Rescission Screen

Screen supplied application and claim facts for rescission review.

Description

A rescission review screen counts supplied application and claim indicators.

A rescission review screen counts supplied application and claim indicators. Its bands are a fixed heuristic for review priority.1

Screen supplied application and claim facts for rescission review.

When to use Rescission Screen

Use this tool to screen supplied application and claim facts for rescission review.

Prepare the supplied policy terms, dates, assumptions or recorded indicators requested. Keep monetary amounts on one currency basis and select the applicable thresholds separately.

How to use Rescission Screen and understand its results

  1. Prepare the supplied policy terms, dates, assumptions or recorded indicators requested. Keep monetary amounts on one currency basis and select the applicable thresholds separately.
  2. Enter applicationStatementFalse, statementMaterial, intentToDeceive, withinContestabilityPeriod, claimRelatedToStatement using the field table and calculation rules, then run the tool.
  3. Read rescissionFactorCount, screenResult, manualLegalReview. The explanation below defines the units, signs, ordering and any flags or placeholder values.
  4. If the tool reports an input issue, correct the values and run it again. Apply the stated assumptions when interpreting a successfully returned result.
Input fieldMeaningValue type; see rules belowRequirement
applicationStatementFalseApplication statement was falsebooleanRequired
statementMaterialStatement was materialbooleanRequired
intentToDeceiveIntent to deceive indicatedbooleanRequired
withinContestabilityPeriodWithin contestability periodbooleanRequired
claimRelatedToStatementClaim relates to statementbooleanRequired

Enter false-statement, materiality, deceptive-intent, contestability and claim-relationship booleans. Return count, band and separate manual-review flag requiring both false statement and materiality.

count=Σfive true flags; ≥4 high-risk, ≥2 review, otherwise low-risk

Units, indexing, boundary conditions and exceptional cases are defined in the calculation rules above.

Output fieldMeaningValue type
rescissionFactorCountRescission factor countinteger; minimum: 0
screenResultRescission screen resultstring; one of "low-risk", "review", "high-risk"
manualLegalReviewManual legal review recommendedboolean
json
{
  "input": {
    "applicationStatementFalse": true,
    "statementMaterial": true,
    "intentToDeceive": false,
    "withinContestabilityPeriod": true,
    "claimRelatedToStatement": true
  },
  "output": {
    "rescissionFactorCount": 4,
    "screenResult": "high-risk",
    "manualLegalReview": true
  }
}

Limitations and assumptions

No governing law, evidence, insurer right or rescission decision is determined.

Numeric inputs must be finite. Follow the calculation-specific rules for overflow, underflow and exceptional cases. Missing required fields, extra fields, wrong value types and violations of the calculation rules are input errors. A successfully returned false flag is an evaluated outcome; its meaning is explained above.

Alternative or Complementary methods

Use Contestability Window: Check an event date against a caller-supplied contestability window. For a complementary task, use Transfer-Fraud Screen: Screen payment facts for funds-transfer fraud and response urgency.

References

  1. Rescission Screen — tool.io

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