C1-MEMBDLQ

This algorithm fetches those individual memberships where details of the account, for which the delinquency process is created, are stored as the characteristics on the individual memberships. While fetching the individual memberships which are billed to delinquent account, the system considers the characteristic types which are specified in the Account Identifier Type Char Type and Account Identifier Type Char Value option types of the C1-ASOBLLNG feature configuration.

Once the individual memberships are derived, the system considers only those memberships where the status is set to the value specified in the Membership Active Status or Membership Terminated Status option type of the C1-ASOBLLNG feature configuration depending on from where the algorithm is invoked.

This algorithm then derives a preference where the preference category is set to Individual Membership. It checks whether the characteristic type specified in the Active Selection Characteristics attribute of the preference is defined on any of the derived active individual memberships.

Note: If a characteristic of the specified characteristic type exists on an individual membership, it means that the individual membership is created for the next year’s coverage. However, if a characteristic of the specified characteristic type does not exist on an individual membership, it means that the individual membership is created for the current year’s coverage.

If the account selection characteristic exists on the active individual membership, the system checks whether the characteristic’s effective date is later than or equal to the membership start date. If the characteristic’s effective date is later than or equal to the membership start date, the system checks whether the paid through date is stamped on the account.

If the paid through date is stamped on the account, the system checks whether the membership start date is later than the paid through date. If the membership start date is later than the paid through date, the system derives the following:

  • Sum of the following payments

    • Payment made against the on account contracts

    • Payments made against the coverage period that falls after the paid through date

  • Premium for the first coverage period of the individual membership (which is created for the next year’s coverage)

The system then compares the premium of the first coverage period against the sum of payments. If the payment is sufficient to pay the first coverage period premium, the system sets the Evaluate Guaranteed Availability flag of the individual membership to true.

However, if the account selection characteristic is not defined on the individual membership or if the account selection characteristic’s effective date is earlier than the membership start date or if the paid through date is not stamped on the account or if the individual membership start date is earlier than or equal to the paid through date, or if the payment is not sufficient to pay the first coverage premium for the next year’s membership, then the system sets the Evaluate Guaranteed Availability flag of the individual membership to false.

This algorithm contains the following parameter:

  • On Account Payment Contract Types – Used to indicate the contract types whose contracts you want to consider while deriving the on account payments. This parameter is required.

Note: This algorithm is only applicable for the fully insured individual business.