Electronic Document Management System (EDMS) This application from Team IA is used to scan, image and store documents (forms, letter, reports, etc.). The system also manages certain retirement workflow processes. For the Retirement division, most high volume source documents are imaged upfront and PEBA staff process the imagined documents using workflows. Other Team IA document management and correspondence generation utilities are utilized by the division. System contains approximately twenty (20) years of transactional data. Yes 65 million images Retirement/UNIX and CRIS The Retirement/UNIX application hosts the majority of retirement business functions and data. There are several Java applications that have been built to provide a more modern GUI interface to the core ADABAS system. The GUI application that supports benefit payment and claim functions is called the CRIS system. The Retirement/UNIX system was internally developed in 1989 using the Natural programming language. The system includes over 15,000 programs and utilizes 178 database files. CRIS was added in September of 2009. Retirement/UNIX and CRIS Key Functions The Retirement/UNIX and CRIS applications perform the following key functions: No Key Functions Accessed Internally Via 1 Customer Service Call Log UNIX – Green Screen 2 Service Accounting and Cash Receipts UNIX – Green Screen 3 Employer Maintenance UNIX – Green Screen 4 Employer Reporting UNIX – Green Screen 5 Member Contributions and Service UNIX – Green Screen 6 Average Final Compensation UNIX – Screen 6 Service Purchase UNIX – Green Screen 7 Claims CRIS 8 Benefit Payments Payrolls CRIS
Premium Billing & Insurance Accounting This system creates monthly bills for insurance benefits, accepts and tracks receivables for premium payments, calculates claim reimbursements and vendor payments, and interfaces with the State general ledger accounting system. System has approximately thirty (30) years of transactional data. Yes 34 GB 87 Files (Tables) 102 million records Insurance/UNIX Application The Insurance/UNIX application is the primary source for enrollment, eligibility and premium business transactions. This application was initially developed in the late 1990’s. It leverages an ADABAS database, which is the primary source of business functionality for the system. Insurance/UNIX data and business logic is accessed interactively from two other PEBA insurance division web-based applications, EBS and MyBenefits. The EBS system is used by employers to assist employees with enrollment in various PEBA insurance products. The MyBenefits web application provides self-service functionality for subscribers. One of the key interfaces of this application is the daily and monthly enrollment extract files that are used to support the internal PEBA Premium Billing & Insurance Accounting system. Each night, all subscriber, coverages, and premium data is extracted from the UNIX ADABAS files, converted, and reloaded into separate MySQL data tables that are required for the Premium Billing & Insurance Accounting system. The Insurance/UNIX application also generates daily files of enrollment changes that are provided to third party claims administrators (TPA). Insurance/UNIX Key Functions The Enrollment/ UNIX application performs the following key functions: No. Key Functions 1 Allows users to key enrollment changes from paper forms for members. 2 Updates member coverage to reflect web-based enrollment requests. 3 Creates files of enrollment changes for TPAs. 4 Generates and monthly enrollment files used by the internal Premium Billing & Insurance Accounting system. 5 Stores historical member coverage and changes. 6 Stores coverage and calculates premiums. 7 Uses the FILE2TIFF system to generate and store correspondence.
Post Implementation Stabilization Change Management Change Inventory and Organization Staff Development and On-the-Job Training for PEBA Business Analysts and IT Staff System Training Material Development for Employers PEBA Staff Members System Operational Processes Development Process and Standards Technical Deliverable Development and Process Code Analysis and Verification Configuration Management Procedures Infrastructure (Hardware and Software) Configuration Validation Defect Management and Remediation Disaster Recovery Plan The Contractor will be a significant participant in: Testing Validation and Acceptance Test Planning Validation Testing Change Management Change Management Strategy Communications Planning Communications Delivery Employer Outreach and Education System Training for Employers Staff Members Data Work Data Conversion Data Bridging Data Interface Implementation Data Sharing Interfaces (TPAs, DHEC, Medicare, etc.) Employer Integration Transactional Interface SCEIS (State’s HCM system) Transaction Interface
For each of your installed systems: Does the installed system have functionality for: Project Description Location Value Contact (Name, Phone, Email) Name of Plan # members/ covered # employers What phase is the project currently in (completed or in Year Health Insurance Defined Benefit Plan Interfaces with Defined Contribution Vendors Interfaces with Insurance Vendors 1. 2. 3. 4. 5. 6. 7. 8. 9. Total number of installed systems Average age of installed systems