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Deploy branch tests for 2024-09-19 #153

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Deploy branch tests for 2024-09-19 #153

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26 changes: 4 additions & 22 deletions app/models/insurance_policies/aca_individuals/enrollment.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -59,29 +59,10 @@ def enrollment_end_on
end_on.present? ? end_on : insurance_policy.start_on.end_of_year
end

def mid_month_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on.day != last_day_of_month.day) && ends_this_month
end

def eom_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on == last_day_of_month) && ends_this_month
end

# rubocop:disable Metrics/AbcSize
def pre_amt_tot_values(enrolled_thh_people, calendar_month)
if insurance_policy.term_for_np
end_on = insurance_policy.end_on
next_month = calendar_month == 12 ? 1 : calendar_month + 1
# if ends mid month on the current month, set to blank
if mid_month_end?(end_on, calendar_month)
nil
# if ends EOM current month OR ends mid month next month, set to 0
elsif eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month)
format('%.2f', 0.0)
end
if insurance_policy.term_for_np && insurance_policy.policy_end_on.month == calendar_month
format('%.2f', 0.0)
else
pre_amt_tot_month = enrolled_thh_people.map { |mem| mem.premium_schedule.premium_amount.to_f }.sum
pre_amt_tot_month = (pre_amt_tot_month * insurance_policy.insurance_product.ehb).to_f.round(2)
Expand Down Expand Up @@ -118,6 +99,7 @@ def pediatric_dental_premium(enrollments_for_month, tax_household_members, calen
health_enrolled_people: eligible_enrollees,
month: calendar_month }).value!.to_f
end
# rubocop:enable Metrics/AbcSize

def enrolled_member_by_hbx_id(hbx_id)
[[subscriber] + dependents].flatten.detect do |enrollee|
Expand Down
32 changes: 2 additions & 30 deletions app/models/insurance_policies/aca_individuals/insurance_policy.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -120,8 +120,6 @@ def valid_enrollment_tax_household?(enr_thh, tax_household)
# rubocop:disable Metrics/MethodLength
# rubocop:disable Metrics/CyclomaticComplexity, Metrics/PerceivedComplexity
def applied_aptc_amount_for(enrollments_for_month, calender_month, tax_household)
return nil if term_for_np && mid_month_end?(policy_end_on, calender_month)

en_tax_households = enrollments_tax_households(enrollments_for_month)
enr_thhs_for_month = en_tax_households.select do |enr_thh|
valid_enrollment_tax_household?(enr_thh, tax_household) && enr_thh.tax_household.is_aqhp
Expand Down Expand Up @@ -156,10 +154,7 @@ def applied_aptc_amount_for(enrollments_for_month, calender_month, tax_household
# rubocop:enable Metrics/MethodLength
# rubocop:enable Metrics/CyclomaticComplexity, Metrics/PerceivedComplexity

def fetch_aptc_tax_credit(enrs_for_month, calendar_month, tax_household = nil)

return nil if term_for_np && mid_month_end?(policy_end_on, calendar_month)

def fetch_aptc_tax_credit(enrs_for_month, tax_household = nil)
applied_aptc = enrs_for_month.map(&:total_premium_adjustment_amount).max
return format('%.2f', (applied_aptc || 0.0)) if tax_household.blank?

Expand Down Expand Up @@ -190,32 +185,9 @@ def fetch_enrollments_tax_households(enrs_for_month)
.where(:enrollment_id.in => enrs_for_month.pluck(:id))
end

def mid_month_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on.day != last_day_of_month.day) && ends_this_month
end

def eom_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on == last_day_of_month) && ends_this_month
end

def fetch_slcsp_premium(enrs_for_month, calendar_month, tax_household = nil, aptc_tax_credit = nil)
return format('%.2f', 0.0) if aptc_tax_credit.blank? || aptc_tax_credit.to_f.zero?

if term_for_np
end_on = policy_end_on
next_month = calendar_month == 12 ? 1 : calendar_month + 1
# if ends mid month on the current month, set to blank
if mid_month_end?(end_on, calendar_month)
return nil
# if ends EOM current month OR ends mid month next month, set to 0
elsif eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month)
return format('%.2f', 0.0)
end
end
return format('%.2f', 0.0) if term_for_np && policy_end_on.month == calendar_month

enr_thhs = fetch_enrollments_tax_households(enrs_for_month)
slcsp_premium = enr_thhs.map(&:household_benchmark_ehb_premium).compact.sum
Expand Down
6 changes: 3 additions & 3 deletions app/operations/generators/reports/irs_monthly_xml.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -103,7 +103,7 @@ def thh_to_pick(_tax_household, calendar_month)
enrs_for_month = ::InsurancePolicies::AcaIndividuals::InsurancePolicy
.enrollments_for_month(calendar_month, calendar_year, policies)
enrs_for_month.each do |enrollment|
aptc = enrollment.insurance_policy.fetch_aptc_tax_credit([enrollment], calendar_month)
aptc = enrollment.insurance_policy.fetch_aptc_tax_credit([enrollment])
aptc_to_pick << aptc.to_f
end

