RFP%2031786-00193%20Appendix%207.7%20BA067%20Weekly%20Enrollment%20File%20Layout.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Life and Accidental Death and Dismemberment Insurance - UPDATED
Solicitation number
RFP 31786-00193
Issued by
Davidson County, Tennessee

About this file

This file is a technical specification document for the Weekly Enrollment File Layout (BA067) related to RFP 31786-00193 for the State of Tennessee's Life and Accidental Death and Dismemberment Insurance eligibility program. The document outlines the data structure and field requirements for weekly enrollment files submitted to the eligibility system, specifying 30 data fields with their corresponding format types, field positions, lengths, and source tables. The file layout captures essential employee information including personal demographics (name, sex, birthdate, marital status), employment details (hire date, appointment date, appointment type, annual salary, county of work), identification numbers (SSN, user ID), contact information (address, city, state, zip code, email), and eligibility-related data (ineligible reason, ineligible status date, DOP backout flag). The source code is designated as TENN-INSR, with timestamps recorded in CCYYMMDD format to track when files are created.

This technical specification serves as a data mapping document that establishes standardized requirements for how employee enrollment information must be formatted and transmitted to the Tennessee insurance eligibility system. The file includes provisions for higher education transfers (designated with XFR display) and establishes field specifications that interface with PeopleSoft tables and the state's payroll and human resources systems. The document indicates that the eligibility file runs by effective date, allowing for extraction of the last run date from system parameters. This specification document is essential for vendors and system administrators responsible for generating, validating, and submitting weekly enrollment data to ensure compliance with the state's insurance administration and eligibility determination processes.

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Other files

File Type Posted
RFP_31786-00193_Appendix_7.28.pdf PDF
RFP_31786-00193_Appendix_7.30.xlsx XLSX spreadsheet
RFP_31786-00193_Life_and_ADD_RFP_Release_2.docx DOCX document
RFP_31786-00193_Appendix_7.27.pdf PDF
RFP_31786-00193_Appendix_7.15.xlsx XLSX spreadsheet
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RFP_31786-00193_Appendix_7.29.pdf PDF
RFP_31786-00193_Amendment_Two.docx DOCX document
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RFP_31786-00193_Amendment_One_Schedule_Update.docx DOCX document
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RFP%2031786-00193%20Appendix%207.2%20Claims%20Conversion%20and%20Premium%20Experience%202018_June%202026%20Voluntary%20ADandD.xlsb XLSB spreadsheet
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31786-00193_Digital_Submission_Instructions.docx DOCX document
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RFP%2031786-00193%20Appendix%207.13%20Life%20Insurance%20Rates%20and%20Program%20Changes.docx DOCX document
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RFP_31786-00193_Life_and_ADandD_RFP.docx DOCX document
RFP%2031786-00193%20Appendix%207.18%20Detail%20Claims%20Listing%20_Basic%20Term%20Life%20Basic%20ADandD.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.19%20Detail%20Claims%20Listing%20_Voluntary_ADandD.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.9%20Monthly%20Premiums%20Due%20Deduction%20File%20Layout.xlsx XLSX spreadsheet
Show all 38

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Text version

Eligibility

RFP 31786-00193 Appendix 7.7 BA067 Weekly Enrollment File Layout
------- FIELD LEVEL/NAME--------FormatField NumberField BeginField EndField LengthPS TableDeb's CommentBA Team Response
BUDGET-CDX(5)1155Source Code

value = TENN-INSR

FIELD #2 (Display XFR for higher ed transfers only)X(4)2694PS_JOB
TIME-STAMP9(16)3102516Timestamp when file is created CCYYMMDD
TRANS-TYPEXX426272PAY_DEDUCTION
SSN (EMPLOYEE)999528369PAY_CHECK
LAST NAMEX(15)6375115PERSONAL_DATA
FIRST NAMEX(15)7526615PERSONAL_DATA
MIDDLE INITIALX867671PERSONAL_DATA
SEX-CDX968681PERSONAL_DATA
BIRTHDATE9(4)1069768PERSONAL_DATA
MARITAL-STATUSX1177771PERSONAL_DATA
APPOINTMENT DATEX(8)1278858JOB
FILLER1386894
COUNTY OF RESIDENCE9991490923PERSONAL_DATA
HIRE DATEX(8)15931008JOB
COUNTY OF WORK CODE161011033PERSONAL_DATA

LOCATION

ANNUAL SALARY 17 104 109 6 JOB

ANNUAL_RT

APPOINTMENT TYPE CODE181101112JOB
INELIGIBLE REASON191121121JOBThe eligibility file runs by effective date, so we should be able to get the last date run from the run parameters page
INELIGIBLE STATUS DATE201131208JOB
ADDRESS-LINE-1X(30)2112115030PERSONAL_DATA
FILLER221511599
ADDRESS-LINE-2X(30)2316018930PERSONAL_DATA
CITYX(15)2419020415PERSONAL_DATA
STATEXX252052062PERSONAL_DATA
ZIP CODE9(5)262072159PERSONAL_DATA
USER ID272162248JOB
DOP BACKOUT FLAG282252251
FILLER292262261
EMAIL ADDRESSX(70)3022729770PSUSEREMAIL

UNUM Eligibility File Specs &D

&Z&F &P of &N

File details come from the government source that posted it. Updated .