SAIF.Business.Policy.Audit.Premium business rules¶

This page captures business rules enforced by the premium-audit library.

BR-001: Deselection category suppresses audit¶

Field	Value
Statement	An audit that satisfies at least one rule in a deselection category is removed from audit consideration.
Trigger	Selection testing
Enforcement	`clsAuditSelectionManager.RunAuditSelectionTests`
Outcome	`audit.DeselectFromAudit()`; `CountAuditsDeselected` incremented
Confidence	Verified
SQL	SQL-055, SQL-056, SQL-057, SQL-062, SQL-063
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:233-271`

BR-002: Disqualifying selection test blocks selection¶

Field	Value
Statement	An audit with any disqualifying test result is not selected under that category.
Trigger	Selection testing
Enforcement	`clsAuditSelectionManager.RunAuditSelectionTests`
Outcome	Audit skipped for the category
Confidence	Verified
SQL	SQL-057, SQL-062, SQL-063, SQL-064, SQL-065
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:233-271`

BR-003: Qualifying tests select audit¶

Field	Value
Statement	An audit is selected when its qualifying test count reaches the category's configured `SelectionRuleCount`.
Trigger	Selection testing
Enforcement	`clsAuditSelectionManager.RunAuditSelectionTests`
Outcome	`SelectForAudit(...)` with category and test results
Confidence	Verified
SQL	SQL-055, SQL-056, SQL-057, SQL-062, SQL-063, SQL-064, SQL-065
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:233-271`

BR-010: Assignment sort key ordering¶

Field	Value
Statement	Assignment/selection ordering is a composite key: selection-category priority, market-type priority (compliance ranks first for assigned risk, last for voluntary), policy type (leasing → temp agency → other, compliance/business-rule categories only), audit end date, failed GAC test count, then last-audit date + 9s-complement standard premium for cyclicals.
Trigger	Sorting `AssignmentSortKey`
Enforcement	`clsAudit.BuildAssignmentSortKey (`clsAudit.vb:2907-2975`)`
Outcome	Ordered collection
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2908-2976`

BR-011: Cyclical selection cap enforced¶

Field	Value
Statement	No more than `MaximumCyclicalsToSelect` cyclical audits may be selected in a run; the excess is dropped.
Trigger	`DropCyclicals`
Enforcement	`clsAuditSelectionManager.DropCyclicals`
Outcome	Excess audits removed; `CyclicalsDropped` incremented
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:93-114`

BR-012: Assignment requires ZIP code¶

Field	Value
Statement	An audit whose audit address has no ZIP code cannot be assigned.
Trigger	Auditor assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Skipped; `NoZipForPolicyCount` incremented
Confidence	Verified
SQL	SQL-074, SQL-075
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-013: Assignment requires audit office¶

Field	Value
Statement	An audit with neither an audit office code nor a default audit office code cannot be assigned.
Trigger	Auditor assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Skipped; `NoAuditOfficeCount` incremented
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-014: Assignment requires matching territory¶

Field	Value
Statement	If no auditor territory matches the audit ZIP code, the audit cannot be assigned.
Trigger	Auditor assignment (no override)
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Skipped; `ZipCodeNotFoundCount` incremented
Confidence	Verified
SQL	SQL-003, SQL-008, SQL-009, SQL-032, SQL-033, SQL-034, SQL-079, SQL-080, SQL-090
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-015: Assignment override default auditor wins¶

Field	Value
Statement	An assignment override's default auditor takes precedence over ZIP-code territory lookup.
Trigger	Auditor assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Override auditor used
Confidence	Verified
SQL	SQL-005, SQL-026, SQL-077
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-016: Off-cycle and wrap audits bypass capacity checks¶

Field	Value
Statement	Off-cycle audits and `WRAP`-relationship policies are assigned without capacity or combination checks.
Trigger	Auditor assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Immediate assignment
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-017: Combined policies stay with same auditor¶

