P Cov_MaleDep_Ages List covered male dependent ages Required, blank separated by commas. allowed Q Cov_FemaleDep_Ages List covered female dependent ages Required, blank separated by commas. allowed R Elig_MaleDep_Ages List eligible but not covered male Required, blank dependent ages separated by commas. allowed S Elig_FemaleDep_Ages List eligible but not covered female Required, dependent ages separated by commas. allowed Section 8—List of Dependents This Section is optional. It may be used to list each eligible employee’s dependents. Alternatively, use columns P - S in Section 7 in order to manually input the required information on dependents, and ignore this Section. All covered and eligible dependents are required by the legislation districts should make their best effort – to collect and report the data. If an employee is not benefit-eligible, then do not supply that employee’s dependents. Use this Section if your district will use an automated process to extract the required dependent information from a computer system. List each employee’s dependents: gender, date of birth, and health benefit coverage status. Column Column Name Field Definition Required/Optional A Status Used by the project team to report errors and Please do not use warnings to submitting districts. B Emp_Code The unique employee identifier from Section 7. Required Employee codes used here must be listed in Section 7. If an Employee code is used here but is not listed in Section 7, this is an error condition. C Gender M = Male or F = Female. Required D DOB Date of Birth. Format is mm/dd/yyyy Required E Benefits_YN Is the dependent covered by a health benefit plan Y or N offered through the district?
P Cov_MaleDep_Ages List covered male dependent ages separated by commas. Required, blank allowed Q Cov_FemaleDep_Ages List covered female dependent ages separated by commas. Required, blank allowed R Elig_MaleDep_Ages List eligible but not covered male dependent ages separated by commas. Required, blank allowed S Elig_FemaleDep_Ages List eligible but not covered female dependent ages separated by commas. Required, allowed Section 8—List of Dependents This Section is optional. It may be used to list each eligible employee’s dependents. Alternatively, use columns P - S in Section 7 in order to manually input the required information on dependents, and ignore this Section. All covered and eligible dependents are required by the legislation – districts should make their best effort to collect and report the data. If an employee is not benefit-eligible, then do not supply that employee’s dependents. Use this Section if your district will use an automated process to extract the required dependent information from a computer system. List each employee’s dependents: gender, date of birth, and health benefit coverage status. Column Column Name Field Definition Required/Optional A Status Used by the project team to report errors and warnings to submitting districts. Please do not use B Emp_Code The unique employee identifier from Section 7. Employee codes used here must be listed in Section 7. If an Employee code is used here but is not listed in Section 7, this is an error condition. Required C Gender M = Male or F = Female. Required D DOB Date of Birth. Format is mm/dd/yyyy Required E Benefits_YN Is the dependent covered by a health benefit plan offered through the district? Y or N