RFI #
1316
INS09 usage based on INS02
Description
We are looking at the user note in 5010 for INS09
"Required when describing a non-spouse dependent whose age requires a
qualifying condition for enrollment (e.g., being an active student). See the
Plan contract for details of the age requirements for student status usage."
and we are in the process of creating edits for INS09 based on INS02 values.
Is it appropriate to require INS09 to be used as 'N' when INS02='23'?
We already have the following checks
1. INS09 should not be used when INS02 is 01, 18, 53, 19 & 24.
2. If INS02 = 23, INS09 should be N.
RFI Response
Yes. If INS02 is equal 23, then INS09 would equal N.
DOCUMENT ID
005010X220