SAQA

All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.

SOUTH AFRICAN QUALIFICATIONS AUTHORITY

REGISTERED UNIT STANDARD THAT HAS PASSED THE END DATE:

Administer long term employee benefits and healthcare membership

SAQA US ID	UNIT STANDARD TITLE
9003	Administer long term employee benefits and healthcare membership
ORIGINATOR
SGB Financial Services
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY
-
FIELD			SUBFIELD
Field 03 - Business, Commerce and Management Studies			Finance, Economics and Accounting
ABET BAND	UNIT STANDARD TYPE	PRE-2009 NQF LEVEL	NQF LEVEL	CREDITS
Undefined	Regular	Level 3	NQF Level 03	2
REGISTRATION STATUS		REGISTRATION START DATE	REGISTRATION END DATE	SAQA DECISION NUMBER
Passed the End Date - Status was "Registered"		2001-10-10	2004-10-10	SAQA 0638/01
LAST DATE FOR ENROLMENT		LAST DATE FOR ACHIEVEMENT
2005-10-10		2008-10-10

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.

This unit standard is replaced by:

US ID	Unit Standard Title	Pre-2009 NQF Level	NQF Level	Credits	Replacement Status
117136	Administer long term employee benefits and medical scheme membership	Level 3	NQF Level 03	3

PURPOSE OF THE UNIT STANDARD

This unit standard introduces the knowledge and skills needed to administer membership of a long-term insurance fund.

The qualifying learner is capable of:

Implementing and processing a new fund.

Administering membership records and benefits.

Processing transfers between and within funds or options.

Transferring assets to a new fund.

LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING

There is open access to this unit standard. Learners should be able to use the required computer technology and should be competent in Communication and Mathematical Literacy at level 2.

UNIT STANDARD RANGE

The typical scope of this unit standard is:

1. Employee benefits: Pension funds, provident funds, dread disease cover, permanent health cover, group life cover.
2. Healthcare benefits.
3. The State Personnel Code, Board of Healthcare Funders, Pensions Fund Act, the Divorce Amendment Act, the Income Tax Act and the Basic Conditions of Employment Act, the Usury Act and the Financial Institutions Amendment Act.
4. Transfer of assets in terms of Trustees instructions, transfer agreement and investment requirements, savings options and rules as required by legislation for Healthcare Benefits Administration and Life insurance.
5. Termination on death, age of dependents, resignation or termination of the fund.

Specific Outcomes and Assessment Criteria:

SPECIFIC OUTCOME 1

Implement and process a new fund or policy in employee benefits or healthcare membership.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. The different process for opening banking and investment accounts/new benefit options are illustrated in a flow diagram.

ASSESSMENT CRITERION 2

2. Evidence is produced of at least five accounts/options that have been opened according to the specific rules of the fund and relevant legislation affecting private and insured funds.

ASSESSMENT CRITERION 3

3. The process used for registering a fund or benefit option with the relevant statutory bodies such as Financial Services Board, Council of Medical Schemes, South African Revenue Services, RSC and VAT is explained and documentation indicating that a benefit option/fund has been registered is provided in a portfolio of evidence.

ASSESSMENT CRITERION 4

4. Rules and benefit routines for a selected fund/benefit option are identified and explained for the selected fund.

ASSESSMENT CRITERION 5

5. Membership data, records and fund information are captured on a system and then balanced against payments and the received data. Evidence is added to the portfolio of evidence.

ASSESSMENT CRITERION 6

6. New member/benefit statements for the fund are drafted, approved and added to a portfolio of evidence.

ASSESSMENT CRITERION 7

7. Schedules indicating fund costs, benefits and membership are prepared and issued to relevant parties.

SPECIFIC OUTCOME 2

Administer membership records and benefits.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. Membership records such as static data, personal data, contributions and member individual choices are maintained according to the rules of the fund and evidence of this is included in a portfolio of evidence.

