VisionPLUS 09 Insurance Processing.doc
VisionPLUS 09 Insurance Processing.doc
Insurance Processing
Objectives
INSURANCE ENROLLMENT ID
Section 9–2
Insurance Processing
RELATED FIELDS
PROD Two character code that identifies an insurance product associated
with this Insurance table. Multiple insurance products can be
associated with this Insurance table.
Section 9–3
CMS 8.0
ARMI PAGE 01
SC FL
This screen displays in maintenance mode (ARMI) only. The PCT IDs listed on
the screen identify Processing Control Tables to which the Insurance table has
been assigned. Each Processing Control Table contains processing parameters for
a state, province, or country. If you do not want to modify the Insurance table
associated with the Processing Control Tables listed on this screen, exit before
performing any maintenance or adding any insurance products to the table.
Section 9–4
Insurance Processing
Section 9–5
CMS 8.0
ARMI PAGE 02
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/01/2000
DESCRIPTION ( CREDIT CARD PROTECTION )
REPORT ( C )
COMPANY ( CO ) RATE METHOD ( 01 )
BILLING METHOD ( 0 ) BILLING FREQUENCY ( 0 )
PAST DUE/OVERLIMIT FLAG ( 0 ) ( 0 ) INCREMENTS ( 0 ) ( 0000000100 )
FIXED PREMIUM ( 000000250 ) ENROLL/EXPIRE AGE ( 64 ) ( 65 )
MINIMUM AGE ( 20 ) REINSTATEMENT ( 2 ) ( 1 )
MAX. COVERAGE ( 00000000000010000 ) TRUNCATION FLAG ( 1 )
VENDOR ID ( 300 000000001 ) ENROLLMENT ID ( 1 )
CLAIM BALANCE ( 0 ) INSURANCE ROUNDING ( 0 )
MINIMUM PREMIUM ( 000000500 ) MINIMUM BAL ( 00000000000001000 )
DEL CAN ( 1 ) W: R ( 0 ) C ( 3 ) FICHE NBR ( 0 ) ( 000 ) ( 000 )
C: R ( 0 ) C ( 5 ) ( 04 )
TRAN CODES: PREMIUM ( 000 ) CLAIM PAYMENT ( 000 ) DIRECT CLM PMT ( 000 )
PREM REV ( 000 ) CLAIM PMT REV ( 000 ) DIR CLM PMT REV ( 000 )
CURRENCY 840 NOD 2 PER ITEM NOD 2 PERCENTAGE NOD 7
PF1=ARMU PF2=ARMF PF3=ARDM PF4=ARMR PF5=ARAR PF6=INQUIRY
RELATED FIELDS
RATE METHOD Code that indicates the amount and method CMS uses to
calculate insurance premiums. The values are:
0 = Average daily balance. Multiply the
assessment rate (per value by age on
ARMI03) by the average daily balance for
the cycle. Add the fixed premium amount
defined on the Insurance table (fixed
premium on ARMI02). This method is valid
for insurance premium calculations at the
account level or credit plan level. (Default)
1 = Cycle-ending balance. Multiply the
assessment rate (PER VALUE BY AGE on
ARMI03) by the balance as of the end of the
cycle. Add the fixed premium amount
defined on the Insurance table (FIXED
PREMIUM on ARMI02). This method is valid
for insurance premium calculations at the
account level or credit plan level.