Field	Value
Statement	A combined policy (same non-zero `RateAccount`, non-`WRAP`) is always assigned to the auditor already handling the combination, even beyond the monthly maximum.
Trigger	Renewal assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit`
Outcome	Assigned; `MonthlyCombinedCount` incremented
Confidence	Verified
SQL	SQL-035, SQL-036, SQL-037
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-018: Monthly max blocks renewal assignments¶

Field	Value
Statement	An auditor at their monthly maximum receives no further renewal assignments.
Trigger	Renewal assignment
Enforcement	`clsAuditAssignmentManager.AssignAudit (`tempAuditor.IsMonthlyMaxReached`)`
Outcome	Skipped; `MonthlyMaxReachedCount` incremented
Confidence	Verified
SQL	SQL-003, SQL-008, SQL-032, SQL-033, SQL-079
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294`

BR-019: Do-not-assign override creates staff task¶

Field	Value
Statement	An audit must not be assigned to the auditor named in the override's `DoNotAssignAuditorID`; a staff task is raised instead.
Trigger	Auditor assignment
Enforcement	`clsAuditAssignmentManager.AssignToAuditor`
Outcome	`clsAssignmentManagerTask` (priority `MED`, category `B`, mail ID `{AUDIT}`)
Confidence	Verified
SQL	SQL-005, SQL-026, SQL-077
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:296-309`

BR-030: Selection override instructions are one-time use¶

Field	Value
Statement	Audit instructions carried on a selection override are consumed once and cleared — they must be re-entered every year.
Trigger	Batch selection
Enforcement	`clsAuditSelectionManager.SelectPoliciesForAudit`
Outcome	Override `AuditInstructionsText` set to empty and marked dirty
Confidence	Verified
SQL	SQL-015, SQL-059, SQL-086
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:160-230`

BR-031: Selection override reviewer is one-time use¶

Field	Value
Statement	A selection override reviewer creates one `clsAuditReviewResult` on the audit and is then cleared — it must be re-entered every year.
Trigger	Batch selection
Enforcement	`clsAuditSelectionManager.SelectPoliciesForAudit`
Outcome	Review result added; override reviewer cleared
Confidence	Verified
SQL	SQL-014, SQL-015, SQL-051, SQL-059, SQL-085, SQL-086, SQL-093
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:160-230`

BR-032: Rows affected must equal one¶

Field	Value
Statement	A persistence operation that affects a row count other than 1 is a contention failure and the save fails.
Trigger	`AfterInsert` / `AfterUpdate` / `AfterDelete`
Enforcement	`clsAudit.vb:2407,2487,2600`
Outcome	`AddErrorMessage(...)`; `Save` returns `False`
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-010, SQL-011, SQL-012, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-038, SQL-039, SQL-040, SQL-041, SQL-042, SQL-043, SQL-044, SQL-076, SQL-081, SQL-082, SQL-083, SQL-088, SQL-091
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-024: No auditable period cancels audit¶

Field	Value
Statement	An audit whose start date falls in no auditable period is cancelled for no coverage.
Trigger	`SynchronizeAudit`
Enforcement	clsAuditSynchronization.SynchronizeAudit` → `CancelWithNoCoverage
Outcome	`CancelAuditOverride(CANCEL_REASON_NO_COVERAGE)`; task raised when status is Assigned/Scheduled/Submitted/Completed
Confidence	Verified
SQL	SQL-025
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:75-131`

BR-025: Guidewire audits skip cancelled-billing path¶

Field	Value
Statement	Cancelled-billing processing applies only to non-Guidewire audits (`Not IsGwAudit`).
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.SynchronizeAudit`
Outcome	`ProcessCancelledBillingAudit` executed or skipped
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:75-131`

BR-026: No coverage cancels audit¶

Field	Value
Statement	When every audit policy period is missing or has no coverage, the audit is cancelled for no coverage.
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.ProcessCancelWithNoCoverage`
Outcome	Audit cancelled
Confidence	Verified
SQL	SQL-025
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:133-159`

