URS_Renewal Process Flexi Health Group Flashcards

1
Q

What is the new provision provided within the process renewal notice screen? 

A

1) Under process, renewal notice screen, when product name is selected as flexi health group system will check for active master policies. 
2) based on the active master policies, certificates where the certificate risk end date lies between the selected from date, and to date, will be extracted and back-end insert will be done for renewal notice generation. 
3) subsequent renewal process will happen only for the certificates that are inserted in the table, and not for all the certificates present under the master policy. 

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2
Q

What are the other requirements with respect to renewal notice generation? 

A

1) system should compute the premium for the purpose of renewal notice.

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3
Q

On what basis will renewal notice premium be computed? 

A

1) premium will be computed based on the age of the insured on the date of commencement of coverage, assuming that the expiring certificate will be renewed without any break-in.

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4
Q

What needs to be done to enable premium computation functionality for the purpose of renewal notice? 

A

1) In order to enable the premium computation functionality detailed above, “Renewal” will be introduced as a dropdown option in the Transaction Type field in Page 1 of Gencon’s Proposal Screen.
2) selecting the renewal drop-down option from the transaction type field Will either be blocked by the development team or Chola MS users to manually avoid selecting this option as it is only being enabled for the purpose of renewal notice premium computation, and not for the renewal of the master policy itself.

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5
Q

What is the logic for calculating the cumulative bonus percentage? 

A

1) system will first check if there is a claim on the expiring certificate. 2) if there is no claim, then system will check if the expiring certificate already has cumulative bonus percentage, or not.
3) if there is no cumulative bonus percentage, then 10% will be provided. 
4) if there is a cumulative bonus percentage, then it will be incremented by 10% up to maximum of 50%. 
5) if there is a claim on the expiring certificate, and the expiring certificate had a cumulative bonus percentage, then that percentage will be decreased by 10%. 
6) if there is a claim on the expiring certificate, and the expiring certificate did not have a cumulative bonus percentage then cumulative bonus percentage will be continued at 0%. 

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6
Q

What is the logic to determine if a certificate is eligible for cumulative bonus based on the certificate type - ‘Individual’ vs ‘Floater’?

A

In the case of Individual Sum Insured, the cumulative bonus will be applicable to all family members who have not made a claim during the expiring policy period.
In the case of a floater Sum Insured, cumulative bonus will be applicable only if none of the family members have made a claim under the previous policy period.

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