QL.Admin Product Brochure
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Transcript of QL.Admin Product Brochure
Policy Display
www.ruddwisdomsoftware.com
QL.AdminAffordable, easy-to-use software from insurance experts.
Policy Display
Policy Issue
Policy Issue
Policy Issue
Policy Display
QL.Admin's Policy Display window
shows information about a policy in a single
window using multiple tabs. Complete
coverage information is provided,
including premium history, policy values,
beneficiaries, assignees, agent earnings,
policy memos, user defined data, claim
i n f o r m a t i o n a n d u n d e r w r i t i n g
requirements.
A policy is located by specifying the
number, insured name, social security
number, or date of birth. Changes to a
policy are tracked with a complete policy
transaction audit, while various aspects of a
policy’s history is one right-click away.
New business is added to the system through one easy-to-use New Issue input window, and the new policy
shows a Pending status code until underwriting is approved and the policy is released from Pending.
automatically populates certain coverage information based on data stored in the insurance rate files. Agent hierarchies
are automatically completed from the agent set up files. Extensive policy level validation ensures data integrity.
allows users to track policy underwriting and issue requirements and accounts for cash with
application money . The system supports printing complete policy forms as well as policy insert
pages such as the policy schedule and data page, cash value pages, cost disclosure pages, and welcome
letters.
QL.Admin
QL.Admin
QL.Admin
(CWA)
Software Features
Policy Issue
QL.Admin allows the user to quickly navigate from policy display to the Edit or Maintenance screens for service
processing. The system also has a document editor with mail-merge capabilities to create policy correspondence and
contract forms. Documents are generated on request or as scheduled, and are auto-saved for future review or re-print.
Policy Display
Policy Issue
Software Features
Policy Issue
Policy Add / Edit
Policy Maintenance
Policy Maintenance provides easy manual processing for surrenders, death claims, lapses, loans, annuities and more.
Accounting transactions are generated where appropriate and stored for later export. produces accounting
calculations for all policy administration. transactions, including:
QL.Admin
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Cash Surrenders
Extended Term Insurance
Reduced Paid-Up
Automatic Premium Loan
Death / Health Claims
Lapse / Suspend Changes
Cancellations
Reinstatements
Policy Loans and Payments
Dividend Deposit Withdrawals
Annuity Withdrawals (RMD and Regular)
QL.Admin prints before-and-after policy transaction pages that show policy details, the user who made the change, and
applicable accounting information. Automated user memos can also be set-up to track all policy transactions.
Routine policy transactions such as beneficiary updates, change of address, changing billing modes or updating bank
account information are processed with the Edit function. After a user makes policy changes, the editing
routine goes through extensive and comprehensive policy level validation to ensure data integrity. To further protect a
client’s data, the system also allows users to be granted specific security levels. Policy changes are recorded in a
transaction audit file.
QL.Admin
Policy Display
QL.Admin supports a wide variety of billing methods including direct pay, multiple direct pay, group bills, coupon
books, bank drafts/EFT transaction, and credit cards.
The system easily handles all traditional billing modes, and complete billing registers and billing histories are created for
audit purposes. Premium notices can also be bar-coded to allow for easy data entry via a bar-code scanner.
First, second, and third notices are available for direct pay bills.
Billing
Policy Issue
Policy Issue
Software Features
Policy Issue
Premium Application
QL.Admin Premium processing is designed to
allow for quick and accurate premium posting.
Paid-to dates, commission records and financial
values are updated in real time as the premium
payments are applied. Premiums may be applied
by individual policy or by group, and pre-
authorized drafts are automatically created and
posted during the billing cycle. The system
automatically determines the best method to
account for and allocate the premium payment -
whether the payment is a multiple of the current
mode or is an odd amount from the amount due.
Policy Display
Valuations can be run on an annual, quarterly or monthly basis. The level of reporting detail is chosen at the time the
valuation is run. Statutory, GAAPand Tax reserves are all supported. valuation reports include:QL.Admin
Valuation
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Policy Reserve Valuation
with Due, Deferred and Advance Premiums
Premium Suspense Valuation
A&H Tabular Reserve
With Due, Advance and Unearned Premium Valuation
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Annuity Reserve Valuation
Policy Loan Valuation
Temporary Values Valuation
Dividend Accumulations Valuation
Pending Death Valuation
Over/short and suspense amounts are calculated according to your system’s configuration settings. Commissions are
adjusted for any premium reversals or changes to previously applied payments, such as with lapses or cancellations.
