Quality Review 7/14

SW Adherence

100

A PT for an out of state mailing address is received with remarks that the insured is moving out of state.  What GFU should be entered with the change?

0UDO

Address Change job aid pg 48

Routing

100

Invalid relationship error between city, county, and zip code should be routed where?

9PAX

Reference: Exceptions pg. 2

200

SFPP errors MNL3900-001 and MLJ2700-040 should be routed where?

1CPL

Reference: Exceptions pg 12

300

Earned premium errors when $10 or greater (any amount in VA), should be routed where?

9PCX

Reference: Exceptions pg 3

Partially Completed

100

If we get a PT response that a driver aged 25 is still a member of the PLUP household, what GFU should be added?

3URD

Reference: PLUP Coverage Changes job aid pgs 18-19

200

PT is received stating a driver is no longer in HH, but the driver is still present on an auto, what GFU should be entered?

1URD

Reference: PLUP Coverage Change job aid pg. 18

300

Received a remarks PT that a driver and that driver's auto are no longer in the HH. That auto is cross referenced.  What should be done?

Remove the driver and auto and delete the cross reference.

Reminderstrue or false

100

If a nonrenewal GFU is present on a policy and we receive the requested information, the GFU and AO message should be removed.

True

Reference: 

200

When an address change PT is received, we should not verify that the new address is in state.

False

300

Macros should always be used when appropriate.

True

Rating

100

If an auto is insured with another company, what coding should be entered.

CR INS,N

Reference: PLUA Messaging job aid pg 32

200

If a recreational vehicle is insured with another company, what should be coded?

AS AE,E  or AS AE,B if currently coded AS AE,C

Reference: PLUA Messaging job aid pg 32

300

A non relative is listed on an auto policy in Wisconsin, should this driver be included or excluded in the driver count?

Included (Permissive State)

Reference: State Specific Resource