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How Enrollment Waiting Periods Affect the Start of Coverage

You can control how Siebel Insurance calculates the start of coverage by defining the enrollment waiting period in the Group Policies screen. When you add a Plan Design (see Designing Plans for Group Policies), you define Product Classes that you then associate with a specific product. In the Classes list you can specify the Waiting Period, that is the number of days that must pass prior to the start of coverage. The actual start of coverage appears in the Effective Date field in the Group Policies, Enrollment view. The Waiting Period you specify in the Plan Design, Classes list directly impacts this Effective Date.

By default, Siebel Insurance has the following defined rules:

  • If a Waiting Period is specified, the Effective Date is set to the number of waiting days from today's date.
  • If a Waiting Period is not specified, the application checks today's date. If that date is before the 15th of the month, the Effective Date is set to the first of the month. If that date is after the 15th of the month, the Effective Date is set to the first of the following month.

When a user enrolls a new member in the Group Policy, Enrollment view, the Effective Date field defaults to a value based on these two rules and the application sets the Status field to Waiting.

The FINS Member Enrollment Rules Workflow enforces these rules. Users can invoke this workflow by submitting a repeating component job request that repeats every 24 hours in batch mode. It checks the Effective Date of existing enrollment records and updates the Status from Waiting to Active if:

  • The Effective Date of a record is less than or equal to today's date
  • The Status is still set to Waiting

For more information on component job requests, see Siebel System Administration Guide.

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