JLN Process - Premium Collection

Process Group

Premium Management

Objective

Timely, accurate collection of money due from beneficiary and their sponsors (government, employer)

Input

Task Set

  • Bill sent to beneficiary and/or sponsor

  • Financial transaction to general ledger (GL) to show premiums due

  • Financial transaction to GL when premium payment is received

  • Update eligibility status

  • Update payment status

Measurable Outcomes

  • Percentage of collected vs. outstanding premium

  • Lower per transaction costs to cost as a percentage of the overall transaction cost

  • Received all premiums due equal to predicted amount

  • Minimize number of delinquent premium

Sources