Insurance product model-based apparatus and method

• US 20070156463A1
• Filed: 02/07/2006
• Published: 07/05/2007
• Est. Priority Date: 01/05/2006
• Status: Active Grant

• Current Assignee: Guidewire Software Incorporated
• Original Assignee: Guidewire Software Incorporated
• Inventors: Burton, James, Branson, Kenneth, Eloy, Benjamin
• Granted Patent: US 7,885,831 B2
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

An insurance product model comprising insurance policy metadata is provided (101) in a computer memory. The insurance policy metadata may comprise, at least in part, data that describes information that comprises a given corresponding insurance policy. A computer then serves to substantively interpret (102) this insurance product model to facilitate obtaining supplemental policy-specific data. The supplemental policy-specific data and the insurance policy metadata comprise separate and discrete data models and may, if desired, be stored (103) separately from one another. So configured, these teachings further support using (104) the insurance product model and the supplemental policy-specific data to facilitate an insurance-related action.

Claims

1. A method comprising:

providing in a computer memory an insurance product model comprising insurance policy metadata;

substantively interpreting, in a computer, the insurance product model to thereby facilitate obtaining supplemental policy-specific data.

2. The method of claim 1 wherein the insurance policy metadata comprises, at least in part, data that defines elements of a corresponding insurance policy.

3. The method of claim 1 wherein the insurance policy metadata comprises, at least in part, data that is common to a plurality of derived insurance policies.

4. The method of claim 1 further comprising:

using the insurance product model in combination with the supplemental policy-specific data to define a corresponding insurance policy that comprises one of a plurality of candidate insurance products that correspond to the insurance product model.

5. The method of claim 1 wherein the insurance policy metadata defines at least one of:

a policy line

at least one risk unit type;

insurance coverage types;

insurance coverage forms;

contractual terms associated with insurance coverages;

options associated with coverage terms;

an available endorsement.

6. The method of claim 5 wherein the contractual terms comprise at least one of:

coverage limits;

coverage deductibles;

elective coverage options.

7. The method of claim 5 wherein the options associated with coverage terms comprise at least one of:

an available coverage limit;

an available deductible choice.

8. The method of claim 5 wherein the insurance policy metadata further comprises information regarding availability of at least one item of insurance policy metadata as a function of at least one of:

a given jurisdiction;

a given date;

a given underwriting entity.

9. The method of claim 1 wherein the supplemental policy-specific data comprises, at least in part, information regarding at least one of:

coverage limits;

coverage deductibles;

coverage elections;

risks being covered;

a period of coverage;

cost;

elected coverages;

applied endorsements;

insured entity data.

10. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying specific coverages to include in a resultant insurance policy.

11. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying specific coverages having a corresponding inclusion requirement as a function of another insurance policy circumstance.

12. The method of claim 11 wherein the corresponding inclusion requirement comprises at least one of:

mandatory inclusion;

mandatory exclusion;

optional inclusion.

13. The method of claim 11 wherein the another insurance policy circumstance comprises at least one of:

a given jurisdiction;

a given date;

a given entity to be covered;

a given underwriting entity.

14. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying specific risk units to include in a resultant insurance policy.

15. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying specific policy lines to include in a resultant insurance policy.

16. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying coverage terms to specify for a coverage.

17. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying options that are available when specifying terms for a coverage.

18. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying which forms should be used to comprise a corresponding policy contract document.

19. The method of claim 1 wherein substantively interpreting comprises, at least in part, identifying information required to describe each risk unit.

20. The method of claim 1 wherein substantively interpreting, in a computer, the insurance product model to thereby facilitate obtaining supplemental policy-specific data comprises prompting a user to provide at least a portion of the supplemental policy-specific data.

21. The method of claim 1 further comprising:

storing in a second computer memory the supplemental policy-specific data.

22. The method of claim 21 wherein the second computer memory is physically and logically discrete with respect to the insurance product model.

23. The method of claim 1 further comprising:

using the insurance product model and the supplemental policy-specific data to facilitate an insurance-related action.

24. The method of claim 23 wherein the insurance-related action comprises creating a new insurance policy.

25. The method of claim 23 wherein the insurance-related action comprises determining whether an insurance policy provides coverage with respect to a particular event.

26. The method of claim 23 wherein the insurance-related action comprises collecting additional information with respect to a particular event.

27. The method of claim 26 wherein the insurance policy metadata comprises, at least in part, loss-coverage mapping information and wherein collecting additional information with respect to a particular event comprises using the loss-coverage mapping information to facilitate collecting event-specific data to thereby facilitate determining corresponding coverage and payment.

28. The method of claim 23 wherein the insurance-related action comprises identifying at least one insurance policy that is available to offer to an entity from amongst a plurality of candidate insurance policies.

29. The method of claim 23 wherein the insurance-related action comprises providing information to a user regarding which risk units are permitted to be covered by a given corresponding insurance policy.

30. The method of claim 23 wherein the insurance-related action comprises at least one of:

storing;

renewing;

amending;

terminating;

reinstating;

pricing;

auditing;

reporting on;

a corresponding insurance policy.

31. An apparatus comprising:

a computer memory having stored therein an insurance product model comprising insurance policy metadata;

an interpreter being operably coupled to the computer memory and being configured and arranged to substantively interpret the insurance product model to thereby facilitate obtaining supplemental policy-specific data.

32. The apparatus of claim 31 wherein the insurance policy metadata comprises, at least in part, data that defines elements of a corresponding insurance policy.

33. The apparatus of claim 31 wherein the insurance policy metadata comprises, at least in part, data that is common to a plurality of corresponding insurance policies.

34. The apparatus of claim 31 wherein the insurance policy metadata defines at least one of:

a policy line;

at least one risk unit type;

insurance coverage types.

35. The apparatus of claim 31 further comprising:

a combiner operably coupled to receive the insurance product model and the supplemental policy-specific data and being configured and arranged to use the product model in combination with the supplemental policy-specific data to define a corresponding insurance policy that comprises one of a plurality of candidate insurance products that correspond to the insurance product model.

36. The apparatus of claim 31 further comprising:

a user interface operably coupled to the interpreter to thereby facilitate obtaining the supplemental policy-specific data from a user.

37. The apparatus of claim 31 further comprising:

a second computer memory operably coupled to the interpreter and having the supplemental policy-specific data stored therein.

38. The apparatus of claim 37 wherein the second computer memory is physically and logically discrete with respect to the computer memory.