Benefits in Oracle HCM Cloud

  

 

Benefits module is often considered one of the most complex and robust modules because it sits at the intersection of HR policy, payroll deductions, and third-party vendor integrations.

At a high level, the Benefits module manages the design, eligibility, and enrollment of employee benefits (health insurance, retirement plans, life insurance, wellness programs, etc.).

Core functional concepts you must know:

• The Benefits Hierarchy (Plan Design): Oracle uses a strict building-block hierarchy to construct benefits.

v Program: The highest level (e.g., "2026 US Executive Benefits Program").

v Plan Type: Categories within the program (e.g., Medical, Dental, Vision).

v Option: The coverage level (e.g., Employee Only, Employee + Spouse, Family).

• Eligibility Profiles: These define who gets what. We attach criteria (e.g., Full-Time status, located in California, Job Grade > 3) to programs or plans to restrict enrollment to the right populations.
• Life Events (LER): This is the engine of the Benefits module. Nothing happens without a Life Event. Whether it's "New Hire," "Marriage," "Open Enrollment," or "Birth of a Child," a Life Event must be triggered and processed to open an enrollment window for an employee.
• Rates and Coverage: Rates define how much the benefit costs (employee contribution vs. employer match), and coverage defines what the benefit provides (e.g., $100,000 in Life Insurance coverage).

 

Back-End Tables

Setup & Configuration Tables

ü  BEN_PGM_F (Programs): Stores the high-level program details.

ü  BEN_PL_TYP_F (Plan Types): Stores the categories (Medical, Dental).

ü  BEN_PL_F (Plans): Stores the actual plans (PPO, HMO).

ü  BEN_OPT_F (Options): Stores the coverage options (Employee Only, Family).

ü  BEN_OIPL_F (Options In Plan): This is a crucial intersection table. Because an "Employee Only" option can be used in both Medical and Dental plans, this table links the Option (BEN_OPT_F) to the specific Plan (BEN_PL_F).

Transactional Tables (Employee Data)

These tables store what actually happens when an employee interacts with the system.

ü  BEN_PER_IN_LER (Person in Life Event): This is the starting point for employee benefits data. When a Life Event triggers for a person, a record is created here. It tracks the status of the event (e.g., Started, Processed, Closed).

ü  BEN_PRTT_ENRT_RSLT_F (Participant Enrollment Results): This is the most important table in Benefits reporting. It stores the actual active enrollments for an employee. If you need to write a report showing who is enrolled in the Medical PPO plan, you query this table.

ü  BEN_PRTT_RT_VAL (Participant Rate Values): This table holds the actual monetary amounts associated with an enrollment result. It tells you exactly how much is being deducted from the employee's paycheck for that specific benefit.

ü  BEN_ELIG_PER_F (Eligible Person): Stores records of which plans and options an employee is eligible for, regardless of whether they actually enrolled.

ü  BEN_PEN_F (Process Enrollment): Used during the processing phase before results are finalized into the BEN_PRTT_ENRT_RSLT_F table.