Tracing Agent fees, Legal fees and Handling fees are defined for a product and made available to be deducted from a benefit amount when a benefit payment is processed, in a similar way to the deduction of the tax directive fees.
In the case of automated claims, these fees are deducted automatically from the gross benefit amount if a fee has been set up for the product.
The fees deducted can be paid via the Bulk Payment process via EFT.
Note:
The Accounting Activities and Bulk Accounting Activity Association must be set up.
The following Accounts must be created to record all of the Benefit Payment related fees so that the same BT’s can be created for all the Service Types and qualified by Income Type to distinguish the different types of fees as follows:
Account |
Description |
BENFEESRCD |
BENEFIT FEES RECEIVED |
BENEFIT FEES |
BENEFIT FEES |
BENFEESPBL |
BENEFIT FEES PAYABLE |
The following Accounting Activities must be created for the creation of the Business Transaction (BT) to record the Tracing Agent Fee, Legal Fee or Handling Fee and for the reversal of the BT if the claim is cancelled:
Tracing Agent Fee
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
TRACING FEE |
FUND |
BENPAYABLE |
BENFEESRCD |
BENEFIT PAYMENT |
TRACING FEE |
FUND |
BENEFIT FEES |
BENFEESPBL |
BENEFIT PAYMENT |
TRACING FEE |
MEMBER |
BENPAYABLE |
BENEFIT |
BENEFIT PAYMENT |
TRACING FEE |
MEMBER |
TRFTO/FFND |
MEMDEPOSIT |
Tracing Agent Fee Reversal
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
TRACINGFEERV |
FUND |
BENFEESRCD |
BENPAYABLE |
BENEFIT PAYMENT |
TRACINGFEERV |
FUND |
BENFEESPBL |
BENEFIT FEES |
BENEFIT PAYMENT |
TRACINGFEERV |
MEMBER |
BENEFIT |
BENPAYABLE |
BENEFIT PAYMENT |
TRACINGFEERV |
MEMBER |
MEMDEPOSIT |
TRFTO/FFND |
Legal Fee
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
LEGAL FEE |
FUND |
BENPAYABLE |
BENFEESRCD |
BENEFIT PAYMENT |
LEGAL FEE |
FUND |
BENEFIT FEES |
BENFEESPBL |
BENEFIT PAYMENT |
LEGAL FEE |
MEMBER |
BENPAYABLE |
BENEFIT |
BENEFIT PAYMENT |
LEGAL FEE |
MEMBER |
TRFTO/FFND |
MEMDEPOSIT |
Legal Feel Reversal
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
LEGALFEERV |
FUND |
BENFEESRCD |
BENPAYABLE |
BENEFIT PAYMENT |
LEGALFEERV |
FUND |
BENFEESPBL |
BENEFIT FEES |
BENEFIT PAYMENT |
LEGALFEERV |
MEMBER |
BENEFIT |
BENPAYABLE |
BENEFIT PAYMENT |
LEGALFEERV |
MEMBER |
MEMDEPOSIT |
TRFTO/FFND |
Handling Fee
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
HANDLING FEE |
FUND |
BENPAYABLE |
BENFEESRCD |
BENEFIT PAYMENT |
HANDLING FEE |
FUND |
BENEFIT FEES |
BENFEESPBL |
BENEFIT PAYMENT |
HANDLING FEE |
MEMBER |
BENPAYABLE |
BENEFIT |
BENEFIT PAYMENT |
HANDLING FEE |
MEMBER |
TRFTO/FFND |
MEMDEPOSIT |
Handling Fee Reversal
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BENEFIT PAYMENT |
HANDLINGFEER |
FUND |
BENFEESRCD |
BENPAYABLE |
BENEFIT PAYMENT |
HANDLINGFEER |
FUND |
BENFEESPBL |
BENEFIT FEES |
BENEFIT PAYMENT |
HANDLINGFEER |
MEMBER |
BENEFIT |
BENPAYABLE |
BENEFIT PAYMENT |
HANDLINGFEER |
MEMBER |
MEMDEPOSIT |
TRFTO/FFND |
Alternatively the above Accounting Activities can be created using the following Accounts that can be qualified by Income Type and the bulk payments then done by selecting the Account and Income Type:
Account |
Description |
FEERECEIVED |
FEE RECEIVED |
FEEEXPENSE |
FEE EXPENSES |
FEEPAYABLE |
FEE PAYABLE |
The Accounting Activities above must be linked to the BENENHANCE Accounting Activity with a Bulk Purpose Type of BENEFIT ADJUST.
The following Accounting Activity must be created for the payment of Benefit related fees via the Bulk Payment process:
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BULK PAYMENT |
PAYBENFEES |
FUND |
BENFEESPBL |
BULKPMTALLO |
The following Accounting Activity must be created for the offset of the negative (reversed) Benefit related fee transactions in the Bulk Payment process:
Process |
Accounting Activity |
Stakeholder |
DR Account |
CR Account |
BULK PAYMENT |
BENFEESOFF |
FUND |
BULKPMTALLO |
BENFEESPBL |
The following retrieval Accounting Activity must be created for the retrieval of the Benefit related fees to be paid via the Bulk Payment process:
Process |
Accounting Activity |
Stakeholder |
Account |
BULK PAYMENT |
BENFEESPBL |
FUND |
BENFEESPBL |
The following Accounting Activity Associations must be set up to enable the payment of the Benefit related fees via the Bulk Payment process as per the details below.
Purpose Type |
Account Code |
Accounting Activity |
BULK RETRIEVAL |
BENFEESPBL |
BENFEESPBL |
BULK POSITIVE |
BENFEESPBL |
PAYBENFEES |
BULK OFFSET |
BENFEESPBL |
BENFEESOFF |
For more information, refer to
Product Launch Requirements
Product Update
Product Update Type: Service / Fees
For more information refer to
Processes
Benefits
Capturing of Exit Notifications
Complete a Claim
Service Fees
For more information, refer to Tracing Agent Fees under
Processes
Benefits
Benefit payment Update Type
Benefit Payment Update Types (Standard Benefit Rules)
Benefit Payment Update Type: Adjust Benefit
Processes
Benefits
Benefit payment Update Type
Benefit Payment Update Types (Flexible Benefit Rules)
Benefit Payment Update Type: Adjust Benefit