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A draft proposed for the formal sector structure:

  • Use a generic name for
    • Insurance takerpolicy holder: actor taking the insurance (e.g. an employer)
    • Insuree: Person who has an insurance policy on his name
    • Beneficiary: Person covered by an insurance policy (on its name or not)
    • Contribution payer: the actor that pays the policies contribution/ premium
  •  Programmatic approach:
    • Insuree covered (e:g: employee) by an insurance taker are coming for an API (enter in APP/portal/ third party app)
    • Policy is generated from the "insuree covered" on a recurrent basis (doesn't have to generate all policies every time, only the new/renew one), the contribution rate will help to define the "price" of the policy (parameter that should be used in the calculation defined on the insurance product level )
    • Policy Payment report per insurance taker


The source file for this drawing (Formal sector.drawio) can be read and edited on https://www.draw.io/.