A company in business of providing Health Care Insurance, currently covers the states of New
York, New Jersey, Connecticut, and Pennsylvania, wants to expand its reach for the customers
of Delaware, Baltimore, Virginia and Washington DC.
The company plans to start their operations from in the new states from 1 st January 2023. The
availability of the coverage will be advertised by the company in newspapers, TV Ads, social
media, and flyers to be distributed locally. The Ads will provide the website link where the
prospective customers from the new states can login to get the information about the plans
and if willing can register to get the coverage of the plan from this company.
The prospective patients can register up to 11.59 pm on 12/31/2022 for the coverage starting
at 12.01 am on 1 st January 2023. Registration will be considered complete and valid only if the
patient has completed the application form with the information required, submitted, and
received the message online that ‘ the application has been accepted for consideration’.
The company provides the plan for :
1. Single person
3. Couple plus two dependent children ( this plan is applicable in case of a single parent
also; the plan fee will still be the same.
4. Couple plus three or more dependent children
5. The plan for Eye Care and Dental coverage is not included in the basic coverage. The
customer has the option to enroll for Eye Care plan and Dental coverage with an extra
fee, the customer can enroll for both , one or none.
6. The applicable fee for the basic coverage , the plan for Eye Care and Dental coverage
will be visible to the patient after finishing that specific part of the application ( for
example after the customer completes the portion on ‘Basic Coverage’, the website will
display the monthly fee for the coverage. Similarly on completing the portion on ‘Eye
Care’ and ‘Dental Plan’, the website will display the monthly fee.
7. The customer on completing the application will have to enroll for online payment of
the monthly fee.
The company needs to develop the online application form for the registration by the
customers in the new states where the coverage will be provided. The new online application is
required because the company does not offer Eye Care and Dental Plan in the states where the
plan is provided currently. The registration will start on 12.01 am on 1 st November 2022.
To register the customer will be asked information on the following and will be required to fill
the application accordingly:
a). Date of the application
b). Full Name
c) If the application is for self or other people to be included for coverage.
d). Full Name and relationship with the other person / persons included in the application for
e). Date of Birth of all the persons included in the application
f). Social Security Number of all the persons included in the application
g). Identification of all the persons included in the application
h). Present address of all the persons included in the application
i). Monthly family income
j). Choice of the Basic Coverage Plan ( self or with family members )
k). After the step ( j ) the customer will be prompted to ‘ Submit “.
l). On submission as per step ( k ), the system will display the ‘ Monthly Fee’.
m). The customer will accept the fee.
n) The system will display the ‘Terms & Conditions’ after the acceptance of the fee by the
customer and if the customer accepts the ‘Terms & Conditions’ then the application will be
considered registered and accepted.
p) After step ( n ) the customer will be given the option to enroll for ---
i). Eye Care
ii). Dental Plan
The customer will need to accept the fee and accept the terms of conditions.
q) On completion of the registration process, the customer will receive a notification of
‘Acceptance’ and will be asked to provide :
i). Email ID
ii). Phone No
The customer will