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Knowledge Centre for Health and Insurance (VHF) is an independent organization that advises insurance companies and pension funds around the medical assessment of health in connection with the subscription of personal insurance
One of their main activities is to handle Health Declarations
The health declaration is a generic health questionnaire with 12 primary questions and 19 underlying forms covering close to 1000 questions in total
Today the declaration is sent by mail and when received from the client treated manually.
The business idea is to automate the declaration so the customer can fill out an electronic version of the form, sign it digitally through NemID and return the form to the insurance company that stores it together with the digital signature.
VHF develops health forms in PDF format, that insurance applicants needs to fill out and submit, to get health insurance. VHF provides this service to a number of insurance companies, and maintains a set of health forms customized for each insurance provider, but all based on a standard set of questions.
The form (the PDf file) is downloaded by applicants form the insurance companies server, and filled out by the user. When filled out, the user can click a submit button, and the form is submitted to VHF’s adobe server. On the adobe server data is extracted from the form, and submitted as web service call to the ILOG server for evaluation. The ILOG server processes the form data, and sends back an evaluation, containing both general ratings, and explanations to how this rating was found. In some cases, the evaluation result, will be the need for further investigation, either by the insurance company, VHF, a third party specialist.
The solution is based on ILOG Business Rules Management System
Rule Lifecycle flow and configuration This includes configuration and setup of the necessary security roles on Rule Team Server, to enable a simple rule lifecycle, including a simple flow for moving a new or modified rule through validation and test stages, and on to production and eventually retirement.
Procedures for versioning including schema changes (Both in and out). This includes documented procedures for handling additions and changes to the basic questionnaire, and corresponding business rules and XML schemes for the rule webs services. It also includes procedures for handling customized questionnaire and rules that apply only to individual insurance companies.
Test procedures for unit and regression testing This includes setting up Decision Validation Service to executing specific test suites to be run as part of a unit and regression testing procedure, as well as configuring deployment to test environment, as part of an overall test plan.
Expert guidance in the following areas
BOM (Business Object Model) design including verbalization.
Rule organization . This include organization of rules to ensure easy maintenance, and the ability to handle business rules that a specific to individual insurance companies
Review complex rules. This includes review on complex rules and rule flows, to ensure efficient and easy maintainable rules, that can be extended in the future