HDL – Sample file for Dependent Enrollments

METADATA|DependentEnrollment|PersonNumber|ParticipantLastName|ParticipantFirstName|BenefitRelationship|LifeEvent|LifeEventOccuredDate|CloseLifeEvent|CloseLifeEventDate|EffectiveDate|LegalEmployer

MERGE|DependentEnrollment|22211|Singh|Manu|DFLT|New Hire|2021/01/01|Y|2021/01/01|2021/01/01|XYZ Legal Employer



METADATA|DesignateDependent|PersonNumber|Plan|Program|Option|OriginalEnrollmentDate|DependentPersonNumber|LineNumber|DependentFirstName|DependentLastName|DependentDateOfBirth
MERGE|DesignateDependent|22211|Benefit Plan 1|Benefit Program|Employee Only|2020/01/01|122211|1|Singh|Test 1|1992/01/31
MERGE|DesignateDependent|22211|Benefit Plan 1|Benefit Program|Employee Only|2020/01/01|122212|2|Singh|Test 2|2015/01/01
MERGE|DesignateDependent|22211|Benefit Plan 1|Benefit Program|Employee Only|2020/01/01|122213|3|Singh|Test 3|2017/01/05