Report – Open Enrollment Elections

The Open Enrollment Elections Report includes the following fields:

• Employee ID
• Employee SSN
• Dependent SSN
• Relationship
• Last Name
• First Name
• Suffix
• Gender
• Date of Birth
• Marital Status
• Tobacco User
• Is Full Time Student
• Is Disabled
• Home Street Address
• Apt/Suite/PO Box
• City
• State
• Zip Code
• County
• Country
• Mailing Address Same As Home Address
• Mailing Address
• Apt/Suite/PO Box
• City
• State
• Zip Code
• County
• Country
• Phone
• Email
• Office Location
• Departments
• Divisions
• Pay Type
• Pay Rate
• Est. Hours Per Week
• Annual Base Salary
• Annual Benefit Salary
• Employment Start Date
• Employment Status
• Enrollment Reason
• Carrier
• Product
• Plan
• Group Number
• Subgroup Number
• Coverage Level
• Enrollment Start Date
• Enrollment End Date
• Requested Benefit Amount
• Approved Benefit Amount
• Pending Benefit Amount
• Employee Monthly Cost
• Employee Per Pay Cost
• Company Monthly Cost
• Company Per Pay Cost
• Employee Monthly Family Cost
• Employee Per Pay Family Cost
• Employee Tax Determination
• Employer Gross-Up Tax Option
• Waived
• Waive Reason
• Enrolled on Date
• Enrolled By