update logic to fetch slcsp values based on member add/drop

ideacrew · Dec 27, 2024 · 19e23f8 · 19e23f8
1 parent ef70f22
commit 19e23f8
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Showing 3 changed files with 128 additions and 5 deletions.
diff --git a/app/models/data_stores/contract_holder_subject.rb b/app/models/data_stores/contract_holder_subject.rb
@@ -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) }
 

diff --git a/app/models/insurance_policies/aca_individuals/insurance_policy.rb b/app/models/insurance_policies/aca_individuals/insurance_policy.rb
@@ -202,10 +202,10 @@ 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?
 

diff --git a/spec/models/insurance_policies/aca_individuals/insurance_policy_spec.rb b/spec/models/insurance_policies/aca_individuals/insurance_policy_spec.rb
@@ -367,5 +367,125 @@
                                                     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