Section 9–6
Insurance Processing
Section 9–7
CMS 8.0
Section 9–8
Insurance Processing
Section 9–9
CMS 8.0
ARMI PAGE 02
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/01/2000
DESCRIPTION ( CREDIT CARD PROTECTION )
REPORT ( C )
COMPANY ( CO ) RATE METHOD ( 01 )
BILLING METHOD ( 0 ) BILLING FREQUENCY ( 0 )
PAST DUE/OVERLIMIT FLAG ( 0 ) ( 0 ) INCREMENTS ( 0 ) ( 0000000100 )
FIXED PREMIUM ( 000000250 ) ENROLL/EXPIRE AGE ( 64 ) ( 65 )
MINIMUM AGE ( 20 ) REINSTATEMENT ( 2 ) ( 1 )
MAX. COVERAGE ( 00000000000010000 ) TRUNCATION FLAG ( 1 )
VENDOR ID ( 300 000000001 ) ENROLLMENT ID ( 1 )
CLAIM BALANCE ( 0 ) INSURANCE ROUNDING ( 0 )
MINIMUM PREMIUM ( 000000500 ) MINIMUM BAL ( 00000000000001000 )
DEL CAN ( 1 ) W: R ( 0 ) C ( 3 ) FICHE NBR ( 0 ) ( 000 ) ( 000 )
C: R ( 0 ) C ( 5 ) ( 04 )
TRAN CODES: PREMIUM ( 000 ) CLAIM PAYMENT ( 000 ) DIRECT CLM PMT ( 000 )
PREM REV ( 000 ) CLAIM PMT REV ( 000 ) DIR CLM PMT REV ( 000 )
CURRENCY 840 NOD 2 PER ITEM NOD 2 PERCENTAGE NOD 7
PF1=ARMU PF2=ARMF PF3=ARDM PF4=ARMR PF5=ARAR PF6=INQUIRY
RELATED FIELDS
BILLING Code that indicates the method CMS uses to bill the insurance
METHOD premium. The values are:
0 = Add the insurance premium to the account
balance only (default)
1 = Add the insurance premium to the account
balance and to the payment amount due.
Section 9–10
Insurance Processing
INCREMENTS Two part field that determines the increment amount and whether
CMS uses partial increments or exact increments when
calculating insurance premiums.
FIXED PREMIUM Fixed premium amount, in monetary units and subunits, that CMS
uses when calculating insurance premiums, as follows:
MAX. COVERAGE Maximum at-risk amount covered by this insurance product. The
amount is in whole monetary units. This amount may be the
current account balance, the average daily balance of the account,
or the current payment amount due, depending on the rate method
selected (RATE METHOD on ARMI02). CMS cancels the insurance
product when this amount is reached if the TRUNCATION FLAG
value is set to 0 or 1 on ARMI02.
CMS then assigns the value T in the CANCEL RSN field in the
Section 9–11
CMS 8.0
Examples:
INSURANCE Code that indicates the rounding method that CMS uses to round
ROUNDING or truncate the calculated insurance premiums. The values are:
0 = Standard rounding (If the third decimal
position is 1 to 4, CMS rounds down; if the
third decimal position is 5 to 9, CMS rounds
up.) (Default)
1 = Always round up (If the third decimal
position is 1 to 9, CMS rounds up.)
2 = Truncate. (CMS does not round.)
MINIMUM BAL Minimum balance, in monetary units and subunits, required for
CMS to assess insurance. CMS compares this minimum balance
amount to the balance determined by the rate method (RATE
METHOD on ARMI02). The default is zero.
Section 9–12
Insurance Processing
TRAN CODES
The following fields—PREMIUM through DIR CLM PMT REV—identify transaction
codes associated with this Insurance table.
CLAIM PAYMENT Transaction code that CMS uses for customized processing of
claim payment transactions. The transaction code entered must be
associated with Logic Module 30.
DIRECT CLM Transaction code that CMS uses for customized processing of
PMT claim payment transactions directed to a specific plan. The
transaction code entered must be associated with Logic Module
33.
PREM REV Transaction code that CMS uses for insurance premium reversal
transactions. Use this field when you want to use a transaction
code other than the code defined for Acc Delq Ins Prem Refund
on ARMX02. The transaction code entered must be associated
with Logic Module 16.
CLAIM PMT REV Transaction code that CMS uses for customized processing of
claim payment reversal transactions. The transaction code entered
must be associated with Logic Module 31 or 32.
DIR CLM PMT Transaction code used for customized processing of directed
REV claim payment reversal transactions. The transaction code entered
must be associated with logic module 34 or 35.
