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    • 2. 发明授权
    • Managing the business of a medical insurance plan
    • 管理医疗保险计划的业务
    • US08131570B2
    • 2012-03-06
    • US09982274
    • 2001-10-17
    • Ryan Lance LevinAdrian GoreNeville Stanley Koopowitz
    • Ryan Lance LevinAdrian GoreNeville Stanley Koopowitz
    • G06Q40/00
    • G06Q30/02G06F19/00G06F19/328G06Q40/08G06Q50/22G06Q50/24
    • The method of the invention provides incentives for medical scheme members to minimize medical expenses both by responsible use of the benefits of the scheme, and also by offering positive incentives to members to adopt a healthy lifestyle and to make use of preventative procedures and pretreatment medical advice facilities. A number of health-related facilities and/or services (such as membership of health clubs, gymnasiums or fitness programs) are offered to the medical scheme members, and the members are allocated points for using these facilities. Members are also allocated points for using predetermined preventive medical procedures and medical advice services. Rewards are allocated to members based on their points accrued, and the reward may include a payback of premium payments.
    • 本发明的方法为医疗计划成员提供激励,以通过负责任地利用该计划的利益来最小化医疗费用,并且通过提供积极的激励措施,使成员采取健康的生活方式,并利用预防程序和预处理医疗咨询 设备。 向医疗计划成员提供一些与健康有关的设施和/或服务(如健康俱乐部,体育馆或健身计划的会员),并为成员分配使用这些设施的点数。 会员也被分配使用预定的预防医疗程序和医疗咨询服务。 奖励将根据积分分配给会员,奖励可能包括保险费的回报。
    • 5. 发明申请
    • SYSTEM AND METHOD OF MANAGING AN INSURANCE SCHEME
    • 管理保险计划的制度与方法
    • US20090299774A1
    • 2009-12-03
    • US12477189
    • 2009-06-03
    • Adrian GOREHerschel Phillip MAYERSKenneth Steven RABSON
    • Adrian GOREHerschel Phillip MAYERSKenneth Steven RABSON
    • G06Q40/00
    • G06Q40/00G06Q40/08
    • A system for managing an insurance scheme includes a calculation module to, on the occurrence of an insured event for an insured person, calculate a subsidy for expenses for the insured person or a nominated beneficiary. The subsidy is calculated by accessing data defining a plurality of categories of expenses and determining for each category a spend amount. The spend amount is either an average historical spend amount over a period of time prior to the insured event or an actual spend amount for a period of time after the insured event. A percentage is then calculated using the insured person's participation with a wellness programme. Finally, the amount of the subsidy is calculated by multiplying the percentage by the spend amount. A payment module effects payment of the subsidy to the insured person, the nominated beneficiary or a third party goods or services provider.
    • 一种用于管理保险计划的系统包括计算模块,用于在被保险人的投保事件发生时计算被保险人或指定受益人的费用补贴。 通过访问定义多个类别的费用的数据来计算补贴,并为每个类别确定支出金额。 支出金额是保险事故发生前一段时间内的平均历史支出金额,也可以是投保事件一段时间后的实际支出金额。 然后使用保险人参与健康计划计算一个百分比。 最后,通过将百分比乘以支出金额计算补贴金额。 支付模块对被保险人,指定受益人或第三方货物或服务提供者支付补贴。
    • 7. 发明申请
    • METHOD OF MANAGING AN INSURANCE PLAN AND A SYSTEM THEREFOR
    • 管理保险计划的方法及其制度
    • US20130231963A1
    • 2013-09-05
    • US13782203
    • 2013-03-01
    • DISCOVERY HOLDINGS LIMITED
    • Adrian GOREHerschel Phillip MAYERS
    • G06Q40/08
    • G06Q40/08
    • An insurance plan implemented by a computer system receives an insured person's selection of an insured event and an insured amount to be paid on the occurrence of the insured event. Information is also received pertaining to an ancillary insured event and an ancillary amount to be paid on the occurrence of the ancillary insured event. Software calculates an increase in the ancillary amount to be paid on the occurrence of the ancillary insured event, the increase based on a ratio of the ancillary amount to the first insured amount. A premium is calculated using the first insured amount and the ancillary amount, and not the increase in the ancillary amount. Payment is made to the insured person if a first insured event has occurred, and is the increased ancillary payment amount if an ancillary insured event has occurred.
    • 由计算机系统实施的保险计划得到被保险人对被保险人事件的选择以及被保险事项发生时支付的被保险金额。 还收到了关于辅助保险事件的信息以及在辅助保险事件发生时支付的辅助金额。 软件计算在辅助保险事件发生时支付的辅助金额增加,按照辅助金额与第一笔保险金额的比例计算。 使用第一保险金额和配额计算溢价,而不是辅助金额的增加。 如果第一次投保事件发生,则向受保人支付费用,如果发生辅助保险事故,则为辅助支付金额。