Expand Down Expand Up @@ -189,7 +189,7 @@ def serialize_address(person_xml, address)
def serialize_associated_policy(hh_xml, tax_household, calendar_month, enrollment)
enrolled_thh_members = enrollment.enrolled_members_from_tax_household(tax_household)
pre_amt_tot = enrollment.pre_amt_tot_values(enrolled_thh_members, calendar_month)
aptc_tax_credit = enrollment.insurance_policy.fetch_aptc_tax_credit([enrollment], calendar_month, tax_household)
aptc_tax_credit = enrollment.insurance_policy.fetch_aptc_tax_credit([enrollment], tax_household)
slcsp = enrollment.insurance_policy.fetch_slcsp_premium([enrollment], calendar_month, tax_household)
pediatric_dental_pre = enrollment.pediatric_dental_premium(tax_household.tax_household_members, calendar_month)
total_premium = pre_amt_tot.to_f + pediatric_dental_pre
Expand Down Expand Up @@ -237,7 +237,7 @@ def serialize_insurance_coverages(insured_pol_xml, policy)
enrolled_members_for_month = [[sorted_enrollments.map(&:subscriber)] +
sorted_enrollments.map(&:dependents)].flatten.uniq(&:person_id)
pre_amt_tot = sorted_enrollments.first.pre_amt_tot_values(enrolled_members_for_month, calendar_month)
aptc_tax_credit = policy.fetch_aptc_tax_credit(sorted_enrollments, calendar_month)
aptc_tax_credit = policy.fetch_aptc_tax_credit(sorted_enrollments)
slcsp = sorted_enrollments.first.insurance_policy.fetch_slcsp_premium(sorted_enrollments, calendar_month)
pediatric_dental_pre = sorted_enrollments.first.pediatric_dental_premium(thh_members,
calendar_month)
Expand Down
25 changes: 1 addition & 24 deletions ...operations/insurance_policies/aca_individuals/insurance_policies/construct_cv3_payload.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -453,31 +453,8 @@ def construct_coverage_information(insurance_policy, covered_individuals, tax_ho
end
end

def mid_month_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on.day != last_day_of_month.day) && ends_this_month
end

def eom_end?(end_on, month)
ends_this_month = end_on.month == month
last_day_of_month = Date.new(end_on.year, month, -1)
(end_on == last_day_of_month) && ends_this_month
end

def calculate_ehb_premium_for(insurance_policy, tax_household, enrollments_for_month, calendar_month)

if insurance_policy.term_for_np
end_on = insurance_policy.end_on
next_month = calendar_month == 12 ? 1 : calendar_month + 1
# if ends mid month on the current month, set to blank
if mid_month_end?(end_on, calendar_month)
return nil
# if ends EOM current month OR ends mid month next month, set to 0
elsif eom_end?(end_on, calendar_month) || mid_month_end?(end_on, next_month)
return format('%.2f', 0.0)
end
end
return format('%.2f', 0.0) if insurance_policy.term_for_np && insurance_policy.policy_end_on.month == calendar_month

calender_month_begin = Date.new(insurance_policy.start_on.year, calendar_month, 1)
calender_month_end = calender_month_begin.end_of_month
Expand Down
48 changes: 0 additions & 48 deletions spec/models/insurance_policies/aca_individuals/enrollment_spec.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -12,16 +12,6 @@
let(:insurance_policy) do
FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1), end_on: Date.new(year, 12, 31))
end
let(:insurance_policy_npt_eom) do
FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
end_on: Date.new(year, 5, 31),
term_for_np: true)
end
let(:insurance_policy_npt_mid_month) do
FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
end_on: Date.new(year, 3, 3),
term_for_np: true)
end
let(:subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:dependents) do
[
Expand All @@ -39,24 +29,6 @@
dependents: dependents)
end

let(:enrollment_npt_eom) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
effectuated_on: Date.new(year, 1, 1),
end_on: Date.new(year, 5, 31),
insurance_policy: insurance_policy_npt_eom,
subscriber: subscriber,
dependents: dependents)
end

let(:enrollment_npt_mid_month) do
FactoryBot.create(:enrollment, start_on: Date.new(year, 1, 1),
effectuated_on: Date.new(year, 1, 1),
end_on: Date.new(year, 5, 31),
insurance_policy: insurance_policy_npt_mid_month,
subscriber: subscriber,
dependents: dependents)
end

