Group Health Insurance Delinquency

The system enables you to create a delinquency process at the person or account level for the fully insured group business. You can create a delinquency process at the person or account level only when the collection method in the person's or account's collection class is set to Self-Control Delinquency.

In the account level delinquency process, the system monitors the debt of the account at predefined system events and commences the delinquency process whenever the account's debt is overdue. The system creates a delinquency process for an account only when at least one bill of the account is overdue. Note that the system ignores the account while monitoring the delinquency when the collection method in the respective collection class is set to Not Eligible for Collection.

However, in the person level delinquency process, the system considers all its accounts and its child persons' accounts where the collection method in their respective collection class is set to Parental Delinquency. It then monitors the debt of the person's and its child persons' accounts at predefined system events and commences the delinquency process whenever any of its account's debt is overdue. Note that, in the person's hierarchy, if the collection method in the collection class of any account is set to Self-Control Delinquency, then such account is not considered while monitoring the parent person's delinquency. The system creates a distinct delinquency process for each such account where the collection method in the respective collection class is set to Self-Control Delinquency. Similarly, in the person's hierarchy, if the collection method in the collection class of any child person is set to Self-Control Delinquency, then all the child person's accounts and its grandchild persons' accounts are not considered in the parent person's delinquency. The system creates a distinct delinquency process for each such person (i.e. bill group) where the collection method in the respective collection class is set to Self-Control Delinquency. The system creates a delinquency process for a person only when at least one bill of any account (considered) in its hierarchy is overdue.

Note that the system ignores the persons and accounts in the person's hierarchy while monitoring the delinquency when the collection method in the respective collection class is set to Not Eligible for Collection.