Oracle Financial Services Service Descriptions and Metrics
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1 Oracle Financial Services Service Descriptions and Metrics Oracle Insurance Claims Administration and Oracle Insurance Policy Administration Cloud Service July 2017
2 Table of Contents Metric Definitions K Hosted Insurable Entities... 3 Instance... 3 Glossary... 3 Database Storage... 3 File Storage... 3 Non-Production Environment... 3 Production Environment... 3 Service Descriptions... 4 Oracle Insurance Claims Administration Cloud Service Per 1K Hosted Insurable Entities... 4 Oracle Insurance Policy Administration Cloud Service Per 1K Hosted Insurable Entities... 5 Oracle Insurance Claims and Policy Administration Additional Non-Production Environment Cloud Service Per Instance... 7 Oracle Insurance Claims and Policy Administration Additional 2 TB Production Storage Cloud Service... 8 Oracle Insurance Claims and Policy Administration Additional 2 TB Non-Production Storage Cloud Service... 8 Retired Skus... 9 Oracle Insurance Claims Administration Cloud Service Per 1K Hosted Insurable Entities... 9 Oracle Insurance Policy Administration Cloud Service Per 1K Hosted Insurable Entities Oracle Insurance Claims and Policy Administration Additional Non-Production Environment Cloud Service Per Instance... 11
3 Metric Definitions 1K Hosted Insurable Entities is defined as one thousand entities that each are either a listed member or an object of an insurance policy or insurance contract processed by the Oracle Cloud Services. A listed member is an individual member in Your (or your affiliates ) product offerings per certificate or policy. An object is the item(s)/property (such as a building, motor vehicle, etc.) insured within the policy and refers to one single verifiable object. Instance is defined as a single Customer Deployment of the Oracle Cloud Service. For details of deployment specific to an Oracle Cloud Service, please refer to the service descriptions/ entitlements associated with that service. Glossary Database Storage is defined as the total space allocated at the operating system level for database operations, not including database executables. File Storage is defined as the total space allocated for reporting and SFTP access. Non-Production Environment is defined as an Environment provided to You as part of the Oracle Cloud Services that may be used for functional testing and validating changes in the configuration prior to promotion to the Production Environment, recreating events and duplicating issues occurring in the Production Environment, and for development and training purposes. Non-Production Environments may not be used for production purposes or for performance or stress testing, and any service levels, performance targets and disaster recovery described for the applicable Oracle Cloud Service are not applicable to Non-Production Environments. For service-specific details related to a Non-Production Environment, please refer to the service description associated with that service. Production Environment is defined as the environment provided to You as part of the Oracle Cloud Service that is designed for daily commercial use and production operations of live data. Unless otherwise specified, a single Production Environment is provided for an Oracle Cloud Service.
4 Service Descriptions Oracle Insurance Claims Administration Cloud Service Per 1K Hosted Insurable Entities Part #: B88156 Users of the Oracle Insurance Claims Administration Cloud Service are authorized to access the following functionality: Claims Benefit Configuration, Service Provider Contracts & Fee Schedules (claims pricing), Claims Intake, Claim Assignment/Scheduling & Work Queues, Claims Reserving, Referral & Authorizations, Automated Claims Adjudication, Claims Financials/Settlement, Subrogation & Salvage, SIU, Appeals/Grievances & Legal, Claims Case Management, Claims Documents, and Business Intelligence & Reporting Usage Limits: The Oracle Insurance Claims Administration Cloud Service is subject to the following usage limits: a maximum number of 1K Hosted Insurable Entities as defined in Your order. Oracle will provision two (2) environments for this Cloud Service: one Production