This is how to utilize the BEM Standard to manage accounts at the employee level specifically for billing groups.
- Within the Employee node, is the Coverage node.
- Within the Coverage node is a "BillGroupIdentifier" element.
- This element is specifically designed to allow multiple billing groups per employer.
<xsd:element minOccurs="0" name="BillGroupIdentifier" type="xsd:string">
<Coverage>
<CoverageID>2397070</CoverageID>
<GroupPolicyNumber>P123344</GroupPolicyNumber>
<ProductTypeCode>Life</ProductTypeCode>
<BenefitPlanIdentifier>W34D</BenefitPlanIdentifier>
<BenefitClassIdentifier>01</BenefitClassIdentifier>
<BenefitSubClassIdentifier>003</BenefitSubClassIdentifier>
<BillGroupIdentifier>BGWH01</BillGroupIdentifier>
<OriginalCoverageEffectiveDate>2019-09-01</OriginalCoverageEffectiveDate>
<CoverageEffectiveDate>2019-09-01</CoverageEffectiveDate>
<CoverageTierCode>SpouseOnly</CoverageTierCode>
<BenefitCalculationMethodCode>FlatAmount</BenefitCalculationMethodCode>
<BenefitAmount>20000</BenefitAmount>
<EmployeeContributionCode>EmployeePaid</EmployeeContributionCode>
<EmployeePremiumContributionAmount>3.31</EmployeePremiumContributionAmount>
<EmployerPremiumContributionAmount>0</EmployerPremiumContributionAmount>
<TotalPlanPremiumAmount>3.31</TotalPlanPremiumAmount>
<PaymentMethodCode>PayrollDeduction</PaymentMethodCode>
<PremiumModeQuantity>26</PremiumModeQuantity>
<PreTaxCode>PostTax</PreTaxCode>
<TobaccoUseIndicator>1</TobaccoUseIndicator>
<TakeOverCoverageIndicator>1</TakeOverCoverageIndicator>
<BeneficiaryGroupID>UC0014</BeneficiaryGroupID>
<CarrierID>1234</CarrierID>
<ElectedCoverage>
<ElectedBenefitCalculationMethodCode>FlatAmount</ElectedBenefitCalculationMethodCode>
<ElectedEmployeeContributionCode>EmployeePaid</ElectedEmployeeContributionCode>
<ElectedTotalPlanPremiumAmount>3.31</ElectedTotalPlanPremiumAmount>
<ElectedCoverageInsured>
<InsuredPartyID>45</InsuredPartyID>
<PrimaryInsuredIndicator>1</PrimaryInsuredIndicator>
<InsuredCoverageEffectiveDate>2019-09-01</InsuredCoverageEffectiveDate>
</ElectedCoverageInsured>
</ElectedCoverage>
<CoverageInsured>
<InsuredPartyID>45</InsuredPartyID>
<PrimaryInsuredIndicator>1</PrimaryInsuredIndicator>
<TobaccoUseIndicator>0</TobaccoUseIndicator>
<InsuredCoverageEffectiveDate>2019-09-01</InsuredCoverageEffectiveDate>
</CoverageInsured>
<CoverageEventID>NHEVT1234</CoverageEventID>
</Coverage>
#LDEx-General#LDEx-API#LDEx-BEM#LDEx-Implementation#LDEx-XML------------------------------
Michael J Grudgings
Business Architect, Data Standards | LL Global, Inc.
300 Day Hill Road, Windsor, CT, 06095
t: (860) 298-3850 |
mgrudgings@limra.com------------------------------