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US6067522A Expired / Lapsed US ⏱️ 0.0 years remaining

Health and welfare benefit enrollment and billing system and method

Assignee: ARBOR ACQUISITION CORP
•
Filing: 1996-03-01
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Granted: 2000-05-23
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Expires: 2016-03-01
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Abstract

Abstract A health and welfare benefit enrollment and billing system and method, wherein a least one person is enrolled in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider and a bill is generated for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan.

Inventors

  • 👤 Arthur D. Warady
  • 👤 Robert W. Owen

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 15:02
CPC Classifications
G; G06; G06Q; G06Q10/00; G06Q10/10; Y; Y10; Y10S; Y10S707/00; Y10S707/99941; Y10S707/99944; Y10S707/99945; Y10S707/99948

Claims Analysis

Total Claims: 33
Claim 1
Independent Claim 209 words
A health and welfare benefit enrollment and billing system, comprising: enrolling means for enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider, said enrolling means including means for recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, said means for recording being operative to generate a new record each time a modification is made to an enrollment; means for determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and means, responsive to said means for determining, for adding a record to said enrollment history that reflects that said prerequisite has been met; and bill generating means for generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan.
Claim 2
Dependent Claim 209 words
A health and welfare benefit enrollment and billing system, comprising: enrolling means for enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider, said enrolling means including means for recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, said means for recording being operative to generate a new record each time a modification is made to an enrollment; means for determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and means, responsive to said means for determining, for adding a record to said enrollment history that reflects that said prerequisite has been met; and bill generating means for generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan.
Claim 3
Dependent Claim 22 words
The system of claim 1, wherein the enrolling means and the billing means are integrated as a single computerized database management system.
Claim 4
Dependent Claim 24 words
The system of claim 1, wherein the enrolling means and the billing means are integrated as a plurality of interconnected computerized database management systems.
Claim 5
Dependent Claim 64 words
The system of claim 1, wherein the enrolling means includes: enrollment form generating means for generating an enrollment form for enrolling the at least one person in any of a plurality of health and welfare benefit plans provided by a plurality of health and welfare benefit plan providers; and receiving means for receiving the enrollment form when completed by the at least one person.
Claim 6
Dependent Claim 34 words
The system of claim 4, wherein the enrollment form, when completed by the at least one person, meets all enrollment application requirements of each of the plurality of health and welfare benefit plan providers.
Claim 7
Dependent Claim 17 words
The system of claim 4, wherein the enrollment form is individualized for the at least one person.
Claim 8
Dependent Claim 24 words
The system of claim 1, further comprising confirmation generating means for generating a confirmation of an enrollment status of the at least one employee.
Claim 9
Dependent Claim 16 words
The system of claim 7, wherein the confirmation is individualized for the at least one employee.
Claim 10
Dependent Claim 22 words
The system of claim 8, wherein the confirmation is further individualized for the at least one health and welfare benefit plan provider.
Claim 11
Dependent Claim 28 words
The system of claim 1, further comprising report generating means for generating at least one report desired by the at least one health and welfare benefit plan provider.
Claim 12
Dependent Claim 32 words
The system of claim 10, wherein the at least one report includes any one of a salary impact report, an imputed income report, an underwriter's exception report, and an employee census report.
Claim 13
Dependent Claim 24 words
The system of claim 10, wherein the at least one report is individualized for the at least one health and welfare benefit plan provider.
Claim 14
Dependent Claim 22 words
The system of claim 1, wherein the enrolling means includes means for creating a negative enrollment for the at least one person.
Claim 15
Dependent Claim 280 words
A health and welfare benefit enrollment and billing method, comprising the steps of: entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met; and generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems.
Claim 16
Dependent Claim 280 words
A health and welfare benefit enrollment and billing method, comprising the steps of: entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met; and generating a bill for fees due to the at least one health and welfare benefit plan provider as a result of the enrollment of the at least one person in the at least one health and welfare benefit plan in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems.
Claim 17
Dependent Claim 65 words
The method of claim 14, wherein the step of enrolling the at least one person includes the steps of: generating an enrollment form for enrolling the at least one person in any of a plurality of health and welfare benefit plans provided by a plurality of health and welfare benefit plan providers; and receiving the enrollment form when completed by the at least one person.
Claim 18
Dependent Claim 34 words
The method of claim 15, wherein the enrollment form, when completed by the at least one person, meets all enrollment application requirements of each of the plurality of health and welfare benefit plan providers.
Claim 19
Dependent Claim 17 words
The method of claim 15, wherein the enrollment form is individualized for the at least one person.
Claim 20
Dependent Claim 23 words
The method of claim 14, further comprising the step of generating a confirmation of an enrollment status of the at least one employee.
Claim 21
Dependent Claim 35 words
The method of claim 18, wherein the confirmation is generated in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems.
Claim 22
Dependent Claim 16 words
The method of claim 19, wherein the confirmation is individualized for the at least one employee.
Claim 23
Dependent Claim 22 words
The method of claim 20, wherein the confirmation is further individualized for the at least one health and welfare benefit plan provider.
Claim 24
Dependent Claim 27 words
The method of claim 14, further comprising the step of generating at least one report desired by the at least one health and welfare benefit plan provider.
Claim 25
Dependent Claim 38 words
The method of claim 22, wherein the at least one report is generated in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems.
Claim 26
Dependent Claim 32 words
The method of claim 23, wherein the at least one report includes any one of a salary impact report, an imputed income report, an underwriter's exception report, and an employee census report.
Claim 27
Dependent Claim 24 words
The method of claim 23, wherein the at least one report is individualized for the at least one health and welfare benefit plan provider.
Claim 28
Dependent Claim 39 words
The method of claim 14, wherein the step of enrolling the at least one person in the at least one health and welfare benefit plan includes the step of creating a negative enrollment for the at least one person.
Claim 29
Dependent Claim 12 words
The system of claim 1, wherein said prerequisite is evidence of insurability.
Claim 30
Dependent Claim 12 words
The method of claim 14, wherein said prerequisite is evidence of insurability.
Claim 31
Dependent Claim 216 words
A health and welfare benefit enrollment and billing method, comprising the steps of: entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met.
Claim 32
Dependent Claim 216 words
A health and welfare benefit enrollment and billing method, comprising the steps of: entering data into one of a single computerized database management system and a plurality of interconnected computerized database management systems; enrolling at least one person in at least one health and welfare benefit plan provided by at least one health and welfare benefit plan provider in accordance with the data entered into the one of the single computerized database management system and the plurality of interconnected computerized database management systems, wherein the step of enrolling includes the step of recording an enrollment history for the at least one person, said enrollment history including a plurality of records, said plurality of records including one or more records identifying historical coverage options, a record identifying present coverage options, and one or more records identifying future coverage options, wherein the step of recording includes the step of generating a new record each time a modification is made to an enrollment; determining whether the at least one person has met a prerequisite to being enrolled in a future coverage option in the at least one health and welfare benefit plan; and if it is determined that said prerequisite has been met, then adding a record to said enrollment history that reflects that said prerequisite has been met.
Claim 33
Dependent Claim 12 words
The method of claim 29, wherein said prerequisite is evidence of insurability.

References Cited (Backward Citations)

US4347568A Cited
US4648037A Cited
US4893270A Cited
US5018067A Cited
US4987538A Cited
US5448729A Cited
US5235702A Cited
US5301105A Cited
US5359509A Cited
US5307262A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-05-23 2003-11-22 2004-05-23 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-05-23 2007-11-22 2008-05-23 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-05-23 2011-11-22 2012-05-23 $7700.00 Window Closed / Lapsed

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