Skip to content

Commit

Permalink
Merge branch 'trunk' into mid_month_npt_187756844
Browse files Browse the repository at this point in the history
  • Loading branch information
@saipraveen18
saipraveen18 authored Jan 6, 2025
2 parents 2221a24 + 3212189 commit 8fc7817
Show file tree
Hide file tree
Showing 5 changed files with 221 additions and 23 deletions.
9 changes: 6 additions & 3 deletions app/models/data_stores/contract_holder_subject.rb
View file
Original file line number Diff line number Diff line change
Expand Up @@ -16,9 +16,12 @@ class ContractHolderSubject

index({ primary_person_hbx_id: 1 })
index({ status: 1 })
index({ 'request_event.timestamp': 1 }, { name: "request_event_timestamp_index" })
index({ 'response_event.timestamp': 1 }, { name: "response_event_timestamp_index" })
index({ 'transmit_events.timestamp': 1 }, { name: "transmit_events_timestamp_index" })
index({ request_event: 1 }, { name: "request_event" })
index({ response_event: 1 }, { name: "response_event" })
index({ transmit_events: 1 }, { name: "transmit_events" })
index({ "response_event.body" => 1 })
index({ "response_event.status" => 1 })
index({ contract_holder_sync_id: 1, "response_event.body" => 1, "response_event.status" => 1 })

scope :by_primary_hbx_id, ->(hbx_id) { where(primary_person_hbx_id: hbx_id) }

Expand Down
4 changes: 2 additions & 2 deletions app/models/insurance_policies/aca_individuals/insurance_policy.rb
View file
Original file line number Diff line number Diff line change
Expand Up @@ -211,10 +211,10 @@ def fetch_slcsp_from_tax_household(tax_household, enr_thhs)
return 0.0 unless enr_thhs.any? { |enr_thh| enr_thh.tax_household.is_aqhp == true }

tax_filer = fetch_tax_filer(tax_household)
enr_thh_for_month = enr_thhs.detect do |enr_thh|
enr_thh_for_month = enr_thhs.select do |enr_thh|
enr_thh.tax_household.is_aqhp &&
enr_thh.tax_household.tax_household_members.map(&:person_id).include?(tax_filer&.person_id)
end
end.max_by { |enr_thh| enr_thh.enrolled_members_tax_household_members.count }

return 0.0 if enr_thh_for_month.blank?

Expand Down
4 changes: 2 additions & 2 deletions ...operations/insurance_policies/aca_individuals/insurance_policies/construct_cv3_payload.rb
View file
Original file line number Diff line number Diff line change
Expand Up @@ -510,7 +510,7 @@ def fetch_member_ehb_premium(enrolled_member, premium_schedule, insurance_policy

def get_enrolled_members_by_tax_household_for(enrollments_for_month, tax_household)
enrs_thhs = fetch_enrollments_tax_households(enrollments_for_month)
valid_enr_thh = if enrs_thhs.size > 1
valid_enr_thh = if enrs_thhs.size > 1 && tax_household.is_aqhp
enrs_thhs.select do |enr_thh|
valid_enrollment_tax_household?(enr_thh, tax_household) && enr_thh.tax_household.is_aqhp
end
Expand Down Expand Up @@ -575,7 +575,7 @@ def fetch_thh_members_from_enr_thhs(enr_thhs, tax_household)
return tax_household.tax_household_members unless tax_household.is_aqhp

enr_thhs_for_month = enr_thhs.select do |enr_thh|
enr_thh.tax_household.is_aqhp && valid_enrollment_tax_household?(enr_thh, tax_household)
valid_enrollment_tax_household?(enr_thh, tax_household)
end
enrolled_thh_members_person_ids = enr_thhs_for_month&.flat_map(&:tax_household)
&.flat_map(&:tax_household_members)&.uniq(&:person_id)
Expand Down
120 changes: 120 additions & 0 deletions spec/models/insurance_policies/aca_individuals/insurance_policy_spec.rb
View file
Original file line number Diff line number Diff line change
Expand Up @@ -400,5 +400,125 @@
aqhp_enrollment_tax_household.applied_aptc)).to eq "400.00"
end
end

context "when there is a dependent add mid term" do
let(:enrollment_subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:enrollment_dependent) { FactoryBot.build(:enrolled_member, person: dependent_person) }
let!(:enrollment_1) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
effectuated_on: Date.new(year, 1, 1),
end_on: Date.new(year, 1, 23),
insurance_policy: insurance_policy,
subscriber: enrollment_subscriber)
end
let!(:enrollment_2) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 24),
effectuated_on: Date.new(year, 1, 24),
end_on: Date.new(year, 1, 31),
insurance_policy: insurance_policy,
subscriber: enrollment_subscriber,
dependents: [enrollment_dependent])
end

