Client Claimant
Client # (assigned by EIC) Client # (assigned by EIC)
Plan type – Organization’s size Claimant Name
Registration date Address
Renewal date Phone
Expiry date Date of Birth (DOB)
Name Claimant Health Card#
Address Registration date
Phone # Termination date
Organization size Change date
Plan cost Number of dependent
Claim-limit Premiums paid to date - YTD
Employee premium Refund paid to date (per claimant) - YTD
Premiums-paid to date to EIC – YTD Date of last refund (per claimant)
Last-payment date
Current balance Validate Registration form Separate Registration form for new claimant
Add client Issue Drug Card
Separate new contracts Change claimant
Assign ID# to new clients Terminate claimant
Change client Add claimant
Terminate client Update refund paid to date
Update premium paid to date Update date of last payment
Update last payment date Prepare & send reimbursement/stub
Update current balance Validate claims
Prepare & send client invoice Return incomplete/incorrect Registration form
Send copy of new contract Update YTD refund date
Prepare & send Monthly Premiums Check if client terminated & Refund Ratio Report Check claim limit exceeded

Dependent Claim Drug

Claimant’s Health Card # Claim# Drug name
Name Claimant Health Card# Fee/Charge
Date of Birth (DOB) Drug name Amount eligible
Dependent Health Card # Fee/Charge
Registration date Prescription date Update drug cost
Termination date Doctor’s name Update drug names
Change date Pharmacy’s name/code
Refund paid to date/ dependent) -YTD
Date of last refund/dependent Add valid claims Check if drug exists
Issue Drug Card
Change dependent
Terminate dependent
Add dependent
Update refund paid to date
Update date of last payment
Update YTD refund date
Check if claimant terminated

Report #4
Behavioural Model/Data Model and Class Diagram

GROUP #11:
Jivan Arjoon-Singh (jarjoons - 20411489)
Charnjeev Grewal (c2grewal - 20403255)
Bai Hui Zhu (bhzhu - 20390515)
Ryan Chang (rhschang - 20350777)