Reinsurance

Reinsurance Setting

An enrollment product type can have one or more reinsurance settings. A reinsurance setting specifies the percentage that should be paid out to a reinsurer.

Table 1. Reinsurance Setting

Field	Description
Enrollment Product Type	The enrollment product type for which the reinsurance setting is applied
Organization	The organization that acts as a reinsurer
Percentage	The percentage of the premium that has to be payed to the reinsurer
Alias Code	The alias code for reinsurance (this is transferred to OHI Claims in the enrollment response if reinsurance is applied)
Start Date	The start date of the reinsurance setting
End Date	The end date of the reinsurance setting

Constraints:

• It is not allowed to have an overlap in time validity for reinsurance settings with the same enrollment product type, organization and alias code

Reinsurance Exclusion

A reinsurance setting can have one or more reinsurance exclusions. A reinsurance exclusion specifies the premium types, adjustments and surcharges that are excluded from the base amount used for the reinsurance payment calculation.

Table 2. Reinsurance Exclusion

Field	Description
Reinsurance Setting	The reinsurance setting for which the exclusions apply
Premium Schedule Type	The excluded premium schedule type
Schedule Definition	The excluded schedule definition

Note that not all schedule definitions are relevant to reinsurance, for example, schedule definitions that belong to the "Fee" schedule definition type have no relevance within the context of a reinsurance exclusion.