Preliminary and final premium application reports are created and identified for each user who enters premiums.
Group premiums are applied using the Group Explorer data window. Payment amounts on a group bill can be edited to
match the returned bill, new policies can be added to the group, and the entire group can be zeroed out or terminated. A
running premium total is displayed so that the amount due and amount received can be reconciled.
Policy Display
Agent management includes agent advances, chargebacks, reserve accounts, multiple hierarchy schemes, 1099's, agent
balance reports, licensing and appointments, policy tracking and periodic commission statements.
As many as 100 agents may be assigned to a single policy, permitting your company to have an extensive hierarchy
agents, each with their own commission payments. Commission rates may be set up to vary by agent level, by plan code
and by duration. Agent administration has the flexibility to do the following:
Policy Issue
Policy Issue
Software Features
Policy Issue
Agent Processing
� Add, edit, or delete agent information
Maintain agent contract information including agent
level, status, manager, assignment, minimum payment
amounts, advancing criteria, chargeback rules, reserve
accounting, and licensing information.
View premiums and commissions earnings, separated
into first year or renewal amounts for the prior period,
the current period, and year-to-date.
Calculate, edit, and add manual payments to or from
agents to be included on the periodic statements.
Produce periodic statements with complete accounting
of premium payments, earned commissions, advances,
chargebacks, and agents' accounts.
Agent statements can be produced in a .pdf format for
easy electronic distribution.
Agent payments can be made by check via the A/P
export, or by direct deposit.
Generate 1099's on paper and E-file with the IRS.
Real time calculations for ledger balances.
Complete list of an agent’s book of business.
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Policy Issue
Accounting
QL.Admin
QL.Admin
is configured to integrate with many of today’s most popular PC-based accounting programs. The system
provides everything necessary to capture all required accounting transactions and map them to your Chart ofAccounts
while still allowing for variations by company and plan code. An export option is provided which creates either G/L or
A/P reports that get imported into your accounting system. provides for separate Charts of Accounts for a
multi-company environment. Other variations can be handled on an exception basis.
Policy Display
QL.Admin
QL.Admin
has extensive reporting capabilities which includes a wide variety of pre-defined reports. Reports are
retained until archived or purged using available system settings. You can also create your own report formats with an
add-on report manager. system reports include:
Policy Issue
Software Features
Policy Issue
Report Creation and Management
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Master File Lists
Billing Notices and Registers
PremiumApplication Reports
Past Due Reports
Premium Suspense Reports
Premiums by State Reports
CWAApplication Reports
Life Claims and IBNR Reports
Agent Commission Statements
Agent Balance Reports
Agent Payments Reports
Annuity Annual Statements to Policyholders
Policy Benefits Reports
Policy Exhibit Reports
Transaction Audit Reports
IRS 1099/5498 Reports
Reserve Valuation Reports
Privacy Notices
Automatic Anniversary Updates
Daily anniversary processing will automatically identify and update each policy for events such as:
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Coverage Becoming Paid-up
Coverage Expiring or Maturing
Scheduled Premium Changes
Scheduled Death Benefit Changes
Cash Value Updates
Annuity Interest Rate Changes
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Policy Dividend Processing
Policy Loan Interest
Annuity Policy Expense Charges
Automatic Lapse/Nonforfeiture processing
Scheduled Policy and Plan Correspondence
Policy Issue
Software FeaturesPolicy Issue
System Management
QL.Admin allows specific global configuration settings that determine how certain parts of the program function.
The office sys-op also controls the security settings and establishes security levels for each system user.
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Limits for over/short and suspense
amounts
Billing options for second and third
notices
Automatic lapse/nonforfeiture processing
Commission calculation methods
Exporting options for your G/L and A/P
Automatic policy number assignment
Policy memo recording options
Annuity interest crediting methods
Death claim processing options
Return of premium and suspense amounts
at termination
Automatic e-mail support information
Agent statement .PDF options
Auto-claim numbering
Secure login
Automated system updates
Policy DisplayQL.Admin allows you to enter and modify certain data files by using data entry windows, importing from text files, or
copying from existing data files. The system allows you to maintain:
Policy IssuePolicy Issue
Data File Maintenance
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Company Information
Plan Information
Bank Information
Group Billing Data
Gross Premiums
Death Benefits
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Terminal Reserves and Net Premiums
Cash Values
Dividends
Regular and Override Commissions
Annuity Interest Rates, Expense loads, Surrender Charges
Clone Plan Codes and Related Data
Policy Display
We provide direct training and ongoing support to each user.
