Subsidized policies in TAM

[Jim Jensen]

Finally managed to get a policy issued through healthcare.gov. Now the procedural question to consider. The insured is receiving tax credits applied against their premiums. In TAM, where to reflect this? I intend to use the gross premium in the billing screen, since that's the true premium. Commissions aren't based on premium, but "per insured person" instead. Thoughts?

[Hans Manhave]

Make it a "package policy" and stick those on the -002 screen, with a different BCO or something so you can track if ever needed/wanted.  If there is more than one credit to track you could transact them with a user defined transaction just for that purpose.  It could add to the premium field at time of transacting.

[DebAmstutz]

I use "-002" extra billing screens on a lot of the benefits policies for transacting.  I have policy types of "XMED", "XDEN", etc. and give them inactive status.  That way, the "real" billing screen has the premium and commission info that the department wants to have for BOB reports, and I can have billing screens set up the way I need them to enter transactions quickly without having to override amounts.

Seems like it could work for your info on the policies too.

[Jim Jensen]

Interesting thoughts - thanks. I could see a policy type denoting it as "on exchange" and having this addt'l info. I currently use a custom dec for medical policies (which need to be updated for ACA) and could create another for any extra fields we might want, or the billing screen may be sufficient.