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This project aims to develop the "formal sectorFormal Sector" features requested by institutions in charge of developing health financing schemes in NEPALNepal, in particular the management of enrollment enrolment of the insuree as part of an insurance group.
Here are the high-level use case cases to be covered by this design:
Manage group group insurance
UC1 - The scheme administrator Scheme Administrator wants to manage its policyholder insuree the policy holder insurees and their policy entitlement.
UC3 - The scheme administrator Scheme Administrator wants to manage the policyholder policy holder contract.
UC4 - The scheme administrator Scheme Administrator wants to manage the policy holder contract payment.
UC5 - the scheme administrator wants policyholders The Scheme Administrator wants policy holders insuree policies covered by a contract to auto activate based on policyholders policy holders contract payment.
UC6 - The scheme administrator Scheme Administrator wants to manage the policy holder payment.
UC7 - The scheme administrator Scheme Administrator wants to manage policyholderspolicy holders.
Contribution Plan and Contribution Plans Bundle
to manage the Policy Value
UC8 - The scheme administrator Scheme Administrator wants to add a Contribution plan (pricing rules linked to an insurance product).
UC9 - the scheme administrator The Scheme Administrator wants to be able to configure the calculation parameters in the Contribution plan.
UC10 - The scheme administrator Scheme Administrator wants to add a Contribution plan bundlePlan Bundle.
UC11 - the scheme administrator The Scheme Administrator wants to enable some Contribution plan bundles per policyholderPlan Bundles per policy holder.
Policy holder Portal
UC12 - The policy holder wants to manage its policyholder insuree policy holder insurees and their policy entitlement.
UC13 - Policyholder Policy holder wants to manage its users.
UC14 - Policyholder Policy holder wants to manage its contracts.
Not Functional
UC16 – Manage the calculations
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