODE, STATE SERVICE MONTHS, CAMPUS MAIL CODE, WORK PHONE/EXT, FAX NUMBER, E-MAIL, EAM CODE, EEO CODE, FLSA EXEMPT. Press 'Enter.' |
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MEDICAL Screen |
If the selection code has changed or is incorrect, type the appropriate Selection Code in the SELECTION CODE field. If the Subscriber's zip-code exception status has changed, type an 'X' in the ZIP-CODE EXCEPTION field for an approved exception, or remove the 'X' if a previously approved exception is no longer valid. If a change has been made to the Subscriber's medical coverage, change the ACTION CODE to 'CH' for change. If the Subscriber has had a change in EOI status, enter the appropriate ACTION REQUIRED code and ACTION REASON code. If you don't know the appropriate codes, access field level help to find them. If the medical coverage plan has changed or is incorrect, type the corrected code in the PLAN field. If you don't know the valid medical coverage plan codes for the Subscriber's zip code, access field level help to find the valid medical plan codes. If the Subscriber's level of coverage has changed or is incorrect, enter the correct level code in the LEVEL field. If you do not know the valid level codes, access field level help to find them. Check the EFFECTIVE DATE to ensure it is accurate. If it is incorrect, type the corrected date in the EFFECTIVE DATE field in YYYYMMDD format. If the Subscriber has terminated medical coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. If the Subscriber has had a change in EOI status, enter the appropriate EOI DATE and EOI CODE. If you don't know what date or code to enter, access field level help for more information. Press 'Enter.' |
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DENTAL Screen |
If the selection code has changed or is incorrect, type the appropriate Selection Code in the SELECTION CODE field. If a change has been made to the dental coverage, change the ACTION CODE to 'CH' for change. If the dental coverage plan code has changed or is incorrect, enter the correct code in the PLAN field. If you don't know the valid dental coverage plan codes for the Subscriber's zip code, access field level help to find the valid dental plan codes. If the level of coverage has changed, enter the correct code in the LEVEL field. If you do not know the valid level codes, access field level help to find them. If the Subscriber has terminated dental coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. Press 'Enter' |
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VISION Screen |
If the Subscriber has elected new or is changing existing Vision coverage,
If the Subscriber is terminating existing Vision coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. Press 'Enter.' |
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AD & D Screen |
If the Subscriber has elected new or changed existing PAI (AD&D) coverage, follow the steps listed below.
If the Subscriber is terminating existing PAI (AD&D) coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. |
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LIFE INSurance Screen |
If the Subscriber has elected new or is changing exsisting Life coverage, follow the steps listed below.
If the Subscriber is terminating existing Life coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. If the Subscriber has had a change in EOI status, enter the appropriate EOI DATE and EOI CODE. If you don't know what date or code to enter, access field level help for more information. |
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LONG TERM DISability Screen |
If the Subscriber has elected new or is changing existing Long Term Disability (LTD) coverage, follow the steps listed below.
If the Subscriber is terminating existing LTD coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format. If the Subscriber has had a change in EOI status, enter the appropriate EOI DATE and EOI CODE. If you don't know what date or code to enter, access field level help for more information. |
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FLEX DEPENDNT Screen |
If the Subscriber has newly elected or making a change to an existing FLEX Dependent option, complete the following fields.
If the Subscriber is terminating an existing Flex Dependent option, type the termination date in the TERMINATION DATE field in YYYYMMDD format. |
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FLEX DEPENDENT Screen |
If the Subscriber has newly elected or making a change to an existing FLEX Health option, complete the following fields.
If the Subscriber is terminating an existing Flex Health option, type the termination date in the TERMINATION DATE field in YYYYMMDD format. |
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Confirm CHANGE |
Type 'CHANGE' when prompted. |