Environment and one Non-Production (Staging) Environment. Oracle will perform quarterly Production to Non-Production (Staging) Environment refreshes. The following usage limits apply based on the total number of licensed metric (1K Hosted Insurable Entities) per Environment: Usage Limits by Metric Database Storage File Storage (1K Hosted Insurable Entities) Up to 250K Hosted Insurable Entities (Extra Small) >250K - 500K Hosted Insurable Entities (Small) >500K 1M Hosted Insurable Entities (Medium) >1M 4M Hosted Insurable Entities (Large) >4M 8M Hosted Insurable Entities (Extra Large) Production Staging Production Staging 1 TB 1 TB 250 GB 250 GB 2 TB 2 TB 250 GB 250 GB 4 TB 4 TB 250 GB 250 GB 12 TB 12 TB 250 GB 250 GB 16 TB 16 TB 250 GB 250 GB Service Level Targets: For purposes of Disaster Recovery and System Availability Level as described in the Oracle Cloud Hosting and Delivery Policies referenced below, this Cloud Service has the following service level targets:
5 Oracle Cloud Service Oracle Insurance Claims Administration Cloud Service Recovery Time Objective (RTO) Recovery Point Objective (RPO) Target System Availability 12 hours 4 hours 99.5% The service level targets do not apply to the Non-Production (Staging) Environment(s). The Target System Availability does not apply in the event of a declared disaster. The Recovery Point Objective does not apply to customizations or third party software. Data Protection: The Oracle Insurance Claims Administration Cloud Service undergoes an annual assessment performed by a 3 rd party auditor against the HIPAA Privacy Rule, HIPAA Security Rule, and HITECH Breach Notification Rule. Oracle Insurance Policy Administration Cloud Service Per 1K Hosted Insurable Entities Part #: B88155 Users of the Oracle Insurance Policy Administration Cloud Service are authorized to access the following functionality: Product & Plan Configuration, Group Setup, Insured/Member Administration, Quotation: Rating (risk evaluation) & Pricing (premium calculation), New Business & UW, Policy Issuance / Group Enrollment, Premium Billing & Collections, Commissions, Reinsurance, Policy Recordkeeping & Other Transactions (lapse/reinstatement, surrenders, amendments, cash/investment unitization / transfers / rebalancing, payouts & renewals), Policy Documents, Business Intelligence & Reporting Usage Limits: The Oracle Insurance Policy Administration Cloud Service is subject to the following usage limits: a maximum number of 1K Hosted Insurable Entities as defined in Your order. Oracle will provision two (2) environments for this Cloud Service: one Production Environment and one Non-Production (Staging) Environment. Oracle will perform Production to Non-Production (Staging) Environment refreshes quarterly. The following usage limits apply based on the total number of licensed metric (1K Hosted Insurable Entities) per Environment: Usage Limits by Metric Database Storage File Storage (1K Hosted Insurable Entities) Up to 250K Hosted Insurable Entities (XS) Extra Small Production Staging Production Staging 1 TB 1 TB 250 GB 250 GB
6 >250K - 500K Hosted Insurable Entities (Small) >500K 1M Hosted Insurable Entities (Medium) >1M 4M Hosted Insurable Entities (Large) >4M 8M Hosted Insurable Entities (Extra Large) 2 TB 2 TB 250 GB 250 GB 4 TB 4 TB 250 GB 250 GB 12 TB 12 TB 250 GB 250 GB 16 TB 16 TB 250 GB 250 GB Service Level Targets: For purposes of Disaster Recovery and System Availability Level as described in the Oracle Cloud Hosting and Delivery Policies referenced below, this Cloud Service has the following service level targets: Oracle Cloud Service Oracle Insurance Policy Administration Cloud Service Recovery Time Objective (RTO) Recovery Point Objective (RPO) Target System Availability 12 hours 4 hours 99.5% The service level targets do not apply to the Non-Production (Staging) Environment(s). The Target System Availability does not apply in the event of a declared disaster. The Recovery Point Objective does not apply to customizations or third party software. Data Protection: The Oracle Insurance Policy Administration Cloud Service undergoes an annual assessment performed by a 3 rd party auditor against the HIPAA Privacy Rule, HIPAA Security Rule, and HITECH Breach Notification Rule.
