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Table of contents
SECTION I – GENERAL INFORMATION
CHAPTER 1- LOGIC
MOVEMENT OF INFORMATION
Enterprise (A)
Benefits (B)
Employees (D)
History of Experiment and Tariffing
Ask Project (G)
Project analysis (V)
Contract issuance (L, M and N)
Transmission of movement (Q, R, S and M)
CHAPTER 1- LOGIC
A group insurance contract (N) is the result of an agreement between a taker (enterprise - A) and an insurer (supplier - M). In order to realize this contract, an advisor (agent or advisor - F) will make sure to gather the pertinent information on the enterprise, to recommend the proper benefits to the enterprise and then “go to market” in order to offer the risk (project - G).
Historically, the exchange of information between the various parties was carried out manually. Not only did the data have to be entered manually (an average of 7 times and a minimum of 3 times if only one insurer was invited to tender), which represents significant costs for marketing and activating the contract, this redundancy significantly increased the risk of errors. Also, processing diverse information received from the insurers can represent intensive manual labour. Thanks to the ALLEGROUPE software, managing each step is simplified and the information can be distributed electronically to all parties.
To fully grasp its power, let us take the time to examine each necessary step to produce a contract. Table #1 will help to perfectly understand the stages and the significant events that can help eliminate redundancy reduce associated costs and accelerate the decision-taking process.
Enterprise (A)
During the exchange between enterprise (A) and advisor (F), the managers must enter all the pertinent data on the enterprise (A) including, but not limited to, all conditions relating to:
§ Physical co-ordinates of the enterprise. The province registered will have a significant impact on taxation.
§ Logical structure of the enterprise. Each division (branch, department, etc.) must be clearly identified; all classes of employees must also be identified (management, manual workers, white-collar, etc.)
§ Employer contributions. It is important to define the contribution level, the number of periods in which to continue contributions and the administration fees applicable to a TPA (Third Party Administrator), a union or other. (By default, the system applies a 50-50 tax optimized contribution)
§ Modules (optional). If the insurance plan is offered on a modular basis, each module must then be defined.
§ Participating advisors (optional).
§ Available resource persons (optional). For each division/class, the manager of the resource persons ensures access to all pertinent information.
The advisor (F) must, in accordance with the needs expressed and analysed with the enterprise manager define the applicable benefits (1 to 15) according to the chosen plan (divisions/classes, modular or flexible). It is important to define all the applicable benefits for each category. For example, if a enterprise has 5 divisions and 32 classes, the advisor must define 32 groups of benefits reflecting the required models. Considering the number of benefits (15) and the number of classes (32) time the number of divisions (5), the work could be enormous. With the ALLEGROUPE software, MDI can simplify the process by creating a bank of benefits (C), applying a guaranty to a class according to the selection from the bank, copying a guaranty already in place, etc.
In order to simplify the process, MDI makes it possible with the C-surance.ca service to select starting from preset banks with the insurers of the modes, the guarantees, the contextual conditions (E), to apply a mode, a guarantee or conditions specific to the taker, a division or a specific class.
Summary information on each employee (D) is required so insurers can evaluate the risk and the volume of applicable premiums. This information can be entered manually by using the MDI “express” module or, even better; it could be entered electronically by transferring information obtainable from the enterprise (E). This information can be extracted from a payroll system, from a competitive system such as Baag, Fast or others, from Excel or Word files or even downloaded from an insurer.
The claim history could also be registered so as to be able to transmit a complete file. Presently, no claim management mechanism is in place.
“Templates” Excel “downloadable” make it possible the operator easily to adapt his information to the standards. When the Excel file is in conformity, it is imported at once in the data base via only one order. C-surance.ca is given the responsibility to ventilate automatically the statutes with each guarantee simplifying as much procedures of the operator.
In addition to the module of simplified importation, the operator can count on a module specialized for the edition of the banks of employees. Several functionalities are available aiming at automating operations specifically associated with management with the movements or seizures with information on policy-holders.
History of Experiment and Tariffing
The history of the complaints and tariffing is recorded in an environment optimized in order to allow the transmission of a complete file.
