RFP%2031786-00193%20Appendix%207.7%20BA067%20Weekly%20Enrollment%20File%20Layout.xlsx
XLSX spreadsheet 12 KB Posted
- 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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Text version
Eligibility
| RFP 31786-00193 Appendix 7.7 BA067 Weekly Enrollment File Layout | ||||||||
| ------- FIELD LEVEL/NAME-------- | Format | Field Number | Field Begin | Field End | Field Length | PS Table | Deb's Comment | BA Team Response |
| BUDGET-CD | X(5) | 1 | 1 | 5 | 5 | Source Code |
value = TENN-INSR
| FIELD #2 (Display XFR for higher ed transfers only) | X(4) | 2 | 6 | 9 | 4 | PS_JOB | |
| TIME-STAMP | 9(16) | 3 | 10 | 25 | 16 | Timestamp when file is created CCYYMMDD | |
| TRANS-TYPE | XX | 4 | 26 | 27 | 2 | PAY_DEDUCTION | |
| SSN (EMPLOYEE) | 999 | 5 | 28 | 36 | 9 | PAY_CHECK | |
| LAST NAME | X(15) | 6 | 37 | 51 | 15 | PERSONAL_DATA | |
| FIRST NAME | X(15) | 7 | 52 | 66 | 15 | PERSONAL_DATA | |
| MIDDLE INITIAL | X | 8 | 67 | 67 | 1 | PERSONAL_DATA | |
| SEX-CD | X | 9 | 68 | 68 | 1 | PERSONAL_DATA | |
| BIRTHDATE | 9(4) | 10 | 69 | 76 | 8 | PERSONAL_DATA | |
| MARITAL-STATUS | X | 11 | 77 | 77 | 1 | PERSONAL_DATA | |
| APPOINTMENT DATE | X(8) | 12 | 78 | 85 | 8 | JOB | |
| FILLER | 13 | 86 | 89 | 4 | |||
| COUNTY OF RESIDENCE | 999 | 14 | 90 | 92 | 3 | PERSONAL_DATA | |
| HIRE DATE | X(8) | 15 | 93 | 100 | 8 | JOB | |
| COUNTY OF WORK CODE | 16 | 101 | 103 | 3 | PERSONAL_DATA |
LOCATION
ANNUAL SALARY 17 104 109 6 JOB
ANNUAL_RT
| APPOINTMENT TYPE CODE | 18 | 110 | 111 | 2 | JOB | ||
| INELIGIBLE REASON | 19 | 112 | 112 | 1 | JOB | The eligibility file runs by effective date, so we should be able to get the last date run from the run parameters page | |
| INELIGIBLE STATUS DATE | 20 | 113 | 120 | 8 | JOB | ||
| ADDRESS-LINE-1 | X(30) | 21 | 121 | 150 | 30 | PERSONAL_DATA | |
| FILLER | 22 | 151 | 159 | 9 | |||
| ADDRESS-LINE-2 | X(30) | 23 | 160 | 189 | 30 | PERSONAL_DATA | |
| CITY | X(15) | 24 | 190 | 204 | 15 | PERSONAL_DATA | |
| STATE | XX | 25 | 205 | 206 | 2 | PERSONAL_DATA | |
| ZIP CODE | 9(5) | 26 | 207 | 215 | 9 | PERSONAL_DATA | |
| USER ID | 27 | 216 | 224 | 8 | JOB | ||
| DOP BACKOUT FLAG | 28 | 225 | 225 | 1 | |||
| FILLER | 29 | 226 | 226 | 1 | |||
| EMAIL ADDRESS | X(70) | 30 | 227 | 297 | 70 | PSUSEREMAIL |
UNUM Eligibility File Specs &D
&Z&F &P of &N
File details come from the government source that posted it. Updated .