Download the white paper - LIDP Consulting Services

Worksite Processing
Case Level Information
Client specific information such as names, addresses and contact information is carried for
the employer, the marketing company, the enrolling company, the writing agent and the
servicing agent. Rules can be defined at the case level to differentiate employee groups.
Some examples are location, employee class, payroll mode, department, issue state,
application state and full/part time.
If an employer has worksites at several different places, each location can be addressed by
its corporate name when creating the rules. This flexibility carries over to all differentiating
parameters. This level of information is also available at the employee level and case rules
are invoked to edit the information for accuracy.
Wide Range of Products
All of the products supported in Titanium are available for worksite enrollments. These
include Life, both Traditional and non-Traditional, Health, and Annuities along with all
related riders and benefits. See the supported products HERE.
Products Customized for an Enrollment
Each of the available products can be customized to relate to the specifics of the worksite
sale.
Features that can be customized include premium/cost of insurance rates, commission
rates, minimum premium rates, target premium rates and surrender charges. Tools are
provided to simplify product maintenance
For example, a universal life product that is targeted for the individual market could be the
basis for a customized worksite product. This could be accomplished by utilizing the basic
chassis of the individual universal life product such as pay up, maturity dates and loan
provisions. The cost of insurance rates and commission rates could then be overridden to
conform to the characteristics of the worksite sale.
Vary the Enrollment based upon Case Defined Parameters
One case enrollment could be as simple as a single product offering for all employees. It
could be as complex as a set of products that vary by employee class (Office vs. Non-office
/ Management vs. Labor). In this scenario, Office/Management could have a set of products
that are accumulation based while Non-office/Labor could have a set of products that are
protection based and they could each share a set of health products.
The most complex enrollment could have a different product set based on relationships such
as location, employee class, payroll mode, department, issue state, application state and
full/part time. Each separate relationship would have its own customized settings. In the
case of locations, the settings could be each of the 50 states or cities within each of the 50
states. By extrapolating this concept out for each relationship, one could quickly see that
there is almost an infinite amount of flexibility in the definition of a single enrollment period.
In addition to this basic level of flexibility, a one product set can be defined for new entrants
and another product set can be defined for existing employees wishing to increase an
existing certificate.
Each base product can have a set of eligible riders. A set of eligible benefits can also be
defined for each base and rider. Benefits can be selectable or automatically provided. Within
a product set, minimum and maximum benefit levels can be defined as well as different
loads, fees and employer-employee pay splits. The underwriting offer is defined within each
product set. For example, Office/Management can have the offer set to Guaranteed Issue
while Non-office/Labor can have an identical product set but have the offer set to either
Simplified Issue or some hybrid issue version. If a certain number of participants are
required for the underwriting offer to be appropriate, the participant threshold can be
identified at the case level and participants accumulated.
Lastly, expert underwriting rules can be coded that support the various underwriting offers.
The rules can vary by the enrollment product set and whether the applicant is a new entrant
or an existing employee.
The Enrollment Process
The enrollment can be processed in a couple of ways. It can be completed through either a
carrier's enroller, a third-party enroller or any other external enrollment process. The
enrollment process can result in a set of paper applications or a set of electronic
transmissions.
Titanium can accept the incoming data in the form of industry standard ACORD XML
messaging transactions or in the form of a fixed format message (mapped from any
source). Or the incoming applications can be manually entered at a carrier location using
the Titanium UI screens tailored for the quick and efficient entry of group related business.
Whichever option is appropriate, the end result is a record that has been fully edited to
comply with custom case and product rules built specific to the enrollment product set for
the case and any other generic product rules appropriate to the specific product.
Expert Underwriting
While still in the new business process, expert underwriting rules control new business
processing. The underwriting offer for the product set controls the set of underwriting rules
that are invoked. Rule sets can identify whether the participant threshold for the
underwriting offer has been achieved and automatically issue the certificate. They can also
identify whether the new business record actually qualifies for the underwriting offer based
on minimums and maximums coded for the product set. If it does not qualify, additional
underwriting rules are accessed including rules for application questions. The application can
either pend for requirements, issue at a higher underwriting level or be rejected.
Certificate Management
The certificate is managed by Titanium’s business rules. The processes are all real time.
There is no batch component. The UI application is the same as that used to process
individual applications. It is possible that group certificates can be mainstreamed through a
generalized policyholders services area. Alternatively, resources can be shared across
individual and worksite policyholders services areas.
Billing and Collection
In the simplest worksite enrollment, there is one bill. Unfortunately, not all worksite
business is simple. The employer could have multiple locations and require reconciliation at
each location for one case. Titanium provides the ability to bill one case at multiple
frequencies and multiple locations and to produce as many separate bills as is required by
the employer. The bill can also combine multiple locations and multiple frequencies into one
bill. The billing definition takes place during case setup as product sets are defined for the
enrollment.
All billing modes are supported. It is possible for certificates to have payroll deduction
modes different from the employer billing mode. For example, the employer might want to
be billed monthly to lessen the reconciliation effort but the employees are paid weekly. The
monthly employer bill can show the employee portion of the bill as four or five payroll
deductions depending on the month.
If the bill is paid as billed, payment reconciliation can occur automatically. Over/short
tolerances are provided. If not paid as billed, reconciliation and payment is an online realtime task using a screen that provides the information in the same order as the bill.
Ancillary Worksite Support
From time to time, conditions arise that impact a significant number of worksite employees.
The worksite agent can change. Certificates are required to be activated on a specific day.
Employees are no longer employed. They need to be disassociated with the group to
potentially bill as an individual policy.
Titanium provides for this in a mass change facility. On a group basis, a set of certificates
can be selected through various selection criteria to present a list of certificates that require
change. The change required can then be accomplished on all or a selected portion of those
certificates presents.
Titanium supports:
Case Management

o
o
o
o
o
o
o
o
Client Information
Employer
Marketing Company
Enrolling Company
Writing Agent
Servicing Agent
Names
Addresses
Contract Information

o
o
o
o
o
o
o
Case Rules and Variations
Location
Employee Class
Payroll Mode
Department
Issue State
Application State
Full/Part Time

o
o
Case Specific Enrollments
Customized Products
Underwriting Offer
Underwriting

o
o
o
o
o
o

o
o
o
o
o
Underwriting Offer
Minimum Face Limits
Maximum Face Limits
Minimum Premium Limits
Maximum Premium Limits
Policy Counts
Part 2 Questions
Expert Underwriting
Supports JSR-94 compliant rules engine option
Automatic Issue
Automatic Decline
Alter Underwriting Level
Assign Underwrite
Certificate Management





100% Real-Time
Increases/Decreases
Re-Enrollment
Billing Changes
Accounting
o
Commissions Paid

Maintenance
Billing/Collection
Enrollment




Group Data Entry Screens
Individual Certificate Screens
Fixed Format Data Transmission
ACORD Standard XML Transmission




Consolidated/Segregated Bills
All Frequencies
Location Sensitivity
Over/Short Rules
Group Processing
Product





Traditional Life
Non-Traditional Life
Health
Annuities
Customized by Case/Enrollment





Group Dissolve
Activation
Reinstatement
Agent Changes
Mass Changes