Defining a Policy Type

Prerequisites

To define a policy type, you should have:

  • Required policy business object defined in the application

    Note: The C1-POLICY and C1-ASOPolicy business objects are shipped with the product. You can use the C1-POLICY business object to create a fully-insured group policy and the C1-ASOPolicy business object to create a self-funded policy.

Procedure

To define a policy type:

  1. Click the Admin link in the Application toolbar.
    A list appears.
  2. From the Admin menu, select P and then click Policy Type.
    A sub-menu appears.
  3. Click the Add option from the Policy Type sub-menu.

    The Policy Type screen appears. It contains the following sections:

    • Main - Used to specify basic details about the policy type.

    • Characteristics - Used to define the characteristics for the policy type.

    The Main section contains the following fields:

    Field Name Field Description Mandatory (Yes or No)
    Policy Type Used to specify the policy type. Yes
    Business Object Indicates the business object using which you are defining the policy type. Not applicable
    Policy Business Object Used to indicate the business object using which you want to create a policy. Yes
    Description Used to specify the description for the policy type. Yes
    Status Used to indicate the status of the policy type. The valid values are:

    • Active

    • Inactive

    		 Yes
    Policy Category Used to indicate the category to which the policy type belongs. The valid values are:

    • Fully-Insured Group

    • Fully-Insured Individual

    • Self-Funded

    Note: At present, the Fully-Insured Individual policy category is not supported in the system.
    		 Yes
    Detailed Description Used to specify additional information about the policy type. No
    Tip: Alternatively, you can access this screen by clicking the Add button in the Page Title area of the Policy Type screen.
  4. Enter the required details in the Main section.
    Note: If you want to create a policy type for the fully-insured group health insurance business, select the C1-POLICY business object from the Policy Business Object list and the Fully-Insured Group option from the Policy Category list. However, if you want to create a policy type for the self-funded health insurance business, select the C1-ASOPolicy business object from the Policy Business Object list and the Self-Funded option from the Policy Category list.
  5. Define the characteristics for the policy type, if required.
  6. Click Save.
    The policy type is defined.

Related Topics

For more information on... See...
Policy Type screen Policy Type
How to define a characteristic for a policy type Defining a Characteristic for a Policy Type