Section 9–13
CMS 8.0
ARMI PAGE 03
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/02/2000
DESCRIPTION CREDIT CARD PROTECTION
STATEMENT/LETTER CODES:
ACTIVE ( 0 ) ( ) ENROLL AGE ( 0 ) ( ) MIN AGE ( 0 ) ( )
EXPIR AGE ( 0 ) ( ) MAX COVER ( 0 ) ( ) FREE PD ( 0 ) ( )
DELQ WARN ( 0 ) ( ) DELQ CANCEL ( 0 ) ( ) CHARGE-OFF ( 0 ) ( )
CUST REQ ( 0 ) ( ) MISC ( 0 ) ( )
The following fields—P/A, (PER VALUE), and (BY AGE)—establish tiered premiums
based on the age of the insured party. You can establish up to 12 percentages or
amounts by age. The untitled fields (PER VALUE) and (BY AGE) display immediately
below PER VALUE BY AGE. Each (PER VALUE) field has a corresponding (BY AGE)
field to the immediate right.
RELATED FIELDS
P/A Code that indicates whether the (PER VALUE) fields are
percentages or amounts. The values are:
0 = Percentage (Default)
1 = Amount.
Section 9–14
Insurance Processing
ACT RECAP CONTROL RPT 1 DTL RPT 2 DTL RPT 3 DTL RPT 4 DTL
( 000 ) ( N ) ( 000 ) ( N ) ( 000 ) ( N ) ( 000 ) ( N )
AMORTIZATION TABLES
PRINCIPAL ( 000 ) INTEREST ( 000 ) INSURANCE ( 000 )
USER FEE 1 ( 000 ) USER FEE 2 ( 000 )
USER FEE 3 ( 000 ) USER FEE 4 ( 000 )
USER FEE 5 ( 000 ) USER FEE 6 ( 000 )
STLMT SYSTEM DATE LTR ( ) STLMT SELECTED DATE LTR ( )
RELATED FIELDS
I/E Code that indicates whether to include or exclude the specified
list of insurance products (PRD 1 to PRD 6) from credit plans when
calculating insurance premiums. The values are:
Blank = Do not use this option to include or exclude
specific insurance products when calculating
insurance premiums (Default)
I = Include the specified insurance products in
PRD 1 to PRD 6 to calculate insurance
premiums for credit plans; Exclude insurance
products not listed
E = Exclude the specified insurance products in
PRD 1 to PRD 6 to calculate insurance
premiums for credit plans; Include insurance
products not listed
Section 9–15
CMS 8.0
ORG 300
RELATED FIELDS
INS CALC LEVEL Code that indicates if insurance premiums are calculated at the
account level or the plan level. The values are:
0 = Insurance premiums are calculated at the
account level (default)
1 = Insurance premiums are calculated at the plan
level.
Section 9–16
Insurance Processing
The rate method that you select on the Insurance table (ARMI) page 02 must
match the premium calculation level selected on the Organization record (ARMO)
page 10. The rate methods and the calculation levels allowed are listed below:
Section 9–17
CMS 8.0
The table shows examples of partial and exact increment calculations when the
increment is set at 200 currency units.
Section 9–18
Insurance Processing
BSTI = 425.00
Per value amount = .355
(425 * .355) / 200 = .75437
Standard rounding = .75
BSTI = 425.00
Per value amount = .355
(425 / 200) = 2.125
CMS rounds to nearest full increment = 2.0
2.0 * .355 = .71
BSTI = 425.00
Per value % = 15
(425 / 200) * .15 = .31875
Standard rounding = .32
BSTI = 425.00
Per value % = 15
(425 / 200) = 2.125
CMS rounds to nearest full increment = 2.0
2.0 * .15 = .30
Section 9–19
CMS 8.0
PREMIUM TRANSACTIONS
Insurance premiums may be calculated at the account level or the plan level. The
INS CALC LEVEL field on the Organization record (ARMO) page 10 defines at
which level premiums are calculated. The values are:
0 = Account level
1 = Plan level.
Additionally, credit plan balances may be included or excluded at both levels of
processing by using the parameters on the Credit Plan Master (ARMC) page 06.
The table below provides examples of premium calculations at the account level
versus the plan level. The ‘Y’ indicates the plans are included for the product and
the ‘N’ indicates the plans are excluded for the product.
