Enrollee

The Enrollee page contains the following fields:

Account Status 

Select the enrollee's account status. Valid Values are:

• Active
• Inactive
• Terminated
• Canceled
• History

Date of Birth

Enter the enrollee's date of birth in MM/DD/YYYY format.
OR
Use the calendar icon to select the date.

First Name

Enter the enrollee's first name.

Last Name

Enter the enrollee's last name.

Middle Name

Enter the enrollee's middle name, if applicable.

POI 

Select the enrollee's Personnel Office Identifier (POI).

SSN

Enter the enrollee's SSN.

Tribe 

Select the name of the tribe. Select the applicable tribe.