Benefits Medical Information - Copy and Update Record

Procedure Updated: 

Use this procedure to copy an existing Benefits Medical Information (0376) infotype record and update it with necessary changes. Copying and updating a record is only necessary when the employee’s attestation information has been entered into Pay1 on payroll processing Day 3. Using the Copy action will retain the history of the previous record.


All updates to an employee’s benefit information should be entered in Pay1. This procedure should only be used if an employee’s attestation information in Pay1 has been updated on Day 3 of payroll processing and the information will not have the necessary time to GAP into HRMS.

For information regarding employee attestation requirements for PEBB benefits, contact Health Care Authority PEBB Program toll free at 1-800-200-1004.

Newly eligible employees, employees regaining eligibility, returning from waived status, or enrolling/changing a spouse or dependent in PEBB medical (age 13 or older) must attest on the PEBB Premium Surcharge Attestation Form.

Be sure to communicate with your payroll processor before entering retroactive changes to an employee's record.

  1. Step 1

    Enter transaction code PA30 in the command field and click the Enter button.

    Transaction code field with value PA30

  2. Step 2

    Complete the following field:

    • Personnel no.

    Personnel Number field with value 40001000

  3. Step 3

    Click Enter to populate the employee information.

  4. Step 4

    On the Benefits tab, select the Benefits Medical Information radio button.

    Benefits tab is highlighted with Benefits Medical Information radio button selected

  5. Step 5

    Click the Overview button.

  6. Step 6

    Select the radio button to the left of the record you wish to copy.

    Overview screen with one record selected

  7. Step 7

    Click the Copy button.

  8. Step 8

    Enter the appropriate Start and To dates.

    Benefits Medical Information screen with Start and To fields highlighted

  9. Step 9

    Enter the necessary changes to the record.

    Benefits Medical Information screen with Souse/DP surcharge field highlighted

    • Tobacco Surcharge options are:

      • Y-Attested: subject to Tobacco Surcharge
      • N-Attested: not subject to Tobacco Surcharge
      • D-Not attested: subject to Tobacco Surcharge
    • Spouse/DP Surcharge options are:

      • Blank-Spouse not enrolled: not subject to Spousal Surcharge
      • Y-Attested: subject to Spousal Surcharge
      • N-Attested: not subject to Spousal Surcharge
      • D-Not attested: subject to Spousal Surcharge

      The Spouse/DP Surcharge is not mandatory if coverage was waived for a spouse or dependent.

  10. Step 10

    Click the Enter button to validate the information.

  11. Step 11

    Click the Save button.