Software Features
Education & Support
Operating Environment
QL.Admin
QL.Admin
QL.Admin
runs on a 32-bit Windows-based platform and can be implemented on most major PC networks, including
Windows Vista/XP/NT/2003/2000. The system is programmed in Computer Associates’Visual Objects; a true object-
oriented, 32-bit programming language.
uses the familiar and stable xBase database format with client /server processing, which is enabled via
Advantage Database Server from Sybase. More information onADS can be found at www.advantagedatabase.com.
also supports a multi-company environment so multiple insurance companies can issue products yet reside
within the same database in the same network folder.
Customized Functionality
The existing routines can be complemented with client-specific functions. At your request, special reports
and utilities can be custom programmed and added to your system.
QL.Admin
QL.Admin
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Remote assistance with WebEx online chat, desktop viewing and shared control of user screen
Direct access to support staff via email and phone with systematic case tracking
Comprehensive user help guide
System data backup services
Reinsurance Administration
Additional Modules
.
Health Claims Administration
The Health Claim module integrates with theexisting claim and payment functions.Claims are accessed directly through the claimstab in Policy Display or the claim function inPolicy Maintenance.
The claim adjudication window shows allclaim details for each service phase. Claiminformation such as claim type, loss dates,diagnosis codes and CPT codes are entered by theclaim adjustor. Detail and summary amounts aregiven for coverage, discounts, deductibles,coordination of benefits and benefits paid.
As with other system information windows, claimmemos can also be added for adjustor and policyservice reference.
QL.Admin
The adjustor can add multiple service phases, link them to the diagnosis codes, then make manual adjustments to the claim untilit’s settled. Adjustors are granted varying levels of authority. The benefits payable for each service phase are automaticallycalculated, and claim data goes through an extensive validation process to confirm plan and benefit limits, precertifications,adjustments and date ranges.
The Re insu rance Modu leaccommodates all aspects of a reinsurance treatyand allows different requirements for base plans,riders, coinsurance allowances, retained/cededminimums and carriers.
Reinsurance details are displayed at the policylevel for business with ceded amounts ofcoverage, along with a Reinsurance billinghistory for the policy.
Reinsurance billing is also part of the billing cycleand creates a statement showing policies and totalpremiums due to the reinsurer.
QL.Admin
QL.Admin also provides Reinsurance reports for new business, paid premiums, terminations and an overall reinsurancevaluation. Reinsurance data can be edited at both the treaty level and policy level to accommodate exceptions.
Policy Issue
Additional Modules
Policy Issue
.
Health Plan Benefits Maintenance
Each health plan will have one or more benefitcodes, also known as adjudication codes, towhich it is associated.
The general attributes, thresholds andmaximums for each benefit are created in thePlan Maintenance File.
General Attributes include basic benefitinformation, such as the per unit maximum,UCR percentages and number of days in thewaiting period. Thresholds set specificparameters for the benefit, such as with pre-existing conditions and penalties for no pre-certifications. Maximums for the benefits aredefined in terms of time and dollars.
All of the supporting data for the Health Claims Module are established and maintained in the Health Tables in theData Maintenance menu option. These data tables store adjustor and provider information, claim adjustment codesand pending underwriting codes.
The unique industry data for UCR information, CPT codes and ICD codes are uploaded to the system and caneasily be updated when new data is released to the public. The system keeps track of when new datahas been updated and applies the new rates and codes to all claims entered after the update.
QL.Admin
Health System Data Maintenance
QL.Admin also provides easy processing of claim pre-certifications. The adjustor or third-party pre-certificationagency can modify pre-certifications and the updates are available to Adjustors in real-time. Requirements andparameters for claim or service pre-certifications are also managed in the plan and benefits tables.
Policy Display
Policy Issue
www.ruddwisdomsoftware.com(512) 346-1590
License Fees
Policy Issue
All fees are subject to change without notice.
QL.Admin License Fees
BaseQL.Admin ReinsuranceSystem Module Module
HealthClaim
System Component License Fee $60,000 $25,000 $15,000
Concurrent User License Fee (Per User)
$7,500 $3,150 $1,875$5,000 $2,100 $1,250
Thereafter $2,500 $1,050 $ 625
The Total License Fee is the sum of the System Component License Fee(s)plus the Concurrent User License Fee(s).
