Recap 1

how do we verify a DFC broker?

• Broker Code / Broker House Code
• Broker Entity Number / Broker House Entity number 
• Name and date of birth
• Broker Practice number

When we have received information that was missing in PR Callback stage, where does the application move to?

• Pr Scanned info pool
• Capture pool
• Underwriting pool
• Checking pool

How do we register a new member DHMS application where member is joining through a non-compulsory employer group?

• MAF

• 175

• ADD

• S1Z

What supporting documents are required for an HMC member when joining keycare?

• 3 months bank statements, 3 months payslips
• No supporting docs
• Latest payslip
• Payroll extract, 1 month bank statement

Where does the application route to once we have received the counter offer letter from the member?

• Underwriting
• Receipting
• Scanned Info
• Activation

In 1st Time Pr, we call members to advise of missing info. After we have advised of the missing info we need to...........?

• Update details and move case
• Cancel the application
• Generate PR requirement

• Move the case back to the Checking pool

Members that have never been on a medical aid or have broken cover for more than 90 days are placed in what category?

• CAT A
• CAT B
• CAT C
• HMS

If a CAT B member has a preexisting condition, we may impose the following waiting periods....

• 3 months general waiting period
• 12 months condition specific waiting period
• 3 months waiting period and 12 months condition specific waiting periods
• no waiting periods will apply

What does PMB stand for?

• Pietermaritzburg 
• Prescribed Maximum Benefits
• Prescribed Minimum Benefits
• Pro rated Minimum Benefits

CAT A members have no access to PMBs

• TRUE
• FALSE