For the self-bill carrier detailed report, you must first choose a provider and a date. This report provides details about individual employees enrolled in the plans.
It includes the following fields:
- Employee ID
- Employee SSN
- Last Name
- First Name
- Employee DoB
- Spouse DoB
- Office Location
- Eligibility
- Department
- Divisions
- Benefit Class
- Hire Status
- Carrier/Provider
- Group Number
- Subgroup Number
- Group Life/AD&D Employee Volume
- Group Life/AD&D Employee Premium
- Group Long Term Disability Volume
- Group Long Term Disability Premium
- Group Short Term Disability Volume
- Group Short Term Disability Premium
- Total Monthly Premium