ACCOUNT LEVEL
If insurance premiums are calculated and assessed at the account level, the
balances on the plan are totaled and the insurance premium is calculated. CMS
then generates a separate insurance premium transaction for each product. Using
the table above, transactions would be generated as follows:
An insurance premium for Product AB is calculated using the balances on
Plans 123, 345 and 456. Three insurance premium transactions, using Logic
Module 15, are generated for each of the three plans for a pro-rated amount.
An insurance premium for Product CD is calculated using the balances on
Plans 234, 345 and 456. Three insurance premium transactions, using Logic
Module 15, are generated for each of the three plans for a pro-rated amount.
An insurance premium for Product EF is calculated using the balances on
Plans 123, 234 and 345. Three insurance premium transactions, using Logic
Module 15, are generated for each of the three plans for a pro-rated amount.
Section 9–20
Insurance Processing
PLAN LEVEL
If insurance premiums are calculated and assessed at the plan level, each plan
balance is used to calculate the premium. CMS then generates a transaction for
each plan. Using the table above, transactions would be generated as follows:
Section 9–21
CMS 8.0
INSURANCE CONSOLIDATION
If you are using rate method number 09 (plan cycle-ending balance), insurance
premiums can be consolidated and posted to the consolidated insurance plan
established on the Account Control Table (ARMY) page 02.
ARMY PAGE 02
RELATED FIELDS
CONS INS PLAN Credit Plan Master record number to which CMS posts
consolidated insurance premiums. The consolidated insurance
option is valid only for insurance RATE METHOD 9, 10, or 20
(ARMI02).
Section 9–22
Insurance Processing
REVIEW
1. Listed below are examples of the two billing methods used to bill insurance
premiums. In each example, assume the balance of the account is $2000, the
payment amount due is $200 and the insurance premium is $40. Indicate the
appropriate billing method value for each example.
Value Example
______ CMS adds the $40 premium to the $2000 balance making the new
balance $2040. Additionally, CMS adds the $40 premium to the
payment amount due making a new payment amount due of $240.
______ CMS adds the $40 premium to the $2000 balance making the new
balance $2040. The payment amount due remains $200.
Level Description
______ CMS calculates the premium on each plan balance and generates a
transaction to post the premium back to the plan.
______ CMS adds the balances for all included plans together and
generates the insurance premium based upon the total plan balance.
CMS then generates transactions to prorate the premium back to the
included plans.
3. Using the chart below, define 5 rate methods indicating their calculation
method and at which level the method may be used.
Section 9–23
CMS 8.0
ARMI PAGE 02
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/01/2000
DESCRIPTION ( CREDIT CARD PROTECTION )
REPORT ( C )
COMPANY ( CO ) RATE METHOD ( 01 )
BILLING METHOD ( 0 ) BILLING FREQUENCY ( 0 )
PAST DUE/OVERLIMIT FLAG ( 0 ) ( 0 ) INCREMENTS ( 0 ) ( 0000000100 )
FIXED PREMIUM ( 000000250 ) ENROLL/EXPIRE AGE ( 64 ) ( 65 )
MINIMUM AGE ( 20 ) REINSTATEMENT ( 2 ) ( 1 )
MAX. COVERAGE ( 00000000000010000 ) TRUNCATION FLAG ( 1 )
VENDOR ID ( 300 000000001 ) ENROLLMENT ID ( 1 )
CLAIM BALANCE ( 0 ) INSURANCE ROUNDING ( 0 )
MINIMUM PREMIUM ( 000000500 ) MINIMUM BAL ( 00000000000001000 )
DEL CAN ( 1 ) W: R ( 0 ) C ( 3 ) FICHE NBR ( 0 ) ( 000 ) ( 000 )
C: R ( 0 ) C ( 5 ) ( 04 )
TRAN CODES: PREMIUM ( 000 ) CLAIM PAYMENT ( 000 ) DIRECT CLM PMT ( 000 )
PREM REV ( 000 ) CLAIM PMT REV ( 000 ) DIR CLM PMT REV ( 000 )
CURRENCY 840 NOD 2 PER ITEM NOD 2 PERCENTAGE NOD 7
PF1=ARMU PF2=ARMF PF3=ARDM PF4=ARMR PF5=ARAR PF6=INQUIRY
Section 9–24
Insurance Processing
RELATED FIELDS
DEL CAN Code that determines whether insurance is suspended or canceled
due to delinquency, and if so, how CMS handles delinquent
premiums. The values are:
0 = Cancel insurance based on recency (R) or
contractual (C) delinquency values. (Default)
1 = Suspend insurance based on recency (R) or
contractual (C) delinquency values, but
maintain insurance values and assess missed
premiums if account cures before it is
cancelled. When insurance is suspended,
premiums continue to accrue but are not
billed.
