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VISVESVARAYA TECHNOLOGICAL UNIVERSITY

“JnanaSangama”,Belagavi-590018

PROJECT SYNOPSIS ON MINI PROJECT

“HEALTH INSURANCE MANAGEMENT SYSTEM”


Submitted to fulfill the requirements of project based learning for the course
COMPUTER SCIENCE AND ENGINEERING

Submitted by

SACHIN GOWDA S : 4AD14CS054


SHREEKANTH CS ARADHYA : 4AD14CS064

Under the guidance of


Mr. RAGHURAM A S
Assistant Professor
Department of CSE
ATME College of Engineering

DEPARTMENT OF COMPUTER SCIENCE AND ENGINEERING


ATME College of Engineering
13thKilometer, Mysuru-Kanakpura-Bengaluru Road,
Mysuru-570028
HEALTH INSURANCE MANAGEMENT SYSTEM

2017-2018

ABSTRACT

Insurance system automates the management of insurance activities, which involves Defining
Policies, Schemes, Policy Specifications, Policy Terms and Conditions, Policies registrations by
the customers, Facilitates the Premiums Flexi-Pay modes, Policy Bonus in Flexible periods. The
Agents are involved in the process of the Customer Policy registration and the Commissions are
based on the targets achieved by the Agents. Insurance System also maintains the database of the
Branch Managers who deals with the Agents which in turn deals with the Customers.

PROBLEM STATEMENT

The Health Insurance Management system need to keep track of details of policy holders, their
premium payments and various types of insurance are available with it. Hence it is tremendous
pressure maintaining their day to day activities, which is done manually. Entire records have to be
updated timely even a slight could complicate things.

The Health Insurance Management system is a complete solution for organizations, which need to
manage insurance of their employees. Organize and track insurance venders and policies provided
by coverage.

INTRODUCTION

Health insurance is insurance that covers the whole or a part of the risk of a person


incurring medical expenses, spreading the risk over a large number of persons. By estimating the
overall risk of health care and health system expenses over the risk pool, an insurer can develop a
routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay
for the health care benefits specified in the insurance agreement. The benefit is administered by a
central organization such as a government agency, private business, or not-for-profit entity.
According to the Health Insurance Association of America, health insurance is defined as

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HEALTH INSURANCE MANAGEMENT SYSTEM

"coverage that provides for the payments of benefits as a result of sickness or injury. It includes
insurance for losses from accident, medical expense, disability, or accidental death and
dismemberment".

Insurance is an agreement of compensation for specific possible future losses such as damage,
illness or death in interchange for periodic payment. It is designed as a risk management system to
protect the financial well-being of a person, company or other entities in the case of accidental
loss. Agreeing to the terms of an insurance policy creates a contract between the insured and the
insurer in exchange for payments from the insured called PREMIUM. The insurer agrees to pay
the policy holder a sum of money upon the occurrence of a specific event. In most cases, the
policy holder pays part of the loss called the DEDUCTIBLE and the insurer pays the rest. There
are different types of insurance like life insurance, health insurance, car insurance, property
insurance and travel insurance, etc. This project will cover all aspects of health insurance. Health
insurance is a type of insurance that pays for both medical and surgical expenses gained by the
insured. Health insurance can reimburse the insured for expenses incurred from illness or injury,
or pay the care provider directly. It is often included in employer benefit packages as a means of
fascinating quality employees. The cost of health insurance premiums is deductible to the payer,
and benefits received are tax-free.

Health insurance is probably the most important benefit that employers provide to their
employees. For workers, employer-provided health coverage gives them some security about their
own and their family’s health in a way that is typically more affordable than individual
insurance. For employers, offering health coverage is often a necessary compensation form to
remain competitive in the marketplace. 

OBJECTIVE

 The main objective of the application to automate the existing system of manually
maintaining the records policy, premium, maturity etc..
 To reduce the paperwork and time.
 To provide a good working environment.

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SCOPE

The scope of health insurance is high with abundance of healthcare solutions provided by the
private sector. Consumers prefer private healthcare sector because of better quality of care and
more number of medical benefits and facilities. With all kinds of health insurance policies
available, it allows all of us to have healthcare coverage. Insurance policies are available against
all sorts of health risks, for all age groups and for all income levels. There is just a need to take a
step ahead and make a choice according to personal healthcare needs.  

METHODOLOGY

Before developing this application all activities done manually, then all the activities take more
time and also take more manpower. Commission, interests, dues calculate manually, based on this
manual problem some times calculate the wrong
All related information passed one branch to another branch through courier. Some times
missed the important documents. So these problems overcome when we will develop the system.
This system is very helpful to automation of entire Insurance system and also reduces the time and
manpower.

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ER Diagram:

dob Code Name


E_id name

Infectesdfrom
1
address N 1 N DISEASE
EMPLOYEE

N
Phone_no
1 Cures
Takes claim_id Hos_id
Ins_no

N claim_amt 1 name
Claim for
Ins_type N N
INSURANCE HOSPITAL address

Iss_date
start_date 1 1
Generates

End_date
BILLING N
duration Ins_amt

bill_id bill_amt Bill_date

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Table description
Employee:
Table name Employee
Description This table stores the information about employee.
Attributes E_id(int ),
emp_name ( varchar(20)),phone_no(int), address ( varchar(20)),
dob( date)
Primary key E_id
Foreign key Null

Insurance:
Table name Insurance
Description This table stores the information about the insurance and its type.
Attributes ins_id( int),
Ins_amt(int), ins_type(varchar(10)),duaration(varchar(10)),
Start_date(date),end_date(date),E_id(int)
Primary key ins_id
Foreign key E_id

Claim:
Table name Claim
Description This table stores the claim information.
Attributes claim_id( int),
claim_amt ( int ),iss_date(date),
ins_no( int(10))
Primary key claim_id
Foreign key ins_id

Disease:
Table name Disease
Description This table stores the information about disease.
Attributes code( int),
name(varchar(10))
Primary key Code

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Foreign key Null

Hospital:
Table name Hospital
Description This table stores the information about the hospital.
Attributes hos_id ( int),
name( varchar(20)), address ( varchar(10)) ,
E_id(int),dis_code(int)
Primary key hos_id
Foreign key E_id,dis_code

Billing:
Table name Billing
Description This table stores the information about the bill.
Attributes bill_id ( int),
bill_amt(int),bill_date(date),
hos_id(int),claim_id(int)
Primary key bill_id
Foreign key hos_id,claim_id(int)

User Interface

JAVA is the successor of the JDK programming language. JAVA has brought about a
great number of architectural changes in the language that are not backward
compatible. A number of core elements and concepts in JDK5 have been modified or
removed. A great many new features have been added to the JAVA language. It will
be right to say that JAVA will change the way JAVA programmers perceive their
development. JAVA has gained some credibility among serious programmers. JDK
has gained much favour amongst many developers. Currently, there are more JAVA

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programmers in the world than there are for any other programming language and
there is more application development done in JAVA than in any other programming
language.

HARDWARE AND SOFTWARE REQUIREMENTS:

Hardware Requirements:

 Processor: Intel core i3.


 RAM: 1GB or more.
 Hard Disk: 80GB or more.

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 Monitor: 15” CRT or LCD.


 Keyboard: Normal or Multimedia.
 Mouse: Compatible Mouse.

Software Requirements:

 Operating System: Windows or Linux.


 Front End: JAVA
 Back End: MYSQL

Signature of the guide Signature of the coordinator


Mr. Raghuram A S Mrs. Sneha C R
Assistant professor Assistant professor
Department of CSE Department of CSE
ATMECE, Mysuru ATMECE, Mysuru

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