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 | |
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Sep |
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Oct |
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Nov |
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Dec |
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