2 = Cancel insurance based on the delinquency
cancellation level (C:R/C). When delinquency
reaches the warning level, premiums continue
to bill. When insurance is canceled, premiums
billed after the warning level was reached are
refunded.
W:R/C Codes that establish the level of recency (R) and contractual (C)
delinquency that suspend the insurance and warn the account
holder of impending cancellation. The values are:
0 = Do not use delinquency to suspend insurance
(Default)
1–9 = Level of delinquency at which CMS warns
the account holder.
Section 9–25
CMS 8.0
C: R/C Codes that establish the level of recency (R) and contractual (C)
delinquency at which CMS automatically cancels insurance and
the number of cycles that an account can remain at the
delinquency warning level before CMS automatically cancels
insurance. The values for the first two parts of this field are:
0 = Do not use delinquency to cancel insurance
(Default)
1–9 = Level of delinquency at which CMS cancels
insurance.
Section 9–26
Insurance Processing
The following examples illustrate how to complete the DEL CAN, W:R/C, and C:R/C
fields on the Insurance table to establish delinquency warning levels and
delinquency cancellation levels.
DEL CAN ( 0 ) W: R: ( 0 ) C ( 0 )
C: R: ( 0 ) C ( 0 ) ( 00 )
DEL CAN ( 0 ) W: R: ( 0 ) C ( 3 )
C: R: ( 0 ) C ( 5 ) ( 00 )
DEL CAN ( 1 ) W: R: ( 0 ) C ( 3 )
C: R: ( 0 ) C ( 5 ) ( 04 )
Section 9–27
CMS 8.0
3. If the account delinquency is equal to or above the warning level, but never
reaches the cancel level (i.e., CD is 4 for several months), the last field (04 for
this example) determines the number of cycles the delinquency remains
between the two levels before the insurance product is canceled. If this
condition is met, the insurance product is canceled and the ACCRUED DELQ
INSURANCE is waived and never charged to the account.
4. If the account delinquency is above the warning level, but still below the
cancel level and cures delinquency below the warning level, the ACCRUED
DELQ INSURANCE is billed. A separate transaction is generated to bill ACCRUED
DELQ INSURANCE.
5. If the account cures delinquency below the warning level, the insurance
product is reactivated and the premium is billed as normal (if automatic
reinstatement is selected).
DEL CAN ( 2 ) W: R: ( 0 ) C ( 3 )
C: R: ( 0 ) C ( 5 ) ( 04 )
Section 9–28
Insurance Processing
Section 9–29
CMS 8.0
ARMI PAGE 02
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/01/2000
DESCRIPTION ( CREDIT CARD PROTECTION )
REPORT ( C )
COMPANY ( CO ) RATE METHOD ( 01 )
BILLING METHOD ( 0 ) BILLING FREQUENCY ( 0 )
PAST DUE/OVERLIMIT FLAG ( 0 ) ( 0 ) INCREMENTS ( 0 ) ( 0000000100 )
FIXED PREMIUM ( 000000250 ) ENROLL/EXPIRE AGE ( 64 ) ( 65 )
MINIMUM AGE ( 20 ) REINSTATEMENT ( 2 ) ( 1 )
MAX. COVERAGE ( 00000000000010000 ) TRUNCATION FLAG ( 1 )
VENDOR ID ( 300 000000001 ) ENROLLMENT ID ( 1 )
CLAIM BALANCE ( 0 ) INSURANCE ROUNDING ( 0 )
MINIMUM PREMIUM ( 000000500 ) MINIMUM BAL ( 00000000000001000 )
DEL CAN ( 1 ) W: R ( 0 ) C ( 3 ) FICHE NBR ( 0 ) ( 000 ) ( 000 )
C: R ( 0 ) C ( 5 ) ( 04 )
TRAN CODES: PREMIUM ( 000 ) CLAIM PAYMENT ( 000 ) DIRECT CLM PMT ( 000 )
PREM REV ( 000 ) CLAIM PMT REV ( 000 ) DIR CLM PMT REV ( 000 )
CURRENCY 840 NOD 2 PER ITEM NOD 2 PERCENTAGE NOD 7
PF1=ARMU PF2=ARMF PF3=ARDM PF4=ARMR PF5=ARAR PF6=INQUIRY
RELATED FIELDS
ENROLL/EXPIRE Two part field that indicates the maximum enrollment age and the
AGE expiration age. The first part of this field is the maximum age at
which the insured party may enroll in the insurance product.
