Handling Supplemental Accident Insurance (Life)

You can use this function in a claim in the line of Life to make a partial payout. This means that you can make a payout for certain coverages of a contract, but for other coverages in the same contract you want to perform further checks on compensability. Until now, such a partial payout was not possible in the scenario “Claim Without Product Customizing” on which claims in the line of Life are based.

Technical Details

Technical Name of Product Feature	INS_FSCM_CI_5_EXT1_PF02
Product Feature Is	New
Country Dependence	Valid for all countries
Software Component Version	Insurance 617
Application Component	FS-CM (Claims Management)
Available From	SAP enhancement package 7 for SAP ERP 6.0, SP08
Required Business Functions	Insurance Claim Handling 5 - Additional Functions 1

Additional Details

Supplemental accident insurance is a typical example of the need for such a partial payout: Life insurance with a benefit for death contains an additional coverage if death was caused by an accident. You create a claim with different subclaims. During claims processing, it is now possible to pay out the benefit for death while checks are still needed to establish whether death was caused by an accident, in which case a benefit for the supplemental accident insurance would also be payable.

Note Note

A partial payout is only possible with a one-time benefit split, not with a periodic benefit split.

End of the note.