let!(:aqhp_tax_household_1) { FactoryBot.create(:tax_household, is_aqhp: true) }
let!(:aqhp_tax_household_2) { FactoryBot.create(:tax_household, is_aqhp: true) }
let!(:aqhp_thh_sub_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_1, person: subscriber_person,
is_tax_filer: true)
end
let!(:aqhp_thh_sub_tax_household_member_2) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_2, person: subscriber_person,
is_tax_filer: true)
end
let!(:aqhp_thh_sub_tax_household_member_3) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_2, person: dependent_person,
is_tax_filer: false)
end
let!(:aqhp_enrollment_tax_household_1) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_1.id,
tax_household_id: aqhp_tax_household_1.id,
household_benchmark_ehb_premium: 400.0)
end
let!(:enr_members_thhm_1) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_1)
end

let!(:aqhp_enrollment_tax_household_2) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_2.id,
tax_household_id: aqhp_tax_household_2.id,
household_benchmark_ehb_premium: 500.0)
end
let!(:enr_members_thhm_2) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_2)
end
let!(:enr_members_thhm_3) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_2)
end

it "should return member added slcsp premium" do
expect(insurance_policy.fetch_slcsp_premium([enrollment_1, enrollment_2], 1, aqhp_tax_household_2,
aqhp_enrollment_tax_household_2.applied_aptc)).to eq "500.00"
end
end

context "when there is a dependent drop mid term" do
let(:enrollment_subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:enrollment_dependent) { FactoryBot.build(:enrolled_member, person: dependent_person) }
let!(:enrollment_1) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
effectuated_on: Date.new(year, 1, 1),
end_on: Date.new(year, 1, 23),
insurance_policy: insurance_policy,
subscriber: enrollment_subscriber,
dependents: [enrollment_dependent])
end
let!(:enrollment_2) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 24),
effectuated_on: Date.new(year, 1, 24),
end_on: Date.new(year, 1, 31),
insurance_policy: insurance_policy,
subscriber: enrollment_subscriber)
end

let!(:aqhp_tax_household_1) { FactoryBot.create(:tax_household, is_aqhp: true) }
let!(:aqhp_tax_household_2) { FactoryBot.create(:tax_household, is_aqhp: true) }
let!(:aqhp_thh_sub_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_1, person: subscriber_person,
is_tax_filer: true)
end
let!(:aqhp_thh_sub_tax_household_member_2) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_1, person: dependent_person,
is_tax_filer: false)
end
let!(:aqhp_thh_sub_tax_household_member_3) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_2, person: subscriber_person,
is_tax_filer: true)
end
let!(:aqhp_enrollment_tax_household_1) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_1.id,
tax_household_id: aqhp_tax_household_1.id,
household_benchmark_ehb_premium: 500.0)
end
let!(:enr_members_thhm_1) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_1)
end
let!(:enr_members_thhm_2) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_1)
end

let!(:aqhp_enrollment_tax_household_2) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_2.id,
tax_household_id: aqhp_tax_household_2.id,
household_benchmark_ehb_premium: 400.0)
end
let!(:enr_members_thhm_3) do
FactoryBot.create(:enrolled_members_tax_household_members, enrollments_tax_households: aqhp_enrollment_tax_household_2)
end

it "should not return member dropped slcsp premium" do
expect(insurance_policy.fetch_slcsp_premium([enrollment_1, enrollment_2], 1, aqhp_tax_household_2,
aqhp_enrollment_tax_household_2.applied_aptc)).to eq "500.00"
end
end
end
end
107 changes: 91 additions & 16 deletions ...tions/insurance_policies/aca_individuals/insurance_policies/construct_cv3_payload_spec.rb
View file
Original file line number Diff line number Diff line change
Expand Up @@ -407,19 +407,9 @@
let!(:premium_schedule_2_enrollment_1) do
FactoryBot.create(:premium_schedule, enrolled_member: enrollment_1.dependents.first)
end
let!(:aqhp_tax_household_1) { FactoryBot.create(:tax_household, is_aqhp: false) }
let!(:aqhp_tax_household_2) { FactoryBot.create(:tax_household, is_aqhp: true) }
let!(:aqhp_tax_household_3) { FactoryBot.create(:tax_household, is_aqhp: true) }

let!(:uqp_thh_1_sub_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_1, person: subscriber_person,
is_tax_filer: true)
end
let!(:uqhp_thh_1_dep_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_1, person: dependent_person,
is_tax_filer: false)
end

let!(:aqhp_thh_2_sub_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: aqhp_tax_household_2, person: subscriber_person,
is_tax_filer: true)
Expand All @@ -430,10 +420,6 @@
is_tax_filer: true)
end

let!(:uqhp_enrollment_tax_household_1) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_1.id, tax_household_id: aqhp_tax_household_1.id)
end

let!(:aqhp_enrollment_tax_household_2) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_1.id, tax_household_id: aqhp_tax_household_2.id)
end
Expand All @@ -452,8 +438,8 @@
end

it "should return correct members for each tax_household" do
expect(@result[:aptc_csr_tax_households].first[:covered_individuals].count).to eq 1
expect(@result[:aptc_csr_tax_households].first[:covered_individuals].count).to eq 1
expect(@result[:aptc_csr_tax_households][0][:covered_individuals].count).to eq 1
expect(@result[:aptc_csr_tax_households][1][:covered_individuals].count).to eq 1
end
end

