In this scenario, if the employee has a spouse that works for the same school district, they are provided an additional employer contribution based on if the spouse is full-time (FT) or part-time (PT). In this case, there is a pre-qualifying medical question that asks if the spouse works for the district and then asks if the spouse is FT or PT. This script is used in the medical plan to determine the medical product rates based on the answers to those questions.
var PerID = Event.Employee.EmployeePerson.PersonID;
var Share = Event.GetAnswer(PerID, 'SPOUSESHARE');
if (Share)
var Status = Event.GetAnswer(PerID, 'SPOUSESTATUS');
{
var PPO2000 = Event.Config.GetPayerProductInfo(11141);
var HDHP4000 = Event.Config.GetPayerProductInfo(11140);
if (Status == 1) {
PPO2000.SetEERate(4, 0, 0, 0.00); //EO
PPO2000.SetEERate(6, 0, 0, 0.00); //ES
PPO2000.SetEERate(5, 0, 0, 0.00); //EC
PPO2000.SetEERate(7, 0, 0, 328.00); //FA
PPO2000.SetEERate(8, 0, 0, 86.00); //E+1
HDHP4000.SetEERate(4, 0, 0, 0.00); //EO
HDHP4000.SetEERate(6, 0, 0, 0.00); //ES
HDHP4000.SetEERate(5, 0, 0, 0.00); //EC
HDHP4000.SetEERate(7, 0, 0, 123.00); //FA
HDHP4000.SetEERate(8, 0, 0, 0.00); //E+1
PPO2000.SetERRate(4, 0, 0, 401.50); //EO
PPO2000.SetERRate(6, 0, 0, 0.00); //ES
PPO2000.SetERRate(5, 0, 0, 0.00); //EC
PPO2000.SetERRate(7, 0, 0, 717.00); //FA
PPO2000.SetERRate(8, 0, 0, 717.00); //E+1
HDHP4000.SetERRate(4, 0, 0, 358.50); //EO
HDHP4000.SetERRate(6, 0, 0, 0.00); //ES
HDHP4000.SetERRate(5, 0, 0, 0.00); //EC
HDHP4000.SetERRate(7, 0, 0, 717.00); //FA
HDHP4000.SetERRate(8, 0, 0, 645.00); //E+1
}
else if (Status == 2) {
PPO2000.SetEERate(4, 0, 0, 0.00); //EO
PPO2000.SetEERate(6, 0, 0, 0.00); //ES
PPO2000.SetEERate(5, 0, 0, 0.00); //EC
PPO2000.SetEERate(7, 0, 0, 507.25); //FA
PPO2000.SetEERate(8, 0, 0, 265.25); //E+1
HDHP4000.SetEERate(4, 0, 0, 0.00); //EO
HDHP4000.SetEERate(6, 0, 0, 0.00); //ES
HDHP4000.SetEERate(5, 0, 0, 0.00); //EC
HDHP4000.SetEERate(7, 0, 0, 302.25); //FA
HDHP4000.SetEERate(8, 0, 0, 107.25); //E+1
PPO2000.SetERRate(4, 0, 0, 401.50); //EO
PPO2000.SetERRate(6, 0, 0, 0.00); //ES
PPO2000.SetERRate(5, 0, 0, 0.00); //EC
PPO2000.SetERRate(7, 0, 0, 537.75); //FA
PPO2000.SetERRate(8, 0, 0, 537.75); //E+1
HDHP4000.SetERRate(4, 0, 0, 358.50); //EO
HDHP4000.SetERRate(6, 0, 0, 0.00); //ES
HDHP4000.SetERRate(5, 0, 0, 0.00); //EC
HDHP4000.SetERRate(7, 0, 0, 537.75); //FA
HDHP4000.SetERRate(8, 0, 0, 537.75); //E+1
}
}