The second part of this field is the age of the insured party at
which the insurance coverage expires and CMS automatically
cancels insurance.
MINIMUM AGE Minimum age at which the insured party may enroll in the
insurance product.
Section 9–30
Insurance Processing
The insured party’s date of birth is captured on the Name and Address record
(ARMN) page 03 and defaulted to the INSURED DATE OF BIRTH field in the Account
Base Segment file (AMBS). During the daily run, CMS validates the enrollment
age of the ensured on newly added insurance products only. CMS validates the
minimum and maximum age at cycle time during insurance processing.
Section 9–31
CMS 8.0
Section 9–32
Insurance Processing
ARMI PAGE 03
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/02/2000
DESCRIPTION CREDIT CARD PROTECTION
STATEMENT/LETTER CODES:
ACTIVE ( 0 ) ( ) ENROLL AGE ( 0 ) ( ) MIN AGE ( 0 ) ( )
EXPIR AGE ( 0 ) ( ) MAX COVER ( 0 ) ( ) FREE PD ( 0 ) ( )
DELQ WARN ( 0 ) ( ) DELQ CANCEL ( 0 ) ( ) CHARGE-OFF ( 0 ) ( )
CUST REQ ( 0 ) ( ) MISC ( 0 ) ( )
The following fields—ACTIVE, ENROLL AGE, MIN AGE, EXPIR AGE, MAX COVER, FREE
PD, DELQ WARN, DELQ CANCEL, CHARGE-OFF, CUST REQ, and MISC—control whether
CMS generates customer letters and statements when you activate certain
insurance product parameters.
The first part is a code that indicates whether CMS generates a letter, statement
message, or both:
The second part is the identification code of the letter or statement message that
will be sent to the customer.
STATEMENT MESSAGES
Section 9–33
CMS 8.0
ARMI PAGE 04
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/02/2000
DESCRIPTION CREDIT CARD PROTECTION
This screen enables you to establish up to 20 claim reasons. Each claim reason is
identified by a claim reason code and a description. Claim reason codes are
required when entering claims for insurance products assigned to an account.
RELATED FIELDS
CODE User defined code that identifies the reason for the claim under
the insurance claim information.
Section 9–34
Insurance Processing
These options are defined on the Insurance table (ARMI) page 02 and the Logo
record (ARML) page 13.
