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.
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.
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.