Group Insurance Policies

This ERD (see the following figure) illustrates how Siebel Financial Services supports generation of a group policy instance, which can be either a group health or a group life policy, or other types of employee benefits. One organization can own many policy instances. Each organization's employee is a primary policy contact, and determines the type of coverage and the elements of coverage they enjoy. Each contact covered by a policy instance includes an insurance coverage role, and the contact's dependents are stored as coverage elements. The coverage role provides each coverage element with multiple possible benefits.

Group Insurance Policies: This image is described in the surrounding text.

The following table lists the entities in this ERD and their corresponding tables.

Entity Table

Census

S_ORG_CENSUS

Census Detail

S_CENSUS_DETAIL

Class

S_VOD, S_VOD_VER

Class Attribute

S_XA_ATTR

Contact

S_CONTACT,S_PARTY

Coverage Role

S_FN_CVRG_ROLE

Employee Class

S_FN_GRP_CLASS

Instance Attribute

S_ASSET_ITEM_XA

Organization Unit

S_ORG_EXT, S_PARTY

Policy Instance

S_ASSET

Primary Policy Member

S_ASSET_CON

Product Attribute

S_PROD_INT_XA

Product Class

S_FN_HLDNG

Product Class Rate

S_FN_HLDNG_RATE

Product Component

S_PROD_ITEM

Product Enrollment

S_FNCVRG_ELMNTS

Product For Member

S_APPLD_CVRG

Product Instance

S_ASSET_ITEM

Product Internal

S_PROD_INT

Rate Band

S_PROD_RATE