Processing Coinsurance-Relevant Statistical Items

Use

Collections/Disbursements (FS-CD) can also process statistical line itemsfor receivables and payables, which are coinsurance-relevant. You need to take note of some special features.

A claims system transfers a coinsurance-relevant subrogation/recovery receivable to Collections/Disbursements. The subrogation/recovery receivable is not G/L-relevant to start with, and receivable and revenue lines only occur after (partial) payment by the customer. The subrogation/recovery receivable is also coinsurance-relevant when paid by the customer, meaning that corresponding coinsurance sharesare to be deducted on payment.

Prerequisites

In Customizing for Collections/Disbursements , under Basic Functions Postings and Documents Document Maintain Document Assignments Maintain Transactions for SAP for Insurance (FS-CD) Define and Parameterize Transactions , you have created external mainand subtransactionsfor the statistical line items and assigned the statistical key G (Other Statistical Receivable (Charge/Interest)) to these.
In Customizing for Collections/Disbursements , under Basic Functions Postings and Documents Document Define Account Assignments for Automatic Postings Define Account Assignments for Down Payments/Charges , you have assigned the account assignments (main and subtransactions) for receivables and payables, which are to be posted automatically to the statistical line item when clearing, to statistical key G and the external main and subtransactions for the statistical line items.
In Customizing for Collections/Disbursements , under Basic Functions Postings and Documents Documents Define Account Assignments for Automatic Postings Automatic G/L Account Determination Accounts for Revenue from Charge Request , you have defined the G/L accounts for revenue postings required on clearing.
You have set up Customizing for Collections/Disbursements , under Business Transactions Coinsurance . In the IMG activity Flag Main and Subtransaction as Coinsurance-Relevant Charge , you have flagged the main and subtransactions for the statistical line item as coinsurance-relevant, so that it is also possible to post the coinsurance shares for the coinsurers when clearing the item.

Process Flow

As information about coinsurance shares for the G/L item in the coinsurance-relevant document is entered, but statistical items contains no G/L items, processing takes place as follows:

The coinsurance-relevant statistical documents are delivered to Collections/Disbursements by using the interface for the payment plan (function module ISCD_SCPOS_MAINTAIN). The system also transfers the coinsurance keyand the category for the coinsurance-relevant document (premium document or claims document). For each participating insurer, a payment plan item is delivered to Collections/Disbursements - as in the non-statistical case.
- Collections/Disbursements (FS-CD) posts all items for the statistical document with statistical key G (Other Statistical Receivable (Charge, Interest)) .
- During the debit entry for the statistical document, the system determines the appropriate coinsurance shares directly from the corresponding payment plan items.
- The system monitors the document and non-statistical coinsurance-relevant documents. Take note of the following special feature:
  
  Writing off the statistical document does not lead to the deduction of coinsurance sahres.
  
  A write-off could take place if the insurance company goes without a subrogation/recovery receivable, or a part thereof. Processes that could trigger this write-off include manual account maintenance or the write-off run .
  
  The coinsurance history display does not include coinsurance shares not to be deducted.
Clearing the coinsurance-relevant document (successful payment by customer, for example) leads to the generation of corresponding G/L-relevant items in the clearing document (normally the payment document). The system determines the appropriate account assignments with posting area 1010 (IMG activity Define Account Assignments for Down Payments and Charges ). Normally, just one revenue line is created for the clearing amount, but it is also possible to distribute the amount to various G/L accounts for each participating coinsurer.
Clearing (successful payment by customer) means that coinsurance reporting transfers the coinsurance shares to the coinsurers.