Section 9–35
CMS 8.0
ARMI PAGE 02
ORG 300 LOGO 304 TABLE 001 PRODUCT 01 LAST MAINT 02/01/2000
DESCRIPTION ( CREDIT CARD PROTECTION )
REPORT ( C )
COMPANY ( CO ) RATE METHOD ( 01 )
BILLING METHOD ( 0 ) BILLING FREQUENCY ( 0 )
PAST DUE/OVERLIMIT FLAG ( 0 ) ( 0 ) INCREMENTS ( 0 ) ( 0000000100 )
FIXED PREMIUM ( 000000250 ) ENROLL/EXPIRE AGE ( 64 ) ( 65 )
MINIMUM AGE ( 20 ) REINSTATEMENT ( 2 ) ( 1 )
MAX. COVERAGE ( 00000000000010000 ) TRUNCATION FLAG ( 1 )
VENDOR ID ( 300 000000001 ) ENROLLMENT ID ( 1 )
CLAIM BALANCE ( 0 ) INSURANCE ROUNDING ( 0 )
MINIMUM PREMIUM ( 000000500 ) MINIMUM BAL ( 00000000000001000 )
DEL CAN ( 1 ) W: R ( 0 ) C ( 3 ) FICHE NBR ( 0 ) ( 000 ) ( 000 )
C: R ( 0 ) C ( 5 ) ( 04 )
TRAN CODES: PREMIUM ( 000 ) CLAIM PAYMENT ( 000 ) DIRECT CLM PMT ( 000 )
PREM REV ( 000 ) CLAIM PMT REV ( 000 ) DIR CLM PMT REV ( 000 )
CURRENCY 840 NOD 2 PER ITEM NOD 2 PERCENTAGE NOD 7
PF1=ARMU PF2=ARMF PF3=ARDM PF4=ARMR PF5=ARAR PF6=INQUIRY
RELATED FIELDS
ENROLLMENT ID Code that determines whether CMS allows you to assign an
insurance enrollment ID to an insurance product (ENROLLMENT ID
on ARDM02). The values are:
0 = CMS does not allow data entry in the
ENROLLMENT ID field on ARDM02. CMS uses
the residence ID from the account
(RESIDENCE ID on ARMB03) as the insurance
enrollment ID. (Default)
1 = CMS allows data entry in the ENROLLMENT ID
field on ARDM02.
Section 9–36
Insurance Processing
ARML PAGE 13
RELATED FIELDS
ADDRESS CHG Code that defines when to change the enrollment state for a
EFFECT customer moving from one state to another. The values are:
I = Change is effective immediately
S = Change becomes effective after the next cycle
based on the billing threshold (BILL THRESH on
ARML14) (Default)
F = Do not change the enrollment state regardless
of customer movement from one state to
another.
Section 9–37
CMS 8.0
ARMO PAGE 04
--OPTIONS--
SHORT NAME ( Y ) RES ID ( Y ) RET MAIL ( Y ) PRIOR ADDR ( Y )
BEHAVIOR HSTY ( Y ) FREQ SHOP ( Y ) CLLTRL/SCRTY ( Y ) SVC CHARGES ( n )
BILL HISTORY ( 1 ) PAY HISTORY ( 1 ) INS HISTORY ( 1 ) CNSLDTD ( 1 )
CSF ACTIVE ( 1 )
RELATED FIELDS
INS HISTORY Flag that indicates whether CMS maintains insurance history for
the last six billing cycles for accounts within this organization.
The values are:
0 = Do not maintain insurance history (Default)
1 = Maintain insurance history for six cycles.
Section 9–38
Insurance Processing
ARML PAGE 36
RELATED FIELDS
INSURANCE User defined indentification numbers of the insurance source
SOURCE CODE code.
Section 9–39
CMS 8.0
ARDM PAGE 02
Section 9–40
Insurance Processing
REFERENCE LIST
ONLINE
REPORTS
Section 9–41
CMS 8.0
REVIEW
Complete the IF – THEN charts below to review important insurance concepts
and terms.
If . . . Then . . .
1. Insurance should Set the _____________ field on the
automatically be canceled Insurance table to the appropriate value.
when the insured party
reaches a certain age
2. The insured party must be a Set the _____________ field on the
certain age to qualify for Insurance table to the appropriate value.
insurance
3. The insured party can be no Set the _____________ field on the
older than a certain age to Insurance table to the appropriate value.
enroll in a product
4. When the date of birth is CMS defaults it to the _____________ field
entered on the insured party’s on the _____________ .
Name and Address record
5. When the ENROLLMENT ID CMS __________ data entry in the
field on the Insurance table is ENROLLMENT ID field on the Account
set to a value of 1 Insurance Data screen (ARDM).
6. When the address change The enrollment ID defaults from the
effect field on the Logo residence ID on the _________________
record (ARML) page 13 is set and is updated _____________ when the
to a value of I customer moves from one state/province to
another.
7. If you offer insurance The ___________ must be defined on the
products to account holders Processing Control Table.
Section 9–42
Insurance Processing
Set the delinquency warning and cancellation fields to achieve the desired results
for the four examples listed below.
Section 9–43
CMS 8.0
Notes
Section 9–44