ASSESSMENT CRITERION 2

2. The relevant parts of fund specific rules, policies and procedures are understood and explained for a specific fund.

ASSESSMENT CRITERION 3

3. Statutory requirements are known and applied to a specific fund.

ASSESSMENT CRITERION 4

4. Annual revision data is obtained, captured and supplied to the insured or member and added to a portfolio of evidence.

ASSESSMENT CRITERION 5

5. Internal procedures are known and implemented according to fund specific requirements, when notification of a claim is received.

ASSESSMENT CRITERION 6

6. Claim documents are checked to ensure that all the relevant documents are included and that the claim is valid.

ASSESSMENT CRITERION 7

7. Payment procedures for the various contingencies on exit from a fund are presented in a table to demonstrate the differences.

SPECIFIC OUTCOME 3

Administer the transfer between and within two funds or options.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. Transferring members are identified and notified of transferring options.

ASSESSMENT CRITERION 2

2. Option forms are collated and transferring members are moved on the system according to known procedures.

ASSESSMENT CRITERION 3

3. Communications required by relevant legislation are produced and added to a portfolio of evidence.

ASSESSMENT CRITERION 4

4. Requirements stipulated by the South African Revenue Service and/or Pension Fund Act are met and added to a portfolio of evidence.

ASSESSMENT CRITERION 5

5. Approval for transfer is applied for from the Financial Services Board where necessary and evidence of receipt of approval is added to the portfolio of evidence.

ASSESSMENT CRITERION 6

6. The concept of asset transfer is understood and the transfer of assets is effected where relevant.

SPECIFIC OUTCOME 4

Terminate a long term insurance fund.

ASSESSMENT CRITERIA

ASSESSMENT CRITERION 1

1. Conditions of termination are investigated and added to the portfolio of evidence.

ASSESSMENT CRITERION 2

2. Termination liabilities are established using a known system and procedures.

ASSESSMENT CRITERION 3

3. Terminating members are notified of options in terms of the fund rules.

ASSESSMENT CRITERION 4

4. Requirements stipulated by the South African Revenue Services are met with regard to the disbursement of benefits.

ASSESSMENT CRITERION 5

5. The de-registration of the specific fund is communicated to the relevant authorities.

UNIT STANDARD ACCREDITATION AND MODERATION OPTIONS

This unit standard will be internally assessed by the provider and moderated by a moderator registered by INSQA or a relevant accredited ETQA. The mechanisms and requirements for moderation are contained in the document obtainable from INSQA, - INSQA framework for assessment and moderation.

Critical Cross-field Outcomes (CCFO):

UNIT STANDARD CCFO ORGANISING

The learner is able to manage his/her work in order to meet deadlines.

UNIT STANDARD CCFO SCIENCE

The learner is able to use technology effectively in order to administer membership records.

UNIT STANDARD CCFO DEMONSTRATING

The learner is able to demonstrate an understanding of the world as a set of related systems by explaining and documenting the process used for registering a fund/benefit option with the relevant statutory bodies as well as knowing and applying various statutory requirements to a specific fund.

UNIT STANDARD NOTES

This unit standard has been replaced by 117136, which is 'Administer long term employee benefits and medical scheme membership', Level 3, 3 Credits.

QUALIFICATIONS UTILISING THIS UNIT STANDARD:

	ID	QUALIFICATION TITLE	PRE-2009 NQF LEVEL	NQF LEVEL	STATUS	END DATE	PRIMARY OR DELEGATED QA FUNCTIONARY
Elective	48494	National Certificate: Financial Services Management	Level 3	NQF Level 03	Passed the End Date - Status was "Reregistered"	2012-06-30	INSETA
Elective	20177	National Certificate: Insurance	Level 3	NQF Level 03	Passed the End Date - Status was "Registered"	2004-10-10	Was INSETA until Last Date for Achievement
Elective	20639	National Certificate: Healthcare Benefits Administration: Claims Assessing	Level 4	NQF Level 04	Passed the End Date - Status was "Registered"	2004-12-05	INSETA
Elective	20773	National Certificate: Long Term Insurance	Level 4	NQF Level 04	Passed the End Date - Status was "Registered"	2004-12-05	INSETA

PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS UNIT STANDARD:

This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.

NONE