Claim, Quote and Projection Input Questions

Overview

When a user, using the Flexible Benefit Rules, configures a Scale of Benefits record for a Benefit Product with a Formula Applied To value of MEMBER CHOICE, and defines a specific Classification on the Scale of Benefits record, the corresponding questions will be displayed at the time of the Quote/Projection/Claim, if the Benefit Product in question is defined in the Benefit Package (WITHDRAWAL, DEATH OF MEMBER, etc), being used. Refer to the relevant screens displayed below under Benefit product.

When the question is answered, the answers are stored on the Member Values table for use in the benefit calculation.

Benefit product

Scale of benefits

Benefit claims, quotes and projections

When SUBMIT is selected on the Request screen, the Input screen will be displayed

Request Screen Name	Input Screen Name
Benefit Claim Request	Benefit Claim Input
Benefit Quote Request	Benefit Quote Input
Benefit Projection Request	Benefit Projection Input

An appropriate list of Input questions will be displayed. The following example displays a Benefit Quote Input screen.

The following example displays a Benefit Claim Input screen.

Endowment Products

For the Disability and Death Claim Process for Endowment Products, there are validation questions which determine if a claim is paid out or repudiated. Select YES or NO from the drop-down list for each question.

If a Death Claim is repudiated, an option is given for a surrender claim to be paid out and the policy is end dated.

If a Disability Claim is repudiated, an option is given for the policy to be made paid up.

In Addition to this, an Ex-Gratia or Loss Event payment can be processed where a management decision is taken to pay out the claim irrespective of the repudiation. For this, any value can be paid out based on the outcome of the decision.

Examples:

Event: Death

Event: Disability

Questions

The following table displays a list of all possible questions. The question used is dependent on the particular classification.