Ask Project (G)
The intermediary is now in position, starting from a public list insurers (K), to identify the specific representative for each insurer (J) targeted. The C-surance.ca module assembles the data resulting from (A), (B) and (D), generates individual electronic copies and carries out automatically the transmission of information (request for project).
The whole, with a minimum of human effort, while preserving the history of the events and while being integrated into a module of management of the requests for project, which makes it possible, to ensure a professional follow-up of the requests.
Insurers (K) invited to tender should complete their analysis work and establish the precise term offers including coverage limitations or extended coverage (benefits), the rates and all criteria judged to be pertinent.
This offer will in time be sent as a hard copy but, thanks to the ALLEGROUPE software, it could ideally be sent electronically to the advisor.
Upon reception, the information must be entered and analysed to identify the bidders who best respond to the expectation of the taker (enterprise).
In all this, the ALLEGROUPE software becomes a valuable asset to automatically carry out comparative analysis of rates and conditions. In short, this comparative tool selects the parties and the projects to be compared. Before, this analysis work was very time-consuming, especially if the advisor had to present the (ever more demanding) taker various alternatives or options.
In collaboration with the purchaser, the advisor asks the insurer (L and M) to proceed with the issuance of the contract (N). Thanks to the ALLEGROUPE software functions, the advisor has only to convert the selected insurer's project into a contract (N) and can continue to assist his client for the duration of the contract in accordance with the service agreements concluded between the parties.
When that taker (A-P) and the insurer (M) concluded an agreement and that the taker (taking) (A-P) chooses to ensure the electronic control of the changes in staff or the car invoicing, an electronic access can be authorized.
The access of taker (A-P) to the service C-surance.ca (version Consultation, Request of change or Auto-administration) is adapted to the expertise of the operator. The intermediary (L) or the insurer) (M) ensures the supervision of each movement.
Only one data base ensures the integrity of information and makes it possible to share of them the access between the various speakers: the taker (P), the intermediary (L) and the insurer (M).
If need be, electronic files of the movements (O) can be transmitted towards the insurer or to be exchanged with the system of pay (Q).
The manager can then complete the complementary information, specific to each employee (O), and necessary to activate the contract (N) and finally ensure continuous management.
Some elements will require initialisation to ensure that the information will be properly processed, fully respecting the agreements concluded with the insurer and in accordance with the wishes of the enterprise. Some elements to initialize:
§ Manual or automatic activation of the admissibility;
§ How to process movements, that is initialization of electronic processing of event parameters;
§ Activation of self administration when applicable. WARNING: The activation of self administration will have a direct impact on the processing of events (current, non processed or their history). Printed reports will always reflect the current elements;
The C-surance.ca customer preserves the absolute control of information as well as activities which will be shared.
Transmission of movement (Q, R, S and M)
Thanks to C-surance.ca technologies, the manager will be able to ensure a simplified management of the movements of the employees, while the history of each movement of the employees; the changes on the level of the guarantees or tariffing are automatically safeguarded.
C-surance.ca ensures tax management by optimizing the participation of the employer, in accordance with the parameters of initialization. The changes with the contracts will be managed by the authorized representative of the insurer. The taker cannot modify the terms and conditions of the guarantees. C-surance.ca ensures the integrity of retroactive calculations or proactif of the premiums and this, even if a transaction is carried out except synchronization with the current date.
The enterprise will be able to produce all necessary reports from the information stored in the database. Examples:
§ Management of enterprise bills for each insurer (R), this can comprise:
- Detailed report of bills (insurers);
- Summary report of bills (insurers);
- Detailed report of bills (clients);
- Summary report of bills (clients);
- Movement report;
- Movement report (messages).
§ Generic contract for each class, including the available benefits;
§ Specific contract for an employee;
§ Hypothetical analysis of changes requested by an employee;
§ Project requests, this can comprise:
- Summary contract report;
- Project request report;
- Project analysis report.
§ Employee statement;
§ Report of payroll deduction per employee or for the enterprise;
§ Etc.
Information on the invoicing of the taker, as well as relevant information for the CAPPS could be shared electronically (S) with the insurer (M).
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