The University of Texas System Administration
Employee Group Insurance (EGI)

*SGELIG Training
Maintaining Information Using *SGELIG
Changing a Dependent's Biographical Information

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.

Access the 111 Screen

Type ‘111’ in the command line, a space and the Subscriber's SSN. Press ‘Enter.’

Access the CHANGE Subscriber function screens

Type ‘CHANGE’ in the ACTION Command line located in the center of the 111 Screen. Press 'Enter.'

BIOGRAPHICAL Screen

If the Subscriber's name needs to be changed, enter the corrected name in the appropriate fields.
First and Last name are required. Do not use prefixes such as Mr., Mrs. or Dr. in the first name field. Do not use a '.' after a middle initial.
Suffix includes identifiers such as Jr., III, PhD and Esq.

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.'

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.'

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.'

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.'

 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'

 VISION Screen

If the Subscriber has elected new or is changing existing Vision coverage,

  1. Type the appropriate action code in the ACTION CODE field.If you don't know the appropriate action code, access field level help to find it.
  2. Type the correct vision coverage plan code in the PLAN blank. If you don't know the valid vision coverage plan codes for the Subscriber's zip code, access field level help to find the valid vision plan codes.
  3. Type the correct code for the level of coverage the Subscriber has selected in the LEVEL field. If you do not know the valid level codes, access field level help to find them.
  4. Type the correct effective date in the EFFECTIVE DATE field.
  5. Press 'Enter.'

If the Subscriber is terminating existing Vision coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format.

Press 'Enter.'

AD & D Screen

If the Subscriber has elected new or changed existing PAI (AD&D) coverage, follow the steps listed below.

  1. Type the appropriate Selection Code in the SELECTION CODE field.
  2. Type the appropriate code in the ACTION CODE field. If you don't know the valid action codes, access field level help to find them.
  3. Type the PAI (AD&D) coverage plan code in the PLAN field. If you don't know the valid PAI (AD&D) coverage plan codes for the Subscriber's zip code, access field level help to find the valid PAI (AD&D) plan codes.
  4. Type the code for the level of coverage the Subscriber has selected in the LEVEL field. If you do not know the valid level codes, access field level help to find them.
  5. If the Subscriber has elected a new or is changing a specific coverage amount, enter that amount in the COVERAGE AMOUNT field. Leave the COVERAGE MAXIMUM field blank. If the Subscriber has not elected additional PAI (AD&D) coverage, enter the default coverage amount of $10,000.

    If the Subscriber has elected the maximum available coverage, leave the COVERAGE AMOUNT field blank and type a 'Y' in the COVERAGE MAXIMUM field.

  6. Enter the actual annual salary of the Subscriber in the ANNUAL PAY RATE field. If the Subscriber's annual salary is not available, you may leave this field blank.
  7. Press 'Enter'

If the Subscriber is terminating existing PAI (AD&D) coverage, type the termination date in the TERMINATION DATE field in YYYYMMDD format.

 LIFE INSurance Screen

If the Subscriber has elected new or is changing exsisting Life coverage, follow the steps listed below.

  1. Type the appropriate Selection Code in the SELECTION CODE field.
  2. Type the appropriate code in the ACTION CODE field. If you don't know the valid action codes, access field level help to find them.
  3. 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.

  4. Type the Life coverage plan code in the PLAN field. If you don't know the valid Life coverage plan codes for the Subscriber's zip code, access field level help to find the valid Life plan codes.
  5. Type the code for the level of coverage the Subscriber has selected in the LEVEL field. If you do not know the valid level codes, access field level help to find them.
  6. Enter the coverage amount the Subscriber has selected in the Life COVERAGE AMOUNT field.
  7. Enter the actual annual salary of the Subscriber in the ANNUAL PAY RATE field. If the Subscriber's annual salary is not available, you may leave this field blank.
  8. Press 'Enter.'

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.

 LONG TERM DISability Screen

If the Subscriber has elected new or is changing existing Long Term Disability (LTD) coverage, follow the steps listed below.

  1. Type the appropriate Selection Code in the SELECTION CODE field.
  2. Type the appropriate code in the ACTION CODE field. If you don't know the valid action codes, access field level help to find them.
  3. 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.

  4. Type the Long Term Disability coverage plan code in the PLAN field. If you don't know the valid Long Term Disability coverage plan codes for the Subscriber's zip code, access field level help to find the valid LTD plan codes.
  5. Enter the actual annual salary of the Subscriber in the ANNUAL PAY RATE field. If the Subscriber's annual salary is not available, you may leave this field blank.
  6. If the Subscriber selects the Pre-Tax option, type a 'P' in the TAX PREFERENCE field. If he/she has selected the After-Tax option, type an 'A' in this field. If the Subscriber's tax preference is not available, you may leave this field blank.
  7. Press 'Enter.'

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.

 FLEX DEPENDNT Screen

If the Subscriber has newly elected or making a change to an existing FLEX Dependent option, complete the following fields.

  1. Type the begin effective date for the Flex coverage in the COVERAGE EFFECTIVE DATE field. This date must be entered in YYYYMMDD format .
  2. Leave the COVERAGE TERMINATION DATE field blank.
  3. Type the appropriate code in the ACTION CODE field. If you don't know the valid action codes, access field level help to find them.
  4. Enter the annual amount the Subscriber has elected to contribute to his/her FLEX Dependent fund in the ANNUAL AMOUNT field.
  5. Enter the monthly contribution elected by the Subscriber in the MONTHLY AMOUNT field.
  6. Type the number of months the Subscriber is employed annually in the NUMBER OF MONTHS field.
  7. Press 'Enter.'

If the Subscriber is terminating an existing Flex Dependent option, type the termination date in the TERMINATION DATE field in YYYYMMDD format.

 FLEX DEPENDENT Screen

If the Subscriber has newly elected or making a change to an existing FLEX Health option, complete the following fields.

  1. Type the begin effective date for the Flex coverage in the COVERAGE EFFECTIVE DATE field. This date must be entered in YYYYMMDD format .
  2. Leave the COVERAGE TERMINATION DATE field blank.
  3. Type the appropriate code in the ACTION CODE field. If you don't know the valid action codes, access field level help to find them.
  4. Enter the annual amount the Subscriber has elected to contribute to his/her FLEX Health fund in the ANNUAL AMOUNT field.
  5. Enter the monthly contribution elected by the Subscriber in the MONTHLY AMOUNT field.
  6. Type the number of months the Subscriber is employed annually in the NUMBER OF MONTHS field.
  7. Press 'Enter.'

If the Subscriber is terminating an existing Flex Health option, type the termination date in the TERMINATION DATE field in YYYYMMDD format.

Confirm CHANGE

Type 'CHANGE' when prompted.



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