HD Health Coverage
To provide information on health coverage
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the specific type of item maintenance
Codes (128)
Code identifying the reason for the maintenance change
Codes (118)
Code identifying a group of insurance products
Codes (58)
A description or number that identifies the plan or coverage
Code indicating the level of coverage being provided for this insured
Codes (25)
Occurrence counter
HD06 is the number of collateral dependents for the primary insured. A
collateral dependent is a relative related by blood or marriage who resides in
the home and is dependent on the employee for support.
Occurrence counter
HD07 is the number of sponsored dependents for the primary insured. A sponsored
dependent is a dependent between the ages of 19 and 25 who is not in school.
Code indicating the decision made by the underwriter
Codes (7)
Code indicating a Yes or No condition or response
HD09 is a late enrollee indicator. A "Y" value indicates the insured is a late
enrollee, which can result in a reduction of benefits; an "N" value indicates
the insured is a regular enrollee.
Codes (9)
Code indicating a drug house with which the insurance plan is affiliated
Codes (8)
Code indicating a Yes or No condition or response
HD11 is a prescription drug service coverage indicator. A "Y" value indicates
that prescription drug service coverage applies; an "N" value indicates that
prescription drug service coverage does not apply.
Codes (9)