BR-027: Shortened coverage cancels or resyncs audit¶

Field	Value
Statement	Shortened policy-period coverage cancels the audit unless it is already `COMPLETED`, in which case the policy periods are re-synced and a task is raised instead.
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.ProcessShortenAudit`
Outcome	Cancel task or `SyncPolicyPeriods`
Confidence	Verified
SQL	SQL-010, SQL-011, SQL-038, SQL-039, SQL-040, SQL-041, SQL-042, SQL-043, SQL-081, SQL-082, SQL-091
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:175-210`

BR-028: Lengthened coverage adjusts audit¶

Field	Value
Statement	Lengthened coverage triggers audit-period adjustment.*
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.ProcessLengthenAudit`
Outcome	Audit updated
Confidence	Inferred*
SQL	SQL-010, SQL-011, SQL-038, SQL-039, SQL-040, SQL-041, SQL-042, SQL-043, SQL-081, SQL-082, SQL-091
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:212-249`

BR-029: Coverage reinstatement with gap triggers special handling¶

Field	Value
Statement	Coverage reinstated with a gap triggers gap-specific handling.*
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.ProcessReinstateWithGap`
Outcome	Audit updated
Confidence	Inferred*
SQL	SQL-010, SQL-011, SQL-038, SQL-039, SQL-040, SQL-041, SQL-042, SQL-043, SQL-081, SQL-082, SQL-091
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:251-273`

BR-033: Synchronization stops after first matching change¶

Field	Value
Statement	Synchronization processing is short-circuited; only the first matching change type is applied during a run.*
Trigger	Audit synchronization when multiple change patterns could apply.
Enforcement	`clsAuditSynchronization.SynchronizeAudit`
Outcome	Later change handlers are skipped once one handler updates the audit.
Confidence	Inferred*
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:75-131`

BR-034: Child-policy processing skips cancelled audits¶

Field	Value
Statement	Child-policy processing runs only when the audit was not cancelled.
Trigger	`SynchronizeAudit`
Enforcement	`clsAuditSynchronization.SynchronizeAudit`
Outcome	`ProcessChildPolicies` executed or skipped
Confidence	Verified
SQL	SQL-035, SQL-036, SQL-037
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:75-131`

BR-035: NonZeroDecimalRequired (AuditSeqNum)¶

Field	Value
Statement	Audit sequence number is required.
Trigger	See source.
Enforcement	`clsAudit.vb:3989`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-036: NonZeroDecimalRequired (PolicyNumber)¶

Field	Value
Statement	Policy number is required.
Trigger	See source.
Enforcement	`clsAudit.vb:3990`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-037: TextRequired¶

Field	Value
Statement	Audit type, audit reason, status, selection category and audit method are each required.
Trigger	See source.
Enforcement	`clsAudit.vb:3991-3995`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-038: RequiredAuditOffice¶

Field	Value
Statement	Audit office is required for an assigned, unfinished audit whose type allows an audit office.
Trigger	See source.
Enforcement	`clsAudit.vb:4053`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-039: AllowedAuditOffice¶

Field	Value
Statement	An audit office may not be set for an NCCI test audit or an unassigned audit.
Trigger	See source.
Enforcement	`clsAudit.vb:4040`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-040: ValidPolicy¶

Field	Value
Statement	Policy number must exist.
Trigger	See source.
Enforcement	`clsAudit.vb:4450`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-041: ValidAuditReasonCode¶

Field	Value
Statement	Audit reason must exist and must belong to the reason set allowed for the audit's revision state (non-revision batch/online vs. revision); conversion audits are exempt.
Trigger	See source.
Enforcement	`clsAudit.vb:4066`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-067, SQL-068
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-042: ValidAuditStartDate¶

