Editing a Fully-Insured Pricing Business Rule

To edit a fully-insured pricing business rule, you should have:

  • Status defined for the fully-insured pricing business rule in the application

Procedure

To edit a fully-insured pricing business rule:

  1. Search for the fully-insured pricing business rule in the Business Rule screen.
  2. In the Search Results section, select the check box corresponding to the Criteria Description column and click the Edit button.
    Note:

    You can edit more than one fully-insured pricing business rules by selecting multiple check boxes.

    You can edit the fully-insured pricing business rule when it is not yet used in the system.

    The Fully-Insured Pricing Business Rule screen appears. It contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Criteria Description Displays the business criteria for the fully-insured pricing business rule.
    Note: This is a read-only field.
    		 Not applicable
    Effective Date Used to specify the date from when the fully-insured pricing business rule is effective. Yes
    Status Used to indicate the status of the fully-insured pricing business rule. The valid values are:

    • Active

    • Inactive

    		 Yes
    Maximum Dependents Used to specify the maximum number of children which are eligible for premium calculation.
    Note: The value for this field must either be zero (0) or a positive integer.
    		 No
    Dependent Max Age Limit Used to specify the maximum age limit for children eligible for premium calculation.
    Note: The value for this field must either be zero (0) or a positive integer.
    		 Yes (Conditional)
    Note: This field is required when you have specified zero (0) in the Maximum Dependents field while defining a fully-insured pricing business rule.
    Dependent Order Priority Used to indicate the order priority of the dependent during premium calculation. The valid values are:

    • Eldest

    • Youngest

    		 Yes (Conditional)
    Note: This field is required when you have specified zero (0) in the Maximum Dependents field while defining a fully-insured pricing business rule.
    Age Calculation Date Used to indicate whether the member person's age should be calculated using the member person's enrollment date or policy's start or renewal date. The valid values are:

    • Member Enrollment Date

    • Member Enrollment Nearest Age

    • Membership Renewal Date

    		 Yes
    Age Recalculation Date Used to indicate whether the member person's age should be recalculated using the member person's enrollment date or policy's start or renewal date. The valid values are:

    • After Birthday Month

    • Membership Renewal Date

    • Nearest Birthday

    		 No
    Young Adult Applicability Used to indicate that the child or dependent enrolling in the membership becomes the young adult in the enrollment period. No
    Young Adult Max Age Limit Used to specify the maximum age limit for young adults which are eligible for premium calculation.
    Note: This field is enabled only when the Young Adult Applicability check box is selected.
    		 Yes (Conditional)
    Note: This field is required if you have selected the Young Adult Applicability check box.
    Member Relationship Derivation Date Used to indicate the member relationship for a member person. The valid values are:

    • Member Date of Birth

    • Member Enrollment Date

    		 Yes
  3. Modify the required details in the Fully-Insured Pricing Business Rule screen.
  4. Click Save.
    The changes made to the fully-insured pricing business rule are saved.

Related Topics

For more information on... See...
Business Rule screen Business Rule (Used for Searching)
How to define a fully-insured pricing business rule Defining a Fully-Insured Pricing Business Rule