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