let(:tax_household_members) do
[
double('InsurancePolicies::AcaIndividuals::TaxHouseholdMember', is_medicaid_chip_eligible: true, person: subscriber_person),
Expand Down Expand Up @@ -119,24 +91,4 @@
end
end
end

describe '#pre_amt_tot_values' do
context 'insurance_policy term_for_np is true and eom end date' do
it 'returns 0.00' do
expect(enrollment_npt_eom.pre_amt_tot_values([subscriber], 5)).to eq('0.00')
end
end

context 'insurance_policy term_for_np is true and mid month end date' do
it 'returns nil' do
expect(enrollment_npt_mid_month.pre_amt_tot_values([subscriber], 3)).to eq(nil)
end
end

context 'insurance_policy term_for_np is true and next month mid month end date' do
it 'returns 0.00' do
expect(enrollment_npt_mid_month.pre_amt_tot_values([subscriber], 2)).to eq('0.00')
end
end
end
end
52 changes: 0 additions & 52 deletions spec/models/insurance_policies/aca_individuals/insurance_policy_spec.rb
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Original file line number Diff line number Diff line change
Expand Up @@ -7,16 +7,6 @@

let(:year) { Date.today.year }
let(:insurance_policy) { FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1), end_on: Date.new(year, 12, 31)) }
let(:insurance_policy_npt_eom) do
FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
end_on: Date.new(year, 5, 31),
term_for_np: true)
end
let(:insurance_policy_npt_mid_month) do
FactoryBot.create(:insurance_policy, start_on: Date.new(year, 1, 1),
end_on: Date.new(year, 3, 3),
term_for_np: true)
end
let(:subscriber) { FactoryBot.build(:enrolled_member, person: subscriber_person) }
let(:dependents) { FactoryBot.build(:enrolled_member, person: dependent_person) }
let!(:enrollment_1) do
Expand Down Expand Up @@ -298,36 +288,6 @@
result = insurance_policy.applied_aptc_amount_for(enrollments_for_month, calendar_month, aqhp_tax_household_3)
expect(result).to eq "0.00"
end

it "should return nil if on second grace period month" do
calendar_month = 3
enrollments_for_month = insurance_policy_npt_mid_month.enrollments_for_month(calendar_month, year)
result = insurance_policy_npt_mid_month.applied_aptc_amount_for(enrollments_for_month, calendar_month, aqhp_tax_household_3)
expect(result).to eq nil
end

it "should return a value if on first grace period month with EOM end date" do
calendar_month = 5
enrollments_for_month = insurance_policy_npt_eom.enrollments_for_month(calendar_month, year)
result = insurance_policy_npt_eom.applied_aptc_amount_for(enrollments_for_month, calendar_month, aqhp_tax_household_3)
expect(result).not_to eq nil
end

it "should return a value if on first grace period month with next month mid month end date" do
calendar_month = 2
enrollments_for_month = insurance_policy_npt_mid_month.enrollments_for_month(calendar_month, year)
result = insurance_policy_npt_mid_month.applied_aptc_amount_for(enrollments_for_month, calendar_month, aqhp_tax_household_3)
expect(result).not_to eq nil
end
end

context "#fetch_aptc_tax_credit" do
context "when in second grace period month" do
let(:tax_household) { FactoryBot.create(:tax_household, is_aqhp: false) }
it "should return nil" do
expect(insurance_policy_npt_mid_month.fetch_aptc_tax_credit([enrollment_1], 3, tax_household)).to eq nil
end
end
end

context "#fetch_slcsp_premium" do
Expand Down Expand Up @@ -355,18 +315,6 @@
expect(insurance_policy.fetch_slcsp_premium([enrollment], 1, aqhp_tax_household,
aqhp_enrollment_tax_household.applied_aptc)).to eq "0.00"
end

it "should return 0 if in first grace period month" do
result_eom = insurance_policy_npt_eom.fetch_slcsp_premium([enrollment], 5, aqhp_tax_household, 4.0)
result_next_month_mid_month = insurance_policy_npt_mid_month.fetch_slcsp_premium([enrollment], 2, aqhp_tax_household, 4.0)
expect(result_eom).to eq "0.00"
expect(result_next_month_mid_month).to eq "0.00"
end

it "should return nil if in second grace period month" do
result_mid_month = insurance_policy_npt_mid_month.fetch_slcsp_premium([enrollment], 3, aqhp_tax_household, 4.0)
expect(result_mid_month).to eq nil
end
end

context "when aptc is non zero" do
Expand Down
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