The Enrollments Report contains the following fields:
- Employee ID
- Employee SSN
- Dependent SSN
- Relationship
- Last Name
- First Name
- Middle Name
- Suffix
- Legal Gender
- Date of Birth
- Marital Status
- Tobacco User
- Full-time Student
- Disabled
- Home Street Address
- Apt/Suite/PO Box
- City
- State
- Zip Code
- County
- Country
- Mailing Address same as Home Address
- Mailing Street Address
- Apt/Suite/PO Box
- City
- State
- Zip Code
- County
- Country
- Phone
- Office Location
- Departments
- Departments Code
- Divisions Code
- Job Title
- Pay Type
- Est. Hours per week
- Annual Base Salary
- Annual Benefit Salary
- Prior Year W-2 Earnings
- Employment Start Date
- Employment Termination Date
- Employment Status
- Carrier/Provider
- Product Type
- Plan
- Group Number
- Subgroup Number
- Effective Start Date
- Effective End Date
- Coverage Level
- Riders
- Employee Monthly Cost
- Employee Per Pay Cost
- Company Monthly Cost
- Company Per Pay Cost
- Employee Tax Determination
- Waive Date
- Waive Reason
- Enrollment Reason
- Method
- Submitted By
- Submitted On
- Approved By
- Approved On