Enrollment Product

The enrollment product is the level for all the premium and adjustment calculations. It is a collection of the benefit specifications offered by the Product(s). The benefits are offered at a price, that is, Premium to an Enrolled Person or Object on the Policy via an Enrollment Product.

The enrollment product has the following fields:.

Code: The unique code of the enrollment product
Display Name: The display name of the enrollment product
Description: The description of the enrollment product
Line of Business: The line of business of the enrollment product
Product Type: The enrollment product type of the enrollment product
Product Category: The enrollment product category of the enrollment product
Premium Schedules: The premium schedules of the enrollment product (multi-value field)
Premium Currency: The currency for the adjustment and add-on amounts specified on the enrollment product (all adjustments and add-ons will have the same currency)
Amount Distribution: The way an amount is divided over calculation periods: on a daily basis or evenly
Partial Period Resolution: Charge for a partial period (per day, no charge, full period, enrolled days threshold, or split periods)
Enrolled Days Threshold: The enrolled days threshold for the partial period resolution or the splitter day of the period used to split the calculation period into two parts in the split periods option for the partial period resolution
Dynamic Fields: Dynamic fields configured for enrollment products. Only single-value dynamic fields are displayed.

Enrollment Product Time Periods

The configuration of adjustment values and add-ons may vary within time periods. This means that, for example, in the time period 2020 a copay discount value may differ from the value for time period 2021. Or, for another example, that an add-on that is available for the enrollment product in the first half of 2020, can no longer be selected during the second half of the year 2020. Configuration of the other details (assigned adjustments, parameters, products, policy accounts and time periods) takes place on the enrollment itself, not within a specific time period.

Enrollment product time periods have the following fields:

Display Name: The display name of the enrollment product time period. Unique for the enrollment product.
Start Date: The start date for the enrollment product time period
End Date: The end date for the enrollment product time period

Assigned Adjustments

Assigned adjustment allow specifying which premium adjustments apply to the enrollment product and the sequence in which they should be applied.

These adjustments have their own time validity (start and end dates), so they are not in the context of the selected enrollment product time period.

Adjustment rules specify the adjustment values that should be applied. The user however has the option to override these values within the context of an enrollment product time period.

There are two sub sections:1) To add enrollment product adjustments and 2) To view the adjustment rules and adjustment values.

Assigned adjustments have the following fields:

Sequence: The sequence in which the different types are calculated
Adjustment Type: The schedule definition of the type adjustment
Start Date: The start date of the assignment of the adjustment
End Date: The end date of the assignment of the adjustment

During premium calculation the adjustments are calculated in the ascending order of the sequence. This is especially relevant for the adjustments that are based on a percentage. The adjustment types having the same sequence, say N, take the same base amount for the percentage based adjustment calculations: premium minus all the adjustments up to and including (N-1) sequence. More information on how adjustment amounts are evaluated can be found in the premium calculation documentation.

Overriding Adjustment values

The following fields are available:

Dimensions: All columns as specified under the Adjustment Type
Adjustment: Specifies the amount (including currency) or percentage by which the premium is adjusted
Override Adjustment: Specifies the overriding adsjsutment value (either amount including currency, or percentage by which the the system adjsuts the premium.

See Enrollment Product Overruled Adjustment for an example of an adjustment that is overuled on enrollment product level.

Enrollment Product Parameter Domain

The enrollment product parameter domain specifies the list of parameters that can be used within the context of an enrollment product.

See Premium Configuration on how enrollment product parameters can be used in premium configuration.

The following fields can be specified :

Parameter: The parameter alias to which the parameter domain belongs
Discrete?: Does the parameter domain contain a discrete list of values? Parameters are either discrete or non discrete.
Discrete parameters have the possibility to enter a list of domain values from which the user can choose when the enrollment product is selected in a policy.
One of the domain values must be marked as the default value.
A dynamic logic condition can be attached to a domain value to limit the availability of the domain value in a policy (for example, a certain value is only available for person with an age of 18 years or above).

Non discrete parameters do not have the option to define a list of possible values. For a non discrete parameter, it is only possible to define a default value for the parameter.
Default Value: Specifies the default amount (including currency), percentage or number for the parameter. The type is defined on the selected parameter alias. This field is only enabled for non discrete parameter domains.

Parameter Domain Values

Parameter domain values have the following fields:

Domain Value: Specifies the amount (including currency), percentage or number for the parameter. The type is defined on the selected parameter alias.
Default?: Indicator that defines which value is the default value for the parameter domain in the context of the enrollment product
Condition: Reference to the dynamic logic condition that applies to the domain value.
Start Date: The start date of the parameter domain value.
End Date: The end date of the parameter domain value.

Add-on

An Add-on is an additional set of benefits that can be added when enrolling on an enrollment product. The add-on has the following fields:.

Code: The unique code of the enrollment product
Display Name: The display name of the enrollment product
Description: The description of the enrollment product

Policy Add-on

A policy add-on specifies the fact that an add-on was added to a member an enrolled product on a policy.

The policy enrollment add-on has the following fields:.

Code: The unique code of the enrollment product
Display Name: The display name of the enrollment product
Description: The description of the enrollment product
Policy Enrollment Product: The reference to a policy enrollment product
Add-on: The reference to the add-on that is added to an enrolled product in the context of a policy

Products

The enrollment products specify which products are packaged together. The following fields are available.

Field	Description
Code	Specifies the product that is packaged by the enrollment product
Description	Descriptive details of the product as mentioned in the product setup

Field

Description

Code

Specifies the product that is packaged by the enrollment product

Description

Descriptive details of the product as mentioned in the product setup

The product is not added within the context of the selected enrollment product time period because it is time independent.

Policy Accounts

The policy account types valid for the enrollment product.

The following fields are available for the policy accounts:

Field	Description
Type	The type of the policy account that is available for the enrollment product.
Display Name	The display name of the policy account type available for the enrollment product.
Autocreate Account?	Indicates whether a policy account of this type is created automatically for policies based on this enrollment product.

Field

Description

Type

The type of the policy account that is available for the enrollment product.

Display Name

The display name of the policy account type available for the enrollment product.

Autocreate Account?

Indicates whether a policy account of this type is created automatically for policies based on this enrollment product.

The policy account is not added within the context of the selected enrollment product time period because it is time independent.

Enrollment Product Time Periods

This is a time period, that is, a slice of time that is used in the context of the enrollment product. They are used to enable the enrollment product adjustment values and parameter values to change over time. Refer to the "Time Periods" page in the Premium and Fees Configuration chapter of the _Configuration Guide_e for details on the time period.

The following fields can be entered:

Field	Description
Display Name	The display name of the enrollment product time period
Start Date	The start date for the enrollment product time period
End Date	The end date for the enrollment product time period

Field

Description

Display Name

The display name of the enrollment product time period

Start Date

The start date for the enrollment product time period

End Date

The end date for the enrollment product time period