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Dependent Coverage Options for Health Plans (Enhanced) ( RELNPA_BN_470_20DEPCOV )

Dependent Coverage Options for Health Plans (Enhanced) ( RELNPA_BN_470_20DEPCOV )

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Dependent Coverage Options for Health Plans (Enhanced)

Use

As of SAP R/3 Release 4.70, you have greater flexibility in defining the minimum and maximum numbers of dependents that can be covered under a dependent coverage option.

In addition to specifying a maximum total number of dependents that can be covered under a coverage option, you can now also specify a minimum total number. If you specify a minimum number requirement, only those dependent coverage options are included in a benefit offer for which the requirement can be fulfilled, given the possible dependents of an employee. During enrollment, the system also checks that no fewer/more dependents have been named than specified in Customizing.

You can now restrict participation in a health plan under a dependent coverage option to certain types of dependent, as represented by the subtypes of the Family/Related Persons infotype (0021). You can also define a minimum and maximum number of persons of a particular subtype that can be covered. During enrollment, the system only includes those dependent coverage options in the benefit offer for which the appropriate dependents are available.

If you are using the COBRA functionality in the SAP Benefits Administration component, the coverage option of a COBRA-relevant health plan is automatically adjusted for continued regular plan coverage if dependents, but not the employee, lose coverage after a qualifying event and the minimum number of dependents for the original coverage option is no longer available. This can be the case after the event types Divorce, Legal separation, and Child's loss of dependent status.

Effects on Existing Data

Effects on Data Transfer

Effects on System Administration

Effects on Customizing

If you want to use the new Customizing settings for health plan coverage options, you need to complete the following Customizing activities in the Benefits Administration IMG: Plans → Health Plans → Define Dependent Coverage Options and/or Define Minimum and Maximum Number of Dependents.

Further Information






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Length: 2712 Date: 20240520 Time: 200943     sap01-206 ( 65 ms )