Multiple Reassessments with Multiple Objectives

This section demonstrates how the eligibility and entitlement engine handles multiple reassessments within the same reassessment period with multiple objectives assigned to the same nominee. It uses the sample date from Reassessment with Multiple Rules Objectives and Multiple Reassessment Processing. The purpose of this section is to show how the eligibility and entitlement engine takes into account all ILIs in a cover period as part of reassessment, including ILIs for multiple rules objectives.

Table 1. Sample Data for Multiple Reassessments with Multiple Objectives

Sample Data

Sample Data before any Change

Sample Data after 1st Change

Sample Data after 2nd Change

Primary Client

James Smith.

Same.

Same.

Product Type

Sample Benefit product.

Same.

Same.

Product Rerate Frequency

Every week on a Wednesday.

Same.

Same.

Case Certification Period

Certification period from April 1st - April 30th, 2004.

Certification period from March 15th - April 15th, 2004.

Same. Certification period from March 15th - April 15th, 2004.

Case Start Date

April 1st, 2004

March 15th, 2004.

Same. March 15th, 2004.

Case Expected End Date

April 30th, 2004.

April 15th, 2004.

Same. April 15th, 2004.

Case Nominee Delivery Pattern

Weekly in advance on a Friday.

Same.

Same.

Rules Objective 1

James Smith is eligible for the Max Personal rules objective. The daily rate for this rules objective is $10 until April 5th, 2004, when legislation increases the value of the daily rate to $11. The weekly rate is $70 until April 5th, 2004, when legislation increases the value of the weekly rate to $77.

Same.

James Smith is eligible for the Max Personal rules objective. The daily rate for this rules objective is $9. The weekly rate is $63.

Rules Objective 2

James Smith is eligible for the Max Child Allowance rules objective. The rate for this rules objective is 10% of the daily rate until April 14th, when legislation decreases the value of the Max Child Allowance to 5% of the daily rate. Note that the daily rate is $10 until April 5th, 2004, when legislation increases the value of the daily rate to $11.

Same.

Since the amounts for this component are based on the daily rate for the Max Personal rules objective and since this rate has changed, the amounts for Max Child Allowance will also change.

Date up to which benefit has already been covered.

No ILIs have been created for the benefit, thus there is no date up to which the benefit has already been covered.

April 30th. This means that all FCs on or before April 30th have been realized into actual financial transactions, i.e., ILIs.

No new ILIs have been created for the benefit since April 30th.