Covered Individuals

Covered Individuals - Fields

Employee No.

This field displays the selected employee's number and can only be viewed.

Name

This field displays the selected employee's name and can only be viewed.

Year

This field displays the year for which you are entering information and can only be viewed.

Covered Individual Name

Enter the name of the covered individual.

Social Security No.

Enter the covered individual's Social Security number. If the individual does not have a Social Security number, enter his or her date of birth in the Date of Birth field.

Date of Birth

If the covered individual does not have a Social Security number, enter his or her date of birth. Click the Calendar button to select a date from the calendar.

Covered All Months

Select this check box if the individual was covered for at least one day in every month of the year. Clear this check box if the individual was not covered for at least one day in every month.

Months

If the individual was not covered for at least one day in every month of the year, select the check box for each month in which he or she was covered. Clear the check box for any month for which the individual was not covered, or clear all check boxes if the Covered All Months check box is selected for the individual.