C1-RTAREAMEM

This algorithm derives the geographic rating area for a membership using the Address Source and Address Type characteristic types. It supports two address sources named Policy Holder and Main Subscriber and three address types named Person Mailing, Person Seasonal, and Account Override.

On adding a membership to a policy plan, this algorithm derives the characteristic types from the Address Source Characteristic Type and Address Type Characteristic Type attributes of a geographic rating area preference. This algorithm considers the geographic rating area preference which is specified in the Rating Area Field Mapping for Group option type of the C1-ASOBLLNG feature configuration. Then, it searches for these characteristics on the following entities in the specified sequence:

  1. Policy Plan

  2. State where the Policy Plan is Issued

  3. Policy

  4. State where the Policy is Issued

If these characteristics are not defined for any of the above listed entities, this algorithm derives the default address source and address type from the geographic rating area preference. If the address source is set to Policy Holder, this algorithm fetches the value from the Parent Customer Policy Person Role option type of the C1-ASOBLLNG feature configuration. It then derives the person who is associated with the policy using the parent customer policy person role. Once the address source and address type are derived, this algorithm fetches the state and zip code from the address type of the address source. For example, if the address source is set to Policy Holder and address type is set to Person Mailing, this algorithm fetches the state and zip code from the policy holder's mailing address. Once the state and zip code are fetched from the address, this algorithm checks whether the zip code is a 9-digit code. If not, it appends zeros to make it a 9-digit zip code. It then derives the value of the Use Plan Details attribute from the geographic rating area preference. If the attribute is set toY, this algorithm derives a geographic rating area for the state, zip code, policy number, plan number, and source system combination. However, if the attribute is set toN, this algorithm derives a geographic rating area for the state and zip code combination. If the geographic rating area is not derived for the specified combination, this algorithm derives the default geographic rating area from the geographic rating area preference. Once the geographic rating area is derived, this algorithm stores the geographic rating area for the membership. The characteristic type specified in the Geographic Rating Area Characteristic Type attribute of the geographic rating area preference is used to store geographic rating area for the membership. The effective date of the characteristic is set to effective date of the address.