Importance

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Abstract

A computer system for processing data related to a group benefit insurance policy issued to a policyholder to extend coverage to individual insureds who are members of a group and having a critical illness benefit includes a data storage device storing data indicative of: a plurality of categories of medical diagnoses; a plurality of diagnoses associated with each of the categories; a first occurrence value; a second occurrence value; and history of insureds related to the critical illness benefit by the insured. The system is configured for payment of a claim in the first occurrence value for a first diagnosis of an insured in a category, and the second occurrence value, which may be not more than the first occurrence value, for a second diagnosis of the insured in the same category.

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First Claim