A discount is applied if the Base System and Health Module are purchased together.
The Monthly Maintenance & Support Fee is equal to 2% of the Total License Fee per month.
First 10 Concurrent UsersNext 40 Concurrent Users
Policy Display
www.ruddwisdomsoftware.com
Client References
LocationContact Insurance Company
Brent Haggard Texas Savings Life Insurance Co. Duncan, OKPresident (800) 544-9242 Client since 1988
Wendell Klein Texas Security Mutual Life Insurance Co. Houston, TXDelise Lee (361) 594-8520 Client since 1990
Jim Smith Southwest Reinsure Inc. Albuquerque, NM(800) 634-4333 Client since 1990
Chris Urban Catholic Union of Texas - KJT La Grange, TX(800) 245-8182 Client since 1991
Susan Thomas Winnfield Life Insurance Co. Austin, TX(512) 263-6977 Client since 1993
Jim Montee Preferred Security Life Insurance Co. Dallas, TXVice President (214) 946-5133 Client since 1994
Loretta Stahl Catholic Family Fraternal of Texas Austin, TXPresident (512) 444-9586 Client since 1994
Nancy Roberts Southern Life and Health Insurance Co. Birmingham, ALAsst. Vice President (205) 414-3000 Client since 1995
Lynn Bockhorn Germania Life Insurance Co. Brenham, TX(800) 392-2202 Client since 1997
Leslie Rudy Standard Security Life Insurance Co. New York, NYVice President (260) 459-1383 Client since 1997
Charlie Allison United Benefits, Inc. Dallas, TXPresident (800) 766-0018 Client since 1998
Teresa Weaver Scor Re Dallas, TX(469) 246-9500 Client since 1998
Ric Jernigan American Farm Life Fort Worth, TX(817) 451-9550 Client since 1998
Robert Wakelin CUMIS Life Insurance Co. Burlington, Ontario, CAN(905) 632-1221 Client since 1998
Debra Riley Bankers Life Insurance Co. St. Petersburg, FL(800) 839-2731 Client since 1999
Policy Display
www.ruddwisdomsoftware.com
Client References
LocationContact Insurance Company
Leyland Mahon CUNA Caribbean Insurance Society Port of Spain, Trinidad(868) 628-2862 Client since 2000
Judy Majko Professional Life and Casualty Chicago, ILTreasurer (312) 220-0655 Client since 2001
Ron Parker Wichita National Life Insurance Co. Lawton, OK(800) 522-1625 Client since 2001
Clif Mitchell North America Holdings, Ltd. Austin, TXPresident (512) 347-1835 Client since 2001
Ted Ludlam Provident American Life Insurance Co. Dallas, TXPresident (214) 696-9091 Client since 2002
Brent Gibson Great Cornerstone Life Edmond, OK(866) 868-3274 Client since 2002
Larry Tunnell Agee and Associates Dallas, TX(972) 234-3770 Client since 2003
Aaron Searle Capital Reserve Life Insurance Co. Salt Lake City, UT(800) 222-4275 Client since 2004
Tom Munson Landmark Life Insurance Co. Brownwood, TXPresident (800) 299-5433 Client since 2004
Tony Gonzalez Atlantic Southern San Juan, PRVice President (787) 767-9750 Client since 2005
Kim Gavlik American Century Life Tulsa, OKPresident (888) 712-7770 Client since 2005
Jim Michalak Columbian Mutual Life Insurance Co. Plymouth, MIVice President (866) 453-8510 Client since 2006
Kelly Rush Williams Great Central Life Oakdale, LAPresident (318) 335-0500 Client since 2007
Nikki May Family Liberty Life Texarkana, TX(903) 794-1300 Client since 2008
Mike Simard Liberty Bankers Life Dallas, TX(469) 522-4203 Client since 2007
Policy Display
www.ruddwisdomsoftware.com
Client References
LocationContact Insurance Company
Kevin Seubert Requia Life Insurance Corp. Madison, WI(608) 256-1757 Client since 2009
Clyde Honaker Kentucky Home Life Lexington, KYMarketing VP (866) 914-7947 Client since 2009
Dennis Necaise Mothe Life Insurance Gretna, LAPresident (504) 398-0777 Client since 2011
Javier Ortiz USIC Guaynabo, PRVice President (787) 625-1111 Client since 2011