Field	Value
Statement	Start date may not exceed create date + 1 year for New Account Survey / Preliminary / Prospect; may not exceed the create date for non-batch Final, Interim, NCCI Test; batch Final may not exceed create date + 30 days. Conversion audits exempt.
Trigger	See source.
Enforcement	`clsAudit.vb:4091`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-043: ValidAuditEndDate¶

Field	Value
Statement	End date may not precede the start date; a new audit for a period that expired more than 6 months ago may not be audited; Final audits may not end later than create date + 60 days. Manually-enterable reasons and conversion audits exempt.
Trigger	See source.
Enforcement	`clsAudit.vb:4125`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-044: ValidAuditAssignmentDate¶

Field	Value
Statement	For an assigned, not-yet-completed Final audit the assignment date may not precede the audit end date; for revisions it may not be later than today nor earlier than the prior audit's completed date; an assignment date without an auditor is invalid.
Trigger	See source.
Enforcement	`clsAudit.vb:4159`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-045: ValidAuditDueDate¶

Field	Value
Statement	Due date must be after the assignment date.
Trigger	See source.
Enforcement	`clsAudit.vb:4191`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-046: ValidAppointmentDate¶

Field	Value
Statement	Appointment date must be on/after the assignment date for scheduled or assigned audits.
Trigger	See source.
Enforcement	`clsAudit.vb:4202`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-047: ValidAppointmentDateAndTime¶

Field	Value
Statement	Appointment date and time must both be present or both absent.
Trigger	See source.
Enforcement	`clsAudit.vb:4214`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-048: ValidWarningLetterDate¶

Field	Value
Statement	Warning letter date must be after the assignment date.
Trigger	See source.
Enforcement	`clsAudit.vb:4226`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-049: ValidSubmittedDate¶

Field	Value
Statement	Submitted date must be on/after the assignment date and not later than today.
Trigger	See source.
Enforcement	`clsAudit.vb:4238`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-050: ValidReviewDate¶

Field	Value
Statement	Review date may only be entered when review status is `COMPL`, and must be on/after 1/1/1900.
Trigger	See source.
Enforcement	`clsAudit.vb:4258`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-051: ValidReviewStatusCode¶

Field	Value
Statement	Review status may not be set to `COMPL` until every review reason has a result and a reviewer and a review date is entered.
Trigger	See source.
Enforcement	`clsAudit.vb:4279`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-052, SQL-053
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-052: ValidCompletedDate¶

Field	Value
Statement	Completed date must be on or after the submitted date.
Trigger	See source.
Enforcement	`clsAudit.vb:4302`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-053: ValidCancelReasonCode¶

Field	Value
Statement	Cancel reason must be valid.
Trigger	See source.
Enforcement	`clsAudit.vb:4314`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-054: ValidSelectionCategoryGroupCode¶

Field	Value
Statement	Selection category must be valid.
Trigger	See source.
Enforcement	`clsAudit.vb:4325`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-055, SQL-056
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-055: ValidAuditor¶

Field	Value
Statement	Auditor must be valid.
Trigger	See source.
Enforcement	`clsAudit.vb:4340`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-003, SQL-008, SQL-032, SQL-033, SQL-079
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-056: ValidAuditOffice¶

Field	Value
Statement	Audit office must be valid.
Trigger	See source.
Enforcement	`clsAudit.vb:4400`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-057: ValidUpdatableAudit¶

Field	Value
Statement	An audit whose policy periods are out of sync with WCIS may not be updated.
Trigger	See source.
Enforcement	`clsAudit.vb:4411`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-072, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-020: Ineligible policy types cannot be audited¶

Field	Value
Statement	Leasing-client, State-agency and HCW policies may not be audited.
Trigger	See source.
Enforcement	`clsAudit.vb:4421`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-027, SQL-028, SQL-029, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-021: Duplicate audits are blocked¶

