Last modified by Dominique Tricerri on 2021/12/01 11:12

Show last authors
1 (% class="wikigeneratedid" id="HMONTHLYMEMBERMAINTENANCEWORKFLOW" style="text-align: center;" %)
2 (% style="color:#2980b9; font-size:28px" %)**MONTHLY MEMBER MAINTENANCE WORKFLOW**
3
4
5
6 (% style="text-align: center;" %)
7 (% style="color:#2980b9" %)**BY**
8
9
10
11 (% style="text-align:center" %)
12 [[image:Group Risk Monthly Member Mainentance WFL_html_8cba33b1e8c9fa24.gif||height="128" width="463"]]
13
14 {{info}}
15 (% style="break-before: page; text-align: center;" %)
16 (% style="color:#2980b9; font-size:20px" %)**TABLE OF CONTENTS**
17
18
19 {{toc/}}
20
21
22 {{/info}}
23
24
25
26 (% style="break-before: page; text-align: center;" %)
27 = (% style="color:#2980b9" %)**Introduction**(%%) =
28
29
30 The purpose of the workflow batch is to assist the user with a controlled month end policy status maintenance. During this process, the system will:
31
32 * Reinstate the policies that were lapsed during last month’s run due to outstanding premiums will be reactivated if the premiums are now received this month.
33 * Lapse the policies that no premiums have been received for as per defined business rules.
34 * Terminate policies that were lapsed and still no premiums have been received.
35 * Generate letters for the policies that are in arrears.
36 * Generate letters for the child-dependents who will, within the next 3 months, be over the eligibility age as specified in the rules.
37
38 This process will need to be run prior the collection file is sent for debit and stop order payments but must be run after the premiums have been received for all other cash payments.
39
40
41
42 (% style="break-before: page; text-align: center;" %)
43 = (% style="color:#2980b9" %)**Policy Maintenance Process**(%%) =
44
45
46
47 To initiate the process, select the (% style="color:#2980b9" %)**‘Monthly Member Maintenance’**(%%) batch from the Batch Management screen.
48
49
50 (% style="text-align:center" %)
51 [[image:1638175073928-276.png]]
52
53
54 Double-click the (% style="color:#2980b9" %)**‘Edit’** (%%)hyperlink to open the Batch Editor screen.
55
56 [[image:1638356773388-225.png]]
57
58
59 (% style="break-before: page" %)
60 The Batch Editor screen need to be captured as follows:
61
62
63 (% style="color:#2980b9" %)**Client:**(%%)** **This field will default to the selected client.
64
65 (% style="color:#2980b9" %)**Paypoint: **(%%)This is a Paypoint the process is run. Select applicable paypoint from the drop-down list.
66
67 (% style="color:#2980b9" %)**Date 1: **(%%)This is the effective date the process is run on.
68
69 (% style="color:#2980b9" %)**Batch Ref:**(%%)** **System generated and must not be edited / altered.
70
71
72 Then(% style="color:#2980b9" %)** ‘Save’**(%%) and (% style="color:#2980b9" %)**‘Execute’**(%%) the batch to implement the increase.
73
74
75 [[image:1638356726994-994.png]]
76
77
78 The (% style="color:#2980b9" %)**‘Monthly Member Maintenance’** (%%)workflow will be initiated and will be listed on the Workflow sub-window on the bottom left of the main Everest screen.
79
80 Double-click it to open the workflow screen.
81
82
83 (% style="text-align:center" %)
84 [[image:1638175134073-739.png||height="289" width="277"]]
85
86
87 Click on (% style="color:#2980b9" %)**‘Done’**(%%) on the next screen to proceed to the next step.
88
89
90 (% style="text-align:center" %)
91 [[image:1638175154466-237.png]]
92
93
94 The next step will reinstate and terminate policies. Please read the instructions on the screen carefully.
95
96 Click on (% style="color:#2980b9" %)**‘Done’**(%%) to process these.
97
98
99 (% style="text-align:center" %)
100 [[image:1638175179077-289.png]]
101
102 (% style="break-before: page" %)
103 The reinstatement letter will be generated for all policies that are reinstated. These will need to checked for correctness and sent out to policyholders.
104
105
106 (% style="text-align:center" %)
107 [[image:1638175193627-120.png]]
108
109
110 The next step will lapse applicable policies.
111
112 Click on(% style="color:#2980b9" %)** ‘Done’**(%%) to process these.
113
114
115 (% style="text-align:center" %)
116 [[image:1638175209284-732.png]]
117
118 (% style="break-before: page" %)
119 The lapse letter for all applicable policies will generate.
120
121
122 (% style="text-align:center" %)
123 [[image:1638175227506-779.png]]
124
125
126 In the next step the system will identify all policies that are in arrears.
127
128
129 Click on (% style="color:#2980b9" %)**‘Done’** (%%)to produce letters.
130
131
132 [[image:1638357011795-892.png]]
133
134 (% style="break-before: page" %)
135 A letter will be produced for all policies that are in arrears.
136
137
138 (% style="text-align:center" %)
139 [[image:1638175363139-666.png]]
140
141
142 In the next step the system will identify children dependents that are within 3 months of maximum eligibility age as setup in the rules.
143
144
145 Click on (% style="color:#2980b9" %)**‘Done’**(%%) to produce letters.
146
147
148 [[image:1638357121131-851.png]]'
149
150 (% style="break-before: page %)
151 A letter will be produced for all identified child dependents.
152
153
154 (% style="text-align:center" %)
155 [[image:1638175520700-236.png]]
156
157
158 This will now be the last step of the workflow. Click on (% style="color:#2980b9" %)**‘Done’** (%%)to end the process.
159
160
161
162 (% style="break-before: page; text-align: center;" %)
163 = (% style="color:#2980b9" %)**Disclaimer and Copyright**(%%) =
164
165
166 (% style="color:#2980b9" %)**DISCLAIMER**
167
168 Please note, whilst care is taken to illustrate numerous scenarios, it is impossible to detail all instances and therefore this document should merely serve as a guide for the purposes of demonstrating system functionality and conducting employee training.
169
170 In accordance with the above paragraph, this training manual is published and distributed on the basis that EBSphere (Pty) Ltd is not responsible/accountable for any actions taken by users of information contained in this training manual nor for any error in or omission from this manual.
171
172 EBSphere (Pty) Ltd does not accept any responsibility whatsoever for a misrepresentation performed by any person in respect of claims, losses or damage or any other matter, either direct or consequential arising out of or in relation to the use and reliance, whether wholly or partially, upon any information contained or products referred to in this manual.
173
174 Further, the contents of this training manual are subject to change without any notice and further highlight the need for this training manual to serve only as a guide.
175
176
177
178 (% style="color:#2980b9" %)**COPYRIGHT**
179
180 This documentation and the software described in it is the exclusive property of EBSphere (Pty) Ltd. This manual or the software may not be copied in whole or part, without the express written consent of EBSphere (Pty) Ltd. Under the law, copying includes translating into another language or format.
181
182
183 EBSphere (Pty) Limited
184
185 P.O. Box 785803
186
187 Sandton
188
189 2146
190
191
192
193 (% style="text-align:center" %)
194 [[image:Group Risk Monthly Member Mainentance WFL_html_8cba33b1e8c9fa24.gif||height="128" width="463"]]

Need help?

If you need help with XWiki you can contact: