Defining Accumulation Parameters in an Aggregate Stop-Loss Pricing Rule

Procedure

To define accumulation parameters in an aggregate stop-loss pricing rule:

  1. Ensure that the Accumulation Parameters section is expanded when you have selected an option from the Price Item field of Main section while defining an aggregation stop-loss pricing rule.

    The Accumulation Parameters section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Accumulation Group ID Displays blank field, accumulation group ID is generated when accumulation parameter values are defined for an aggregation stop-loss. Not applicable
    ASL Credit Account Used to indicate the account in which the aggregate stop-loss amount should be credited.
    Note: This field becomes read when you select a date range from the Parent Customer's SSL or ASL Pricing Rules.
    		 Not applicable
    Incurred Start Date Displays the incurred start date based on which you want to accumulate the aggregate stop-loss.
    Note:

    The accumulated aggregated stop-loss for claim transactions are processed in the run-in or active period of the policy.

    This field displays date when you select a date range from the Parent Customer's SSL or ASL Pricing Rules.

    Incurred Start Date is equal to the pricing rule start date.

    		 Not applicable
    Incurred End Date Displays the incurred end date based on which you want to accumulate the aggregate stop-loss.
    Note:

    The accumulated aggregated stop-loss for claim transactions are processed in the run-in or active period of the policy.

    This field displays date when you select a date range from the Parent Customer's SSL or ASL Pricing Rules.

    Incurred End Date is equal to the pricing rule end date.

    		 Not applicable
    ASL Payout Limit Used to specify the maximum limit defined for aggregated stop-loss at the member or main subscriber level. Yes
    Paid Start Date Used to specify the paid start date based on which you want to accumulate the aggregate stop-loss.
    Note:

    The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.

    This field displays date when you select a date range from the Parent Customer's SSL or ASL Pricing Rules.

    Paid Start Date is equal to the pricing rule start date.

    		 Yes
    Paid End Date Used to specify the paid end date based on which you want to accumulate the aggregate stop-loss.
    Note:

    The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.

    This field displays date when you select a date range from the Parent Customer's SSL or ASL Pricing Rules.

    Paid End Date is equal to the pricing rule end date.

    		 Yes
    Settlement Days Used to indicate the settlement days which helps to calculate the settlement date.
    Note: Settlement date is calculated as the pricing end date, incurred end date, or paid end date whichever is later added with the settlement days.
    		 Yes
    ASL Limit (During Policy Period) Used to indicate the aggregate stop-loss limit set during the policy period. The valid values are:

    • Policy Based Limit

    • Enrollment Based Limit

    • Percentage of Enrollment Based Limit

    • Enrollment Based or Minimum ASL Limit (Whichever is Greater)

    		 Yes
    ASL Limit (During Settlement Period) Used to indicate the aggregate stop-loss limit set during the settlement period. The valid values are:

    • Policy Based Limit

    • Enrollment Based Limit

    • Enrollment Based or Minimum ASL Limit (Whichever is Greater)

    		 Yes
    Minimum ASL Limit Used to specify the minimum ASL limit.
    Note: This field is enabled when you select the Enrollment Based or Minimum ASL Limit (Whichever is Greater) option from the ASL Limit (During Policy Period) or ASL Limit (During Settlement Period) field.
    		 Yes (Conditional)
    Note: This field is required when the ASL Limit (During Policy Period) or ASL Limit (During Settlement Period) is Enrollment Based or Minimum ASL Limit (Whichever is Greater).
    Percentage of Enrollment Based Limit Used to specify the percentage of enrollment based limit.
    Note: This field is enabled when you select the Percentage of Enrollment Based Limit option from ASL Limit (During Policy Period) field.
    		 Yes (Conditional)
    Note: This field is required when the ASL Limit (During Policy Period) is Percentage of Enrollment Based Limit.
    Policy Based Limit Used to specify the policy based limit.
    Note: This field is enabled when you select the Policy Based Limit option from the ASL Limit (During Policy Period) or ASL Limit (During Settlement Period) field.
    		 Yes (Conditional)
    Note: This field is required when the ASL Limit (During Policy Period) or ASL Limit (During Settlement Period) is Policy Based Limit.
  2. Enter the required details in the Accumulation Parameters section.
  3. Click Save.
    The accumulation parameters are defined in the aggregated stop-loss pricing rule.

Related Topics

For more information on... See...
How to define an aggregated stop-loss pricing rule for a parent customer Defining an Aggregate Stop-Loss Pricing Rule for a Parent Customer
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