Defining Accumulation Parameters in a Specific Stop-Loss Pricing Rule

Procedure

To define accumulation parameters in a specific 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 a specific 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 a specific stop-loss. Not applicable
    Incurred Start Date Used to specify the incurred start date based on which you want to accumulate the specific stop-loss.
    Note: The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.
    		 Yes
    Incurred End Date Used to specify the incurred end date based on which you want to accumulate the specific stop-loss.
    Note: The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.
    		 Yes
    SSL Payout Limit Used to specify the maximum limit defined for specific 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 specific stop-loss.
    Note: The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.
    		 Yes
    Paid End Date Used to specify the paid end date based on which you want to accumulate the specific stop-loss.
    Note: The accumulated specific stop-loss for claim transactions are processed in the run-in or active period of the policy.
    		 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
    Compute Aggregate SSL (ASSL) Used to indicate whether the aggregate specific stop-loss (ASSL) should be calculated or not during the C1-BCSSL batch run for each bill group. The valid values are:

    • Yes

    • No

    		 Yes
    ASSL Credit Count Used to indicate that the aggregate specific stop-loss amount beyond the ASSL limit will be paid by the insurance company to the ASSL credit account.
    Note: This field is enabled when you select Yes option from the Compute Aggregate SSL (ASSL) field.
    		 Yes
    ASSL Limit
    Note: This field is enabled when you select Yes option from the Compute Aggregate SSL (ASSL) field.
    		 Yes
  2. Enter the required details in the Accumulation Parameters section.
  3. Click Save.
    The accumulation parameters are defined in the specific stop-loss pricing rule.

Related Topics

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