Transition of Self-Funded Policy to Post Runout Status

A self-funded policy can be transitioned to the Post Runout status only through the Policy Periodic Monitor (C1-POLPR) batch. On executing the Policy Periodic Monitor (C1-POLPR) batch, the system does the following:

• If the self-funded policy is in the Runout status and the runout end date - X days is earlier than or equal to the system date, it creates a To Do using the To Do type which is specified in the To Do Type for Runout Status parameter (of an algorithm created using the C1-ASOPOLMOA algorithm type).

• If the runout end date of the self-funded policy is earlier than or equal to the system date and the To Do created using the To Do type specified in the To Do Type for Runout Status parameter is completed, it changes the status of the self-funded policy from Runout to Post Runout.

You can define pricing rules using the pricing rule types of the following categories for a self-funded policy of a bill group which is in the Post Runout status:

• Claim

• Specific Stop-Loss

• Aggregate Stop-Loss

• Retention Type Claim Based

• Ancillary