Plans

Detailed mapping of the fields used in a POST request to create a plan. One or more Plans are associated with one Coverage Period. The schema below is used in the /coverage_periods/{id}/plans endpoint

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Provide?
Usage and Mapping

external_identifier*

Required

This is an identifier that your system can use or generate to identify the plan. This is in addition to our id that we generate upon creation.

description*

Required

This is the description of a given plan - This is often the Plan Marketing Name displayed to an employee when electing the plan option

product_line*

Required

This is the Product Line of the given plan option - Values:

  • medical

  • dental

  • vision

  • life

  • accidental_death_dismemberment

  • life_accidental_death_dismemberment

  • accident

  • critical_illness

  • hospital_indemnity

  • disability

Note: These values are less specific than the values used in the qualifying life events plan_elections enum.

For most product lines, there are additional specific Required fields that are enumerated in our schema:

Ideon
Usage and Mapping

product_type

Required

Required for:

  • medical - values

    • health_maintenance_organization,

    • high_deductible_health_plan,

    • preferred_provider_organization,

    • exclusive_provider_organization,

    • point_of_service,

    • indemnity

  • disability - values

    • short_term,

    • long_term

This is the "type of plan" for which the group has coverage.

For Medical, this can be used to provide information and shorten the Description.

premium_level

Required

Required for:

  • dental

  • vision

values: base, buyup, none

This element is used to mark whether an option is a Base (Lowest Cost, Default) offering or a higher cost option (Buy-Up)

voluntary

Required

  • critical illness

  • hospital_indemnity

  • life

  • life_accidental_death_dismemberment

  • accidental_death_dismemberment

  • disability

This element denotes whether a plan is partially employee-paid (Voluntary) or a fully employee-paid option, when applicable for the product line.

"Basic Group Life" is an example of a product that we would anticipate being "voluntary": "false"

covered_member_types

Required

  • life

  • life_accidental_death_dismemberment

  • accidental_death_dismemberment

  • disability

Values: employee , partner , child

This element describes which type of member is eligible for this plan. This is not a given member's coverage level, but rather helps us know the allowable type of dependent, and whether the plan is employee only.

See Additional Documentation for links to our current API documentation.

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