System and method for processing data related to insurance coverage for a plurality of risks

A computer-implemented method for processing data relating to insurance coverage furnished to an insured, comprising:

• receiving via a communication device data indicative of a claim, and providing the data indicative of the claim to a processor in communication with the communication device;
• responsive to receipt by the processor of the data indicative of a claim, accessing by the processor data stored in a data storage device, the data storage device storing data indicative of an insured under the insurance coverage;
• data indicative of an aggregate benefit amount associated with the insurance coverage, the aggregate benefit amount being a maximum benefit amount payable under the insurance coverage;
• data indicative of a first category of health risks under the insurance coverage;
• data indicative of a second category of health risks under the insurance coverage, data indicative of a first benefit allocation corresponding to the first category of health risks;
• and data indicative of a second benefit allocation corresponding to the second category of health risks;
• the benefit allocations being fractions of and totaling the aggregate benefit amount;
• based on the data indicative of a claim and the data accessed from the data storage device, determining by the processor eligibility for a benefit based on the claim, and
• responsive to determining that the insured is eligible, providing by the processor output data indicative of a benefit amount, the benefit amount for each of the categories of health risks having a maximum equal to the corresponding benefit allocation.

A non-transitory computer-readable medium having processor-executable instructions stored thereon, which instructions, when executed by the processor, cause the processor to:

• responsive to receipt by the processor of data indicative of a claim under insurance coverage furnished to an insured, access data stored in a data storage device, the data storage device storing data indicative of an insured under the insurance coverage;
• data indicative of an aggregate benefit amount associated with the insurance coverage, the aggregate benefit amount being a maximum benefit amount payable under the insurance coverage;
• data indicative of a first category of health risks under the insurance coverage;
• data indicative of a second category of health risks under the insurance coverage, data indicative of a first benefit allocation corresponding to the first category of health risks;
• and data indicative of a second benefit allocation corresponding to the second category of health risks;
• the benefit allocations being fractions of and totaling the aggregate benefit amount;
• based on the data indicative of a claim and the data accessed from the data storage device, determine eligibility for a benefit based on the claim, and
• responsive to determining that the insured is eligible, provide output data indicative of a benefit amount, the benefit amount for each of the categories of health risks having a maximum equal to the corresponding benefit allocation.