Defining Calculation Rules – A summary of the activity

Through this activity, you can define calculation rules like the salary, age, service months and actual hours based on which the premium and coverage amounts for the plan are computed. You can also specify rules for enrollment, amendments and deletion in various plans.

Apart from defining the rules, you can also specify various parameters that will drive the plan. You can specify whether the

•  Mapping of accounts to a plan is based on grade or grade set,

•  Premium for the plan has to be taken as on enrollment or as on processing date,

• System must refer to processed eligibility or not for enrolling in a plan.

You can enter this page from

• Define Calculation Rules activity: If you enter from this page, the details defined will be applicable to the selected benefits definition unit.

• Create/Edit Benefit Program activity: if you enter from this page, the details defined will be applicable to the selected benefits program. The details specified in this page will override the details specified for the corresponding benefits definition unit if any.

• Create/Edit Benefit Plan Type activity: if you enter from this page, the details defined will be applicable to the selected benefits plan type.

• Create/Edit Benefit Plan activity: if you enter from this page, the details defined will be applicable to the selected benefits plan.

Note: The calculation rules will take its priority from the lowest level of hierarchy, that is, the “Benefit plan”.

Getting familiar with the pages inside

The following table lists the page involved in Defining Calculation Rules.

What you can do in this activity

Define calculation rules

To define calculation rules

• Select the benefits definition unit for which calculation rules must be defined.

• specify the various attributes for computing salary for computation of premium.

• Specify the other parameters that will determine the computation of premium like the age, service months, etc.