Products...As-Is...Business Line...Insurance

Vocational Rehabilitation and Employment Services (Master Record)

Specific information related to a veteran’s account with a VA program, which is used to support the delivery of services to the veteran and management of the overall program. Information will include: name (identity) of the veteran (to link to personal data); contact address (for the purpose of contacting the veteran for Chapter 31 related benefits); case/account number; name (identity) of beneficiary; veteran contact history; eligibility determination information; and benefit information.

Budget proposals and other forms of requests for funding that VA sends to Congress and other funding approval bodies.

Standard and ad-hoc reports about VA operations that are prepared and submitted to external organizations and oversight groups.

Formal agreements and contracts with parties outside VA .

Formal requests for reconsideration of eligibility for benefits and services administered by the Department of Veterans Affairs.

Information relating to the applicant’s entitlement. This information includes the number of months of original entitlement and the number of months of remaining entitlement.

 Official resource guidelines developed by outside industry regulatory groups.

 Demographic and personal information provided by veterans and other program beneficiaries that are part of VA’s information resource.

Record of insurability, provider, and scope of medical insurance.

Specific information related to a veteran’s account with the VA life insurance program, which is used to support the delivery of services to the veteran and management of the overall program. Information will include (where appropriate): name (identity) of the veteran or beneficiary (to link to personal data), case/account number, name (identity) of beneficiary, veteran contact history, eligibility determination information, benefit entitlement information, payment information and history, information about loans, dividends, and paid-up additional insurance.

Insurance products sent out or made available to individuals, groups, and organizations outside the VA .

Laws and Executive Orders that either define or limit the scope of VA activities, products and services.

 Information about a military person provided by the Department of Defense that are part of VA’s information resource.

Government circulars and other official guidance from external organizations that affect VA’s operations.

Information about programs administered or implemented by VA .

Feedback from the general public regarding the operations of the VA or ideas about any of the products and services that VA provides.

Reimbursement amounts given to program beneficiaries, service partners, and other entities outside the VA organization.

 Information contained in requests for VA action coming from sources external to VA .

Financial subsidies given by VA to State governments and other program partners.

Funds VA may receive from customer receivables if a third party insurance policy is used. Used in Receivables Processing.

 Monetary resource products from external sources for use in funding VA programs.

This function includes activities associated with account maintenance and payment of insurance claims and awards:

This sub-function includes activities associated with claimant appeals.  Claimants have the right to appeal VA's decisions.

Customer service activities answer written and phone inquires about insurance benefits and policy account information from veterans, beneficiaries and their representatives

This function focuses on the receipt, evaluation, and issuance of insurance policies for the RH (S-DVI) and Veterans’ Mortgage Life Insurance (VMLI) programs.

Outreach activities targets veterans, beneficiaries, separating service member about insurance benefits.

The selection and used of performance evaluation criteria in assessing the effectiveness of insurance programs.

The Program Integrity sub-function implements security, procedures, and internal controls to insure the integrity of insurance processes and payments.

Planning, leading, organizing, and monitoring various insurance programs.

An executive department of the U.S. Government consisting of the Secretary of Defense and his office, the War Council, the Joint Chiefs of Staff, Joint Staff and joint agencies, as well as the Departments of the Army, the Navy, and the Air Force.  It is headed by the Secretary of Defense.

Qualifying dependents for VA benefit purposes who may be a veteran’s spouse or child (natural child, adopted child, or stepchild).  A veteran’s mother or father may also be considered a dependent generally if there is financial need and he or she is otherwise entitled.

TRICARE provides medical benefits for active military and their families.  It also provides transition benefits for separated personnel.

See the external reference to the internet TRICARE home page.

A category of VA stakeholders. Stakeholders falling under this category possess the authority to create and enforce major government policies and regulations that affect the Department of Veterans Affairs.

Private health insurance service providers that operate under networks of defined facilities and participating healthcare providers.

Discharged military persons and members of their families who, for various reasons, are not entitled to certain VA benefits and services at a particular point in time.

Private organizations that take on the cost of individual health risk based on various levels of insurance premiums or fees.

A category of VA stakeholders. This group of stakeholders is composed of people who are directly served by the VA.

A category of V A stakeholders. Stakeholders falling under this category possess the power to elect people who hold public offices, the ability to pay government taxes, and assist government in other ways.

A category of VA stakeholders. Stakeholders that belong to this group possess the authority to develop quality and performance standards that VA needs to uphold.

The agency of the government that manages Social Security accounts.

Surviving spouse and children of a deceased veteran.

A person who served in the active military, naval, or air service, and who was discharged or released under conditions other than dishonorable.

The VBA is one of the three Administrations under the VA. VBA provides benefits and services to the veteran population through 58 VA regional offices.  Some of the benefits and services provided by VBA to veterans and their dependents include compensation and pension, education, loan guaranty, and insurance.

This function includes activities associated with account maintenance and payment of insurance claims and awards:

This sub-function includes activities associated with claimant appeals.  Claimants have the right to appeal VA's decisions.

Customer service activities answer written and phone inquires about insurance benefits and policy account information from veterans, beneficiaries and their representatives

This function focuses on the receipt, evaluation, and issuance of insurance policies for the RH (S-DVI) and Veterans’ Mortgage Life Insurance (VMLI) programs.

Outreach activities targets veterans, beneficiaries, separating service member about insurance benefits.

The selection and used of performance evaluation criteria in assessing the effectiveness of insurance programs.

The Program Integrity sub-function implements security, procedures, and internal controls to insure the integrity of insurance processes and payments.

Planning, leading, organizing, and monitoring various insurance programs.