7 Oracle Insurance Claims and Policy Administration Cloud Service - Nonproduction Environment Per Instance Part #: B88157, B88202, B88203, B88204, B88205 The Oracle Insurance Claims Administration and Policy Administration Cloud Service - Nonproduction Environment provides options available for purchase with the Oracle Insurance Claims Administration Cloud Service or the Oracle Insurance Policy Administration Cloud Service. These Nonproduction Environment Cloud Services are designed for non-production use such as development, product-walk-through, training and testing activities, but not for production operations or stress testing. Certain programs and optional services may not be able to run in the Additional Nonproduction Environment. The maintenance or upgrade schedule for the additional Nonproduction Environment(s) is the same as the schedule for Your Production Environment. The additional Nonproduction Environment(s) may be refreshed, at your request, no more than once per quarter provided that the storage sizes for database and file system in the additional Nonproduction Environment(s) are equal to or larger than the storage size of the Production Environment. Performance standards and service level targets for the Oracle Insurance Claims Administration Cloud Service and/or for the Oracle Insurance Policy Administration Cloud Service are not applicable to the Additional Non-Production Environment. Usage Limits: The Oracle Insurance Claims and Policy Administration Cloud Service - Non-Production Environment offerings are subject to the following usage limits: a maximum number of Non-Production Environments as defined in Your order. the following usage limits apply per Instance as stated in Your order: Usage Limits by Metric Part # Database Storage File Storage (1K Hosted Insurable Entities) Up to 250K Hosted Insurable Entities XS B TB 250 GB >250K - 500K Hosted Insurable Entities - SM B TB 250 GB >500K 1M Hosted Insurable Entities MED B TB 250 GB >1M 4M Hosted Insurable Entities LG B TB 250 GB >4M 8M Hosted Insurable Entities - XL B TB 250 GB
8 Oracle Insurance Claims and Policy Administration Additional 2 TB Production Storage Cloud Service Part #: B87275 Oracle Insurance Claims and Policy Administration Additional 2 TB Production Storage Cloud Service increases the storage capacity per month for a single Production Environment of the Oracle Insurance Claims Administration Cloud Service or the Oracle Insurance Policy Administration Cloud Service. Storage will be assigned to the database. Oracle Insurance Claims and Policy Administration Additional 2 TB Non-Production Storage Cloud Service Part #: B87276 Oracle Insurance Claims and Policy Administration Additional 2 TB Non-Production Storage Cloud Service increases the storage capacity per month for a single Non-Production Environment of the Oracle Insurance Claims Administration Cloud Service or the Oracle Insurance Policy Administration Cloud Service. Storage will be assigned to the database.
9 Retired Skus Oracle Insurance Claims Administration Cloud Service Per 1K Hosted Insurable Entities Part #: B87198 Users of the Oracle Insurance Claims Administration Cloud Service are authorized to access the following functionality: Claims Benefit Configuration, Service Provider Contracts & Fee Schedules (claims pricing), Claims Intake, Claim Assignment/Scheduling & Work Queues, Claims Reserving, Referral & Authorizations, Automated Claims Adjudication, Claims Financials/Settlement, Subrogation & Salvage, SIU, Appeals/Grievances & Legal, Claims Case Management, Claims Documents, and Business Intelligence & Reporting Usage Limits: The Oracle Insurance Claims Administration Cloud Service is subject to the following usage limits: a maximum number of 1K Hosted Insurable Entities, as defined in Your order. Oracle will provision three (3) Environments for this Cloud Service: one Production Environment and two Non-Production Environments. Oracle will perform quarterly Production to Non Production Environment refreshes. The following usage limits apply based on the total number of licensed metric (1K Hosted Insurable Entities) per Environment: Usage Limits by Metric Database Storage File Storage (1K Hosted Insurable Entities) Up to 250K Hosted Insurable Entities (Extra Small) >250K - 500K Hosted Insurable Entities (Small) >500K 1M Hosted Insurable Entities (Medium) >1M 4M Hosted Insurable Entities (Large) >4M 8M Hosted Insurable Entities (Extra Large) Production Staging Test Production Staging Test 1 TB 1 TB 1 TB 250 GB 250 GB 250 GB 2 TB 2 TB 2 TB 250 GB 250 GB 250 GB 4 TB 4 TB 4 TB 250 GB 250 GB 250 GB 12 TB 12 TB 12 TB 250 GB 250 GB 250 GB 16 TB 16 TB 16 TB 250 GB 250 GB 250 GB Service Level Targets: For purposes of Disaster Recovery and System Availability Level as described in the Oracle Cloud Hosting and Delivery Policies referenced below, this Cloud Service has the following service level targets: Oracle Cloud Service Recovery Time Objective (RTO) Recovery Point Objective (RPO) Target System Availability
