CORPORATE PERSONNEL SYSTEM DATA DICTIONARY

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System Number:

CPS0953

User Access Name:

CHPPPLN

Name:

MEDICAL INSURANCE PLAN CODE

Type:

ALPHANUMERIC

Length:

2

Format:

N/A

General Description:

Code indicating the medical insurance plan selected by the employee.

Code Interpretation:

Code Interpretation

Valid Codes Effective 1/1/2008

BC    - Blue Cross Plus
BP    - Blue Cross PPO
CG    - CIGNA Choice Fund
CM    - Core Major Medical (Blue Cross)
HE    - Health Net Primary EPO
HN    - Health Net HMO
KN    - Kaiser North
KS    - Kaiser South
KU    - Kaiser Umbrella 
KW    - Kaiser MidAtlantic
P1    - PSBP Medical HMO
P2    - PSBP Medical PPO
WH    - Western Health Advantage
DM    - Medical plan not yet selected by the employee
XX    - Opted out of medical          
XC    - Cancelled medical             
XD    - De-enrolled - suspension of
        premiums or ineligible dependent
 

Previously Valid Codes 

BH    - High Option (Blue Cross)
DH    - Definity Health (UCSF and UCSB only)
FN    - Foundation 
FH    - Qual-Med, NV
FP    - PacifiCare
HA    - Heals, Qual-Med, CA
HB    - Health Net (Bakersfield)
HC    - Takecare (Modesto/Turlock)
HE    - Prudential Low Option
HF    - First Far West (Santa Cruz) 
HG    - FHP Health Care
HL    - Health Net (Los Angeles)
HR    - Health Net (Riverside)
HS    - Health Net (San Diego)
HV    - Health Net (Irvine)
LA    - Los Alamos Total Care 
LV    - Lovelace
MI    - Options PPO Out of Area
NA    - PruNet          
NH    - Blue Premier HMO New Mexico
NN    - Blue Premier HMO (Nevada) 
NP    - Blue Premier POS (New Mexico)- Higher rate due to living in an HMO service area 
NV    - Nevada Health
NW    - Blue Premier POS (New Mexico)- Lower rate due to not living in an HMO service area 
ON    - Options PPO National  
OP    - Options PPO
PH    - Prudential High Option
PN    - PacifiCare Nevada
RL    - CIGNA  
RR    - MAXICARE 
SE    - UnitedHealthcare Select EPO
UC    - UC Care

Comments:

  • Source - PPS
  • Level - Employee
  • Default Medical (DM) represents employees who may have selected a career medical plan during their Period of Initial Eligibility but whose enrollment and premium have not been reported to that plan due to payroll deadlines. DM is used to suspend the Core single party default mechanism until the employee becomes properly enrolled in the career medical plan selected or truly defaults into Core single party coverage. Default headcounts should not be reported or included in medical plan reports.

Revision Date:

July 29, 2008