Use these instructions to house data relative to a dependent's medical, dental and vision coverage.
When completing the Oracle forms referenced in this procedure, note that a white field indicates optional entry or one that is conditional based on the particular process.
Field Name |
Required (R) or Optional (O) |
Description |
Full Name |
O |
Person's last name The last name search will narrow choices for selection. |
Social Security |
O |
Person's social security number (SSN). |
Type |
O |
Select Employee from the drop down box. |
Number |
O |
Person's employee number |
Field Name |
Required (R) or Optional (O) |
Description |
First Name |
R |
The dependent's first name. An error message will be displayed if data is not entered in this field. |
Last Name |
R |
System generated. This field can be overwritten. |
Middle Initial |
O |
Dependent's middle initial. |
Gender |
R |
Select from the List of values:
|
National Identifier |
O |
|
Date of Birth |
R |
Dependent's date of birth entered in tehe format DD-MON-YYYY |
Age |
O |
System generated based on the Date of Birth field. |
Relationship |
R |
Select from the List of Values:
|
Benefit Plan |
R |
System generated. Boxes are checked for benefits elements covered:
|