Overview
Updated 07/16/2021
Report Description
This Report (Advanced Query) gives the details of which employees are eligible but declined insurance.
Parameters
Parameter Name | Options | Description |
Form Batch | ||
Branch |
Report Fields
Field Name | Description |
ReportingYear | Year the reporting is related to |
EmployerCode | Employer's FEIN |
EmployeeSSN | Employee's Social Security Number |
MemberCode | |
MemberFirstName | Employee's First Name |
MemberLastName | Employee's Last Name |
MemberSSN | Employee's Social Security Number |
MemberDOB | Employee's Date of Birth |
Jan | |
Feb | |
Mar | |
Apr | |
May | |
Jun | |
Jul | |
Aug | |
Sep |
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Oct |
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Nov |
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Dec |
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