Expand Down Expand Up @@ -669,6 +655,95 @@
end
end

context 'UQHP mid month member drop' do
let(:subscriber_person) { FactoryBot.create(:people_person) }
let(:dependent_person) { FactoryBot.create(:people_person) }
let!(:glue_subscriber_person) { FactoryBot.create(:person, authority_member_id: subscriber_person.hbx_id) }
let!(:glue_dependent_person) { FactoryBot.create(:person, authority_member_id: dependent_person.hbx_id) }
let(:enrollment_1_subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:enrollment_2_subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:enrollment_2_dependents) { FactoryBot.build(:enrolled_member, person: dependent_person) }
let(:product) do
FactoryBot.create(:insurance_product, ehb: 0.9959)
end
let(:insurance_policy) do
FactoryBot.create(:insurance_policy,
insurance_product: product,
start_on: Date.new(year, 1, 1),
end_on: Date.new(year, 12, 31))
end

let!(:enrollment_1) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
effectuated_on: Date.new(year, 1, 1),
end_on: Date.new(year, 7, 23),
created_at: Time.now,
insurance_policy: insurance_policy,
subscriber: enrollment_1_subscriber,
dependents: [enrollment_2_dependents])
end
let!(:enrollment_2) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 7, 24),
effectuated_on: Date.new(year, 7, 24),
created_at: Time.now,
insurance_policy: insurance_policy,
subscriber: enrollment_2_subscriber)
end
let!(:premium_schedule_enrollment) do
FactoryBot.create(:premium_schedule, enrolled_member: enrollment_1.subscriber,
premium_amount: 100.0, benchmark_ehb_premium_amount: 100.0)
end
let!(:premium_schedule_2_enrollment) do
FactoryBot.create(:premium_schedule, enrolled_member: enrollment_1.dependents.first,
premium_amount: 50.0, benchmark_ehb_premium_amount: 50.0)
end
let!(:premium_schedule_3_enrollment) do
FactoryBot.create(:premium_schedule, enrolled_member: enrollment_2.subscriber,
premium_amount: 100.0, benchmark_ehb_premium_amount: 100.0)
end

let!(:uqhp_tax_household_1) { FactoryBot.create(:tax_household, is_aqhp: false) }
let!(:uqhp_tax_household_2) { FactoryBot.create(:tax_household, is_aqhp: false) }

let!(:uqhp_thh_1_sub_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: uqhp_tax_household_1, person: subscriber_person,
is_tax_filer: true)
end
let!(:uqhp_thh_1_dep_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: uqhp_tax_household_1, person: dependent_person,
is_tax_filer: false)
end
let!(:uqhp_thh_2_dep_tax_household_member) do
FactoryBot.create(:tax_household_member, tax_household: uqhp_tax_household_2, person: subscriber_person,
is_tax_filer: true)
end
let!(:uqhp_enrollment_tax_household_1) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_1.id, tax_household_id: uqhp_tax_household_1.id)
end
let!(:uqhp_enrollment_tax_household_2) do
FactoryBot.create(:enrollments_tax_households, enrollment_id: enrollment_2.id, tax_household_id: uqhp_tax_household_2.id)
end

before :each do
@result_call = subject.call({ insurance_policy: insurance_policy })
@result = @result_call.value!
end

it "should should publish the event" do
expect(@result_call.success?).to be_truthy
expect(@result[:aptc_csr_tax_households].first[:covered_individuals].count).to eq 2
end

it "should round down ehb premium value" do
july_coverage_info = @result[:aptc_csr_tax_households].first[:months_of_year][6][:coverage_information]
premium = july_coverage_info.dig(:total_premium, :cents)
expect(Money.new(premium).to_f).to eq 135.35
jan_coverage_info = @result[:aptc_csr_tax_households].first[:months_of_year][0][:coverage_information]
premium = jan_coverage_info.dig(:total_premium, :cents)
expect(Money.new(premium).to_f).to eq 148.00
end
end

context 'rounding down member premiums' do
let(:subscriber_person) { FactoryBot.create(:people_person) }
let!(:glue_subscriber_person) { FactoryBot.create(:person, authority_member_id: subscriber_person.hbx_id) }
Expand Down

0 comments on commit 8fc7817

Please sign in to comment.