ATS Group Insurance Module

The ATS Group Insurance Module allows associations that offer group insurance to their members, to manage all of the related information and tasks from within iMIS. Many associations, such as banking associations or chambers of commerce, offer group insurance to their company members. The ATS Group Insurance Module adds value to the iMIS product by enabling these organizations to manage insurance products, enrollments, premium calculation and billing; eliminating the need for a separate, third-party application to perform these functions.

Group Insurance Module

The first component is a standalone .NET application that uses the .NET iMIS Business Objects. automates the process of importing and exporting iMIS records to a third party service bureau. At the completion of the process, a custom demographic window will be populated and will include a number of demographics about the individual from wealth, business, and philanthropic databases. The service bureau applies statistical models to calculate ratings and scoring by passing the records through multiple data sources. The results can include information such as the following:

Features of the system include the following:

  • Plan Category Maintenance (e.g. LIFE, DENTAL, DISABILITY)
  • Plan Code Maintenance (e.g. within DISABILITY: LTD, STD)
  • Enrollment Maintenance – offers ability to maintain pricing levels from year to year
  • Enrollment Type Maintenance – (e.g. within DENTAL/DELTA Single Coverage or Family Coverage)
  • Enrollment Schedules – offers ability to calculate premiums based on flat rates, salary, age, age & salary or coverage level. Sliding scales, limits and adjustable rates may be utilized.
  • Company Maintenance – enables subscriptions to offered plans, manage employee enrollments, displays billing history and notes
  • Employee Maintenance – enables enrollment/termination of offered plans, displays history, adjustments and notes
  • Billing – ability to bill based on plan category, current or re-billed premiums, all or selected companies. Billing process creates an import file suitable for import into the iMIS A/R system using the A/R Cash Import transactions feature.
  • System Parameters – customizable defaults
  • Utilities – Rebilling, Recalculation and mass transaction import
  • Security Features – salary fields can be hidden from casual users

Resources

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