| Value | Description | Special Handling Code | Hard Coded |
|---|
| 1 | 10 | Director Form | | Y |
| 2 | 100 | Number of Dependents to Cover | | Y |
| 3 | 120 | Health & Welfare Enrollment | | Y |
| 4 | 150 | COBRA Notification | | Y |
| 5 | 160 | Preview Benefit Changes | | Y |
| 6 | 170 | Accept Benefit Changes | | Y |
| 7 | 180 | Final Benefit Confirm Stmt | | Y |
| 8 | 190 | Indemnity Plans | | Y |
| 9 | 20 | Employee Personal Information | | Y |
| 10 | 200 | Retirement Plans | | Y |
| 11 | 210 | Other Plans | | Y |
| 12 | 220 | NonHealth & Welfare Enrollment | | Y |
| 13 | 230 | Disability Status Disclose | | Y |
| 14 | 240 | Veteran Status Disclose | | Y |
| 15 | 30 | Employee Phone Numbers | | Y |
| 16 | 40 | Employee Emergency Contacts | | Y |
| 17 | 50 | W-4 Changes | | Y |
| 18 | 60 | Enter Event Date | | Y |
| 19 | 70 | Dependent List | | Y |
| 20 | 80 | Beneficiary List | | Y |
| 21 | 90 | Current Elections | | Y |