Field	Value
Statement	An audit for the same period and type may not already exist.
Trigger	See source.
Enforcement	`clsAudit.vb:4439; backed by `DuplicateAuditExists()` (`clsAudit.vb:3233`)`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-001, SQL-004, SQL-018, SQL-019, SQL-020, SQL-021, SQL-022, SQL-023, SQL-024, SQL-027, SQL-028, SQL-029, SQL-076, SQL-088
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-058: ValidTestAuditType / ValidTestAuditDifference / ValidTestAuditResult¶

Field	Value
Statement	Test audit type, difference and result are required when applicable.
Trigger	See source.
Enforcement	`clsAudit.vb:4591,4600,4609`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-017, SQL-069, SQL-070, SQL-071, SQL-087, SQL-095
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-059: ValidAppealReasons / ValidAppealRequestDate (×2) / ValidAppealNoticeDate / ValidHearingDate¶

Field	Value
Statement	Audit must be complete to enter an Appeal review reason; appeal request date must follow the assignment date and requires an Appeal review reason; appeal notice date and hearing date must follow the appeal request date.
Trigger	See source.
Enforcement	`clsAudit.vb:4490-4534`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-060: ValidWCISRevision¶

Field	Value
Statement	At least one WCIS revision record is required before a complete date may be entered.
Trigger	See source.
Enforcement	`clsAudit.vb:4535`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-061: ValidWaiverFromDate / ValidWaiverToDate¶

Field	Value
Statement	Waiver from-date must lie within the audit period and precede the to-date; waiver to-date must be after the audit start date and no later than 2 years after the end date.
Trigger	See source.
Enforcement	`clsAudit.vb:4545,4560`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-062: WarningAuditStartDate¶

Field	Value
Statement	Warning on out-of-range start date (non-blocking).
Trigger	See source.
Enforcement	`clsAudit.vb:4461`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-063: WarningComplianceNoAuditor¶

Field	Value
Statement	Warning: selection category is compliance but no auditor is assigned (non-blocking).
Trigger	See source.
Enforcement	`clsAudit.vb:4478`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb`

BR-022: Assignment defaults missing office¶

Field	Value
Statement	An audit assigned without an audit office code inherits the default audit office code.
Trigger	See source.
Enforcement	`clsAudit.AssignAuditToAuditor`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2881-2906`

BR-023: Reassignment recalculates date on region change¶

Field	Value
Statement	On reassignment the assignment date is recalculated only when the new audit office belongs to a different policy region.
Trigger	See source.
Enforcement	`clsAudit.SetAssignmentDate`
Outcome	Validation or control-flow outcome.
Confidence	Verified
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2978-3001`

BR-064: Leasing-client / State-agency / HCW policies may not have an assignment override¶

Field	Value
Statement	Leasing-client / State-agency / HCW policies may not have an assignment override.
Trigger	See source.
Enforcement	`clsAuditAssignmentOverride.vb:445`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-005, SQL-026, SQL-077
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentOverride.vb`

BR-065: The same auditor may not be both the "do not assign to" and the "default assignment" auditor¶

Field	Value
Statement	The same auditor may not be both the "do not assign to" and the "default assignment" auditor.
Trigger	See source.
Enforcement	`clsAuditAssignmentOverride.vb:461`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-005, SQL-026, SQL-077
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentOverride.vb`

BR-066: Default auditor and do-not-assign auditor must each be valid auditors¶

Field	Value
Statement	Default auditor and do-not-assign auditor must each be valid auditors.
Trigger	See source.
Enforcement	`clsAuditAssignmentOverride.vb:470,486`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-005, SQL-026, SQL-077
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentOverride.vb`

BR-067: Audit event code must be valid¶

Field	Value
Statement	Audit event code must be valid.
Trigger	See source.
Enforcement	`clsAuditEvent.vb:427`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-002, SQL-006, SQL-007, SQL-030, SQL-031, SQL-078, SQL-089
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditEvent.vb`

BR-068: An auditor-ZIP row requires an existing auditor, an assignable auditor, and an existing ZIP code¶