10 Oracle Insurance Claims Administration Cloud Service 12 hours 4 hours 99.5% The service level targets do not apply to the Non-Production Environment(s). The Target System Availability does not apply in the event of a declared disaster. The Recovery Point Objective does not apply to customizations or third party software. Data Protection: The Oracle Insurance Claims Administration Cloud Service undergoes an annual assessment performed by a 3 rd party auditor against the HIPAA Privacy Rule, HIPAA Security Rule, and HITECH Breach Notification Rule. Oracle Insurance Policy Administration Cloud Service Per 1K Hosted Insurable Entities Part #: B87197 Users of the Oracle Insurance Policy Administration Cloud Service are authorized to access the following functionality: Product & Plan Configuration, Group Setup, Insured/Member Administration, Quotation: Rating (risk evaluation) & Pricing (premium calculation), New Business & UW, Policy Issuance / Group Enrollment, Premium Billing & Collections, Commissions, Reinsurance, Policy Recordkeeping & Other Transactions (lapse/reinstatement, surrenders, amendments, cash/investment unitization / transfers / rebalancing, payouts & renewals), Policy Documents, Business Intelligence & Reporting Usage Limits: The Oracle Insurance Policy Administration Cloud Service is subject to usage limits based on: a maximum number of 1K Hosted Insurable Entities as defined in Your order. Oracle will provision three environments for this Cloud Service: one Production Environment and two Non-Production Environments. Production to Non-Production Environment refreshes will be performed quarterly. The following usage limits apply based on the total number of licensed metric (1K Hosted Insurable Entities) per Environment: Usage Limits by Metric Database Storage File Storage (1K Hosted Insurable Entities) Up to 250K Hosted Insurable Entities (Extra Small) >250K - 500K Hosted Insurable Entities (Small) Production Staging Test Production Staging Test 1 TB 1 TB 1 TB 250 GB 250 GB 250 GB 2 TB 2 TB 2 TB 250 GB 250 GB 250 GB
11 >500K 1M Hosted Insurable Entities (Medium) >1M 4M Hosted Insurable Entities (Large) >4M 8M Hosted Insurable Entities (Extra Large) 4 TB 4 TB 4 TB 250 GB 250 GB 250 GB 12 TB 12 TB 12 TB 250 GB 250 GB 250 GB 16 TB 16 TB 16 TB 250 GB 250 GB 250 GB Service Level Targets: For purposes of Disaster Recovery and System Availability Level as described in the Oracle Cloud Hosting and Delivery Policies referenced below, this Cloud Service has the following service level targets: Oracle Cloud Service Oracle Insurance Policy Administration Cloud Service Recovery Time Objective (RTO) Recovery Point Objective (RPO) Target System Availability 12 hours 4 hours 99.5% The service level targets do not apply to the Non-Production Environment(s). The Target System Availability does not apply in the event of a declared disaster. The Recovery Point Objective does not apply to customizations or third party software. Data Protection: The Oracle Insurance Policy Administration Cloud Service undergoes an annual assessment performed by a 3 rd party auditor against the HIPAA Privacy Rule, HIPAA Security Rule, and HITECH Breach Notification Rule. Oracle Insurance Claims and Policy Administration Additional Non-Production Environment Cloud Service Per Instance Part #: B87274 The Oracle Insurance Claims Administration and Policy Administration Additional Non-Production Environment Cloud Service is an option available for purchase with the Oracle Insurance Claims Administration Cloud Service or the Oracle Insurance Policy Administration Cloud Service. This Additional Non-Production Environment Cloud Service is designed for non-production use such as development, product-walk-through, training and testing activities, but not for production operations or stress testing. Certain programs and optional services may not be able to run in the Additional Non-Production Environment. The maintenance or upgrade schedule for the Additional Non-Production Environment is the same as the schedule for Your Production Environment. The Additional Non-Production Environment may be refreshed, at your request,
12 no more than once per quarter provided that the storage sizes for database and file system in the Additional Non- Production Environment are equal to or larger than the storage size of the Production Environment. Performance standards and service level targets for the Oracle Insurance Claims Administration Cloud Service and/or for the Oracle Insurance Policy Administration Cloud Service are not applicable to the Additional Non-Production Environment. Usage Limits: The Oracle Insurance Claims Administration and Oracle Insurance Policy Administration Additional Non-Production Environment Cloud Service is subject to usage limits based upon: a maximum number of Non-Production Environments as defined in Your order. the following usage limits apply per Instance as stated in Your order: Oracle Cloud Service Database Storage File Storage Additional Non-Production Instance 2 TB 250 GB
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