This screen allows you to view or create a new enrollment record. This screen is split into four sections: Enrollment LRS-2, Previous Employment, Beneficiary Information, and Validation Info.
Employee Name:
Enrollment Status: This is the status of the enrollment record.
First Name: This is the first name of the employee enrolled. This is a required field. The system will not save the record if this field is left blank.
Middle Name: This is the middle name of the employee enrolled.
Last Name: This is the last name of the employee enrolled. The system will not save the record if this field is left blank.
Address:
Address Line 1: This is the first line in your organization's address. This also serves as a link that, when clicked, will navigate you to the Address Maintenance screen (where changes can be made to your address information).
Address Line 2: This is the second line in your organization's address.
City: This is the city in which your organization is located. The system will not save the record if this field is left blank.
State: This is the state in which your organization is located. The system will not save the record if this field is left blank.
Zip+4 Code: This is the extended zip code used for mailing purposes. The +4 is not displayed if the information is not available.
Date of Birth: This is the birth date of the employee enrolled. The system will not save the record if this field is left blank.
Gender: This is the gender of the employee enrolled. The system will not save the record if this field is left blank.
Employee Classification: This is the department the employee is employed in. The system will not save the record if this field is left blank.
Job Title: This is the job title of the employee given by your organization.
SSN: This is the Social Security Number of the employee enrolled. The system will not save the record if this field is left blank.
Date Employed Full-Time: This is the date the person became a full-time employee. The system will not save the record if this field is left blank.
Termination Date: This is the date the employee was terminated from his or her position with your organization.
Has Employee...LAGERS?: This indicates whether the employee has previous LAGERS employer.
Employer Name: This is the name of the employer of previous LAGERS employment.
Period of Employment From: This is the begin date of previous LAGERS employment.
Period of Employment To: This is the end date of previous LAGERS employment.
Beneficiary Type: This indicates the type of beneficiary: primary or contingent.
Trust Name: This is the name of the trust organization used if the beneficiary is a trust rather than a person.
First Name: This is the legal first name of the beneficiary.
Middle Name: This is the middle name of the beneficiary.
Last Name: This is the legal last name of the beneficiary.
Date of Birth: This is the birth date of the beneficiary in MM/DD/YYYY format.
Relationship: This is the beneficiary's relationship to the employee (e.g., spouse).
Message: This is the system's mechanism to communicate errors that need resolution by you as it relates to enrollment.
Error Type: This indicates the severity of the error by type.