Customize a health insurance proposal form and track its stages

Customize a health insurance proposal form and track its stages

Feature: Module Customization | Edition: Enterprise

Scenario

Emma Wilkins is a Senior Sales Manager at a health insurance company. They offer custom-made insurance plans based on different coverage levels that cater to individuals and organizations. The interested clients usually call their customer care agent or send them emails to enquire about the available policies. The insurance agents ask questions to help them understand the customer's requirements so they can offer a comprehensive Health Insurance plan. Once the proposal forms are filled out, they progress through different stages—submitted, reviewed, payment link sent, payment received, and policy created. 
 
Now, as numerous forms are filled out and submitted on a daily basis, Emma finds it difficult to monitor and track the progress of the forms from one stage to another. This also prevents her from noticing potential delays at any particular stage. 
 
Requirement:
Emma wants to replicate the proposal form in one of the CRM modules to depict the different stages of the form. 

Solution 
Emma can create a custom module with the required custom fields and sections as in the proposal forms. However, custom modules don't allow Emma to include a way of tracking the stages in the CRM layout. One of the standard modules (the Deals module) in CRM does represent stages within the layout, exactly the way Emma wants. She therefore decides to customize the Deals module and renamed it "Proposal Form" to depict the different stages of the form.

Here's how she can do that:
1. Rename the Deals module to "Proposal Form".
2. Create a custom layout called "New Proposal Form" in the Proposal Form module.
3. Move standard fields that cannot be deleted to a new section in the layout.
4. Create new sections and add the following custom fields to the layout:

Section: Proposal Form Information 

Field Name
Data Type
Additional Information
Value
Policy Holder First Name
Single Line
Click the More icon and select Mark as required to make this field mandatory
-
Policy Holder Last Name
Single Line
Click the More icon and select Mark as required to make this field mandatory
-
Nationality
Single Line
-
-
Date of Birth
Date
Click the More icon and select Mark as required to make this field mandatory
-
Email
Email
-
-
Mobile
Phone
Click the More icon and select Edit Properties. Check the Encrypt Field box to enable data encryption for this field
-
Marital Status
Pick List
-
Married, Unmarried, Divorced
Gender
Pick List
-
Male, Female, Other
Education
Pick List
-
Post-Graduate, Graduate, Diploma, Others
Occupation
Pick List
-
Self-employed, Salaried, House wife, Student, Other
Annual Income
Currency
-
-




Section: Address 

Field Name
Data Type
Additional Information
Value
Address
Multi-Line
Click the More icon and select Edit Properties. Check the Show Tool Tip option and add the following text to the Info Icon text box "We will send your policy and all other important documents here".
-
City/Town
Single Line
-
-
District
Single Line
-
-
State
Pick List
Click Add Options in Bulk and choose Manual Entry. Add the names of the States sequentially and click Add choices.
-
Pincode
Number
-
-



Section: Plan Details

Field Name
Data Type
Additional Information
Value
Proposed Policy From Date
Date
-
-
Proposed Policy To Date
Date
-
-
Plan
Pick List
-
Gold, Silver, Platinum
Do you wish to opt for a 20% co-payment?
Checkbox
-
-
Sum Insured
Currency
-
-




Section: Documents for Verification 

Field Name
Data Type
Proof of Address
File upload
Proof of Identity
File upload

Subform: Nominee Details

A subform is a secondary form within the primary form. The Nominee Details section will be a subform to collect required details such as name, age, and other identity-related information. While the primary form is still about the insurance policy holder, the subform is a table with details about their nominees. 


Field Name
Data Type
Nominee Name
Single Line
Relationship
Single Line
Nominee Age
Number
Nominee Address
Multi-Line
Claim Percentage
Percentage



 

    • Related Articles

    • Customize the Form

      From the customization screen, you can design the overall look of your signup form. In this section, we'll go over various levels of customization, including editing fields, adding a logo, adding background images, changing colors, font styles, ...
    • Can I customize the Update Profile form ?

      Yes, you can customize Update Profile form.  From the Navigation toolbar, click Settings and select Themes. Navigate to Signup Pages and Emails tab. Click Forms tab, then click the Edit icon in the top right corner of the preview.
    • Brand Health

      It's important to stay on top of your Brand's performance on every social channel. Brand Health helps you with precisely that. Think of it like a fitness tracker, but for your brand. It provides you with stats and numbers that help you understand how ...
    • Customize Registration

      Once you have created your session, the next step is managing your registrations. Registration allows attendees to tell you ahead of time that they will be participating. Enable registration Registration helps you plan your session by letting you ...
    • Signup form reports

      You can view the number of visitors who have submitted and confirmed their subscription. The following data is represented in the form of a doughnut chart: Form Views - Number of visitors who have visited pages embedded with your signup form. ...