Benefits Eligibility

Section
Index
Overview/Purpose Multiple Concurrent Appointments
Health & Welfare Benefit Levels Multiple Consecutive Appointments
  BELI Codes & Requirements Appointment Extended
  Initial Eligibility Transfer to Positions "Ineligible for Benefits"
  Continued Eligibility Unit 18 (Lecturers) Appointment Averaging
  Special Situations Status Qualifier Codes
  Ending Date for Funding or Visas Purposes Out of Compliance BELIs

Status Qualifier Codes

Status Qualifier Codes are assigned in circumstances where there is not sufficient information in the payroll system to determine an employee's BELI accurately. Use of an SQC prevents employees in qualified status situations from being reported as ineligible for benefits and from appearing on "Out of Compliance" Reports. In rare circumstances more than one SQC may apply. The system will allow entry of up to two SQCs. In this situation the SQC that will last longest should be entered first. When the situation that created the need for the SQC ends, the SQC must be manually removed from PPS.

Status Qualifier Codes
SQC
Reason for Use
20
Average Appointment Percent Employee (Academic)
30
Extended Sick Leave
40
Stay at Work/Return to Work
60
Seasonal Employee
90
Sabbatical/Leave for Professional Renewal

SQC 20: Average Appointment Percent Employee (Academic)

An Academic year appointment (July 1 through June 30) with different levels of percent time (greater than zero) in each quarter should be treated as a variable time appointment with benefits eligibility based on the average percent time for the total year’s appointment. Averaging the appointment does not affect UCRP eligibility. If the appointment is made for two or more years, each year should be averaged individually with benefits for the year based on the average for that year. The service center should assign a BELI consistent with the average level of the appointment for the academic year.

If an employment commitment is made on a quarter-by-quarter basis, the initial appointment for the fall quarter must be evaluated separately, with additional appointments subject to on-going requirements.


SQC 30: Extended Sick Leave Recipient

While on extended sick leave (ESL) at 80% of regular pay for a work-related disability covered by Workers Compensation, an employee’s benefits will continue for up to the six-month maximum period for ESL. If 80% of the employee’s normal pay status results in an appointment below 43.75% time, the SQC 30 should be assigned. It should be deleted at the end of six months ESL, or when the employee’s appointment returns to 43.75% time or more - whichever is earlier.


SQC 40: Stay at Work/Return to Work

Benefits may continue during a period of rehabilitation (or partial disability) for up to 6 months. This situation refers to an employee who is reduced to less than 43.75% as a part of a rehabilitation plan or partial, non-industrial, disability. To prevent loss of benefits while the employee is reduced below 43.75%, the SQC of 40 should be assigned at the beginning of the period, and deleted at the end.

Note: Continued benefits for both extended sick leave and rehabilitation cannot exceed a combined total of six months.


SQC 60: Seasonal Employee

Individuals who work seasonally each year for less than three months (e.g. agricultural workers) may be excluded from CORE benefits. The seasonal employee category does not apply to someone who has a series of short-term appointments, with or without breaks in service, during the year. The special status code should be deleted if the employee transfers to a non-seasonal position.


SQC 90: Sabbatical/Leave for Professional Renewal

Faculty or staff enrolled in medical, dental, vision and/or University-paid Basic or Core life insurance, who go on sabbatical leave –or leave for professional renewal- at reduced pay may continue this coverage for up to 24 months so long as their paychecks cover any required deductions. This applies when the appointment will be reduced below 43.75% time. In this case SQC 90 should be entered at the beginning of the leave and removed at the end of the leave –or at the end of 24 months from the date the leave originally began, whichever is earlier.


No SQC: Appointment End Date For Budgetary Purposes Only

NO SQC exists for this situation. Instead, the appointment coding itself must be correct.
When an employee is appointed for at least 50% time, but the ending date is for budgetary or funding purposes only, a BELI of 1 or 2 should be assigned, as well as a “B” code in the Duration field of the appointment. The employee must meet the ongoing requirements of average paid time to remain eligible. The “B” code should be removed if the employee is appointed to an indefinite period, or for one year or more, or if an end date is assigned which reflects the termination of the appointment.