Hypertext: Object Class - Class to which a document belongs.
Document Name
CLM_00_CL_150
A claim variant defines what factors influence the claim limit an employee is entitled to in a plan.
There are two stages in deciding how to set up your claim variants. Firstly, you must know how claim limit varies according to plan and option. Secondly, you must know how the option's claim limit varies according to employee's data. The first stage determines how many claim variants you need while the second determines how each claim variant is set up.
In this step, you carry out both stages; the first by entering the claim variant name(s) for each plan and the second by identifying employee criteria relevant to claim limits within each claim variant.
Remember that in this step, you do not enter any actual claim limits. You are only defining how claim limits vary through employee data for each plan.
Stage I- Analyse your plans as follows:
Wherever there are options within a plan, you need claim variant for each option.
Stage II-
For each claim variant, you can select a parameter group that has age, salary and seniority groups. You can also specify the claim grouping that is relevant to a claim limit.
Activities
Select the plan you want to define claim variants for.
Select the "New entries" function.
Enter a four-character identifier and description to represent each claim variant.
In the next steps, you set the claim plan rule criterion and the claim limit parameters that are relevant to the calculation of claim limits. What you select here will dictate the entries you make in the next view Define claim rule for plan.
The "Salary", "Age" and "LOS" checkboxes enable you to indicate which of the groupings of the parameter group are to be used.
The "Claim grouping" checkbox indicates whether claim grouping is used in grouping employees for claim limit calculation.
Enter the "Key date" (cutoff day) for the lower boxes in this view. Where any of these dates are not entered, the system will calculate the employee group assignment based on the claim date.
You can also enter a "Calculation rule" for the seniority calculation. If you enter a calculation rule, this will be used instead of the standard benefits calculation of an employee's seniority.
Enter "Hire date override" for the seniority calculation if a date other than the employee's hire date is permitted as the seniority.
Enter a "Leaving date override" for the seniority calculation if a date other than the employee's termination date is permitted as the seniority end date.
Enter the "Key date" (cutoff day) in the salary basis for claim calculation.
Enter the "Key date" (cutoff day) in the Claim limit re-set details group to reset the date of an employee's claim limit.
Enter the cutoff date to process an employee's previous year claim in the current year.
Enter the miscellaneous details.
Save your entries.
Repeat steps 1-12 for each claim variant within each plan.
Hierarchy 
SAP_HRRXX (Software Component) Sub component SAP_HRRXX of SAP_HR
PA-BN-CL (Application Component) Claims Processing (Asia)
PCLM (Package) Claims processing :Asia
IMG Activity 
Document 
History 