CLASSIFICATION	QUESTION	INPUT TYPE
ACTRESVAL	What is the member's actuarial reserve value?	AMOUNT
ANNUITYRATE	What is the annuity rate to purchase the member's pension?	PERCENT
COMM%	What percentage of the pension is to be commuted?	PERCENT
COMMAMNT	What is the lump sum commutation as determined by the actuary?	AMOUNT
COMMFACT	What is the lump sum commutation factor?	PERCENT
COMMUTEPERC	What % do you want to commute?	PERCENT
DEPCREDPENACT	The dependant's credit account pension payable on Member's death in deferment( as advised by Scheme Actuary)	AMOUNT
DEPINVPENACT	The dependant's investment account pension payable on Member's death in deferment( as advised by Scheme Actuary)	AMOUNT
DIVORDPERC	Appropriate percentage declared on the date of the Pension Sharing Order.	PERCENT
ILLHEALTHHIGHER	Is the member retiring due to ill-health on the higher level?	BOOLEAN
ISCOMMAMOUNT	Is there a commutation amount elected by the Member on retirement? Please note than the answer is always "No" for serious ill-health retirement.	BOOLEAN
ISCONTRACTEDOUT	Is the member transferring to a contracted-out scheme?	BOOLEAN
ISCOSPOUSE	Does the spouse qualify for the contracted out benefits?	BOOLEAN
ISDEFBEN	Does the member have a deferred benefit in any other Scheme in the UK?	BOOLEAN
ISDEP	Does the Member have a Child or Dependant?	BOOLEAN
ISDISCRETION	Have the Trustees agreed to use the NonPRInvAccBalance to provide benefits for a Spouse and Dependants?	BOOLEAN
ISFINDEPENDANT	Does the Member have a Dependant?	BOOLEAN
ISFUNDSPOUSE	Does the Member have a Fund Spouse?	BOOLEAN
ISINCAP	Did the member retire due to incapacity?	BOOLEAN
ISINCAPHIGHEST	Is the Member an active Member, does AXA PPP consider the Member incapacitated at the highest level as defined under the Rules and do the Bank and Trustees agree that an ill health pension may be paid?	BOOLEAN
ISINCAPLOWEST	Does AXA PPP consider the Member incapacitated at the lower level as defined under the Rules and do the Bank and Trustees agree that an ill-health pension may be paid?	BOOLEAN
ISLESSONEYR	Has evidence been received that the Member is expected to live for less than one year?	BOOLEAN
ISPASSEDHMRC	Did the Member pass the HMRC test?	BOOLEAN
ISPREADAY	Did the Member retire before 6 April 2006?	BOOLEAN
ISPROTDISLS	Has the Member opted to protect their death benefit lump sum?	BOOLEAN
ISREDPOLICY	Does the Member meet all of the relevant terms and conditions as per section 6.11 of the redundancy policy?	BOOLEAN
ISSINGLEPR	Has it been agreed between the Bank and the Member that Protected rights pension can be determined with reference to the Member only?	BOOLEAN
ISSXLS	Has the Bank decided to apply the Employer Senior Executive Top UP and Cash Allowance Contributions to provide for a lump sum?	BOOLEAN
ISSXPSN	Has the Bank decided to apply the Employer Senior Executive Top UP and Cash Allowance Contributions to provide a pension?	BOOLEAN
ISTRANSOVERSEAS	Is the member transferring out overseas?	BOOLEAN
ISTVOUT	Is the member transferring out?	BOOLEAN
ISWITHIN2YRS	Is total lump sum payment within 2 years of date of death?	BOOLEAN
MONEY	How much money is owed by the Member?	BOOLEAN
OLDFNDPEN	What is the Old Fund pension equivalent as determined by the actuary?	AMOUNT
PRESBEN	What is the value of the member's preserved benefit?	AMOUNT
PROTLSILLHIGH	For ill health retirement(HIGHER LEVEL) obtain the protected lump, if any, from technical department	AMOUNT
RETDEATHBENEFIT	Does Gibraltar member have any retained benefits from any other Scheme?	AMOUNT
RET	Please enter the retirement lump sum amount elected by the Member.	AMOUNT
SCOT	Was the Pension Sharing Order made in Scotland,Wales or outside England?	BOOLEAN
SPOUSE	Please enter the Spouse's percentage chosen by the member on retirement for non protected rights. Please note that for quotation purposes it should be done on 0%, 50% and 66.67%.	PERCENT
SPPENOP	Did the Trustees decide to provide the Dependant's pension as a lump sum of Employee contributions plus Spouse/Dependant's pension purchased with residual Employer contributions?	BOOLEAN
SPSANNRATE	What is the annuity rate to purchase the spouse's pension?	PERCENT
SPSXPEN	The spouse's pension payable on Member's death in service iro of Employer Senior Executive Contributions (as advised by Scheme Actuary)	AMOUNT
TECHTRIVCONSENT	Has the technical team given consent to proceed with payment of trivial commutation amount?	BOOLEAN
WASDEFRED	Did the Member become deferred through redundancy within the last 2 years?	BOOLEAN

Endowment Products

Event: Death (all variations)

Did the death result from suicide or attempted suicide or intentional self-inflicted injury, within the first 2 (two) years of the commencement date or ant reinstatement date?

Was the notification received later than 12 months after date of death?

Was the disability as a result of pre-existing conditions or a condition that existed within 6 months prior to commencement?

Other

Event: Disability (all variations)

Did the disablement exist prior to the commencement of the cover?

Was the disability as a result of pre-existing conditions (where the cause was due to physical defect, medical condition or injury) that existed 12 months prior to commencement or any reinstatement cover?

Was the disability as a result from attempted suicide or intentional self-inflicted injury?

Was the disability as a result of active participation in any insurrection, civil war, hostility, rebellion or military or police action (except those employed in the associated industry and this has been indicated in the application form)?

Was the disability as a result from being affected by alchol or drugs not prescribed by a medical practitioner?

Did the life assured refuse medical treatment by a registered medical practitioner?

Was the disability as a result from radio activity or nuclear explosion?

Was the disability as a result a result of involvement in criminal acts?

Other

Was the notification received later than 6 months after date of disability?