Field	Value
Statement	An auditor-ZIP row requires an existing auditor, an assignable auditor, and an existing ZIP code.
Trigger	See source.
Enforcement	`clsAuditorZipCode.vb:391,406,421`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-009, SQL-034, SQL-074, SQL-075, SQL-080, SQL-090
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditorZipCode.vb`

BR-069: An audit result requires an existing result code¶

Field	Value
Statement	An audit result requires an existing result code.
Trigger	See source.
Enforcement	`clsAuditResult.vb:540`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-013, SQL-017, SQL-045, SQL-046, SQL-047, SQL-048, SQL-069, SQL-084, SQL-087, SQL-092, SQL-095
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditResult.vb`

BR-070: A review result requires an existing reason code, result code and reviewer ID; a new review result requires a reviewer valid for new results¶

Field	Value
Statement	A review result requires an existing reason code, result code and reviewer ID; a new review result requires a reviewer valid for new results.
Trigger	See source.
Enforcement	`clsAuditReviewResult.vb:539,552,565,577`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-014, SQL-049, SQL-050, SQL-051, SQL-052, SQL-053, SQL-054, SQL-085, SQL-093
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditReviewResult.vb`

BR-071: Selection-override select date and exclude date must each be a valid policy-period expiration date, and may not be the same date¶

Field	Value
Statement	Selection-override select date and exclude date must each be a valid policy-period expiration date, and may not be the same date.
Trigger	See source.
Enforcement	`clsAuditSelectionOverride.vb:431,447,463`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-015, SQL-059, SQL-086
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionOverride.vb`

BR-072: A selection test result requires a Selection Rule ID present in the PA_Selection_Rule table¶

Field	Value
Statement	A selection test result requires a Selection Rule ID present in the `PA_Selection_Rule` table.
Trigger	See source.
Enforcement	`clsAuditSelectionTestResult.vb:315`
Outcome	Validation or control-flow outcome.
Confidence	Verified
SQL	SQL-016, SQL-066, SQL-094
Source	`Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionTestResult.vb`

Inherited business rules¶

From `clsBusinessBase` (`SAIF.Framework.Core`)¶

INH-001: Inherited rules manager orchestration¶

Field	Value
Statement	Each `clsBusinessBase`-derived object owns a `clsRulesManager` that evaluates registered rules and surfaces broken-rule state to callers and UI binding.*
Trigger	Any call to `Rules.CheckRules`, `IsValid`, or save-time validation.
Enforcement	`clsBusinessBase` / `clsRulesManager`
Outcome	Broken rules are recorded and exposed through the object.*
Confidence	Retrieved via dependency documentation*
Source	Retrieved from dependency library documentation via Legends CLI

INH-002: Inherited broken-rule surfacing¶

Field	Value
Statement	Business objects and business collections surface broken-rule state through `IDataErrorInfo` members exposed by the framework base classes.*
Trigger	Validation failures on BOF business objects or collections.
Enforcement	`clsBusinessBase` / `clsBusinessCollectionBase`
Outcome	Consumers can render rule failures without calling the rules engine directly.*
Confidence	Retrieved via dependency documentation*
Source	Retrieved from dependency library documentation via Legends CLI

Notes¶

Procedure-derived rules are documented on the relevant procedure pages and summarized in the procedure catalog.

Note: Statements marked with * were inferred from code structure, naming conventions, or contextual evidence where direct confirmation was not available in source artifacts. Statements marked with ** could not be confirmed; treat as unknown until verified.

Sources¶

Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2881-2906
Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2908-2976
Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb:2978-3001
Business\SAIF.Business.Policy.Audit.Premium\clsAudit.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294
Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:236-294
Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentManager.vb:296-309
Business\SAIF.Business.Policy.Audit.Premium\clsAuditAssignmentOverride.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditEvent.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditResult.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditReviewResult.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:93-114
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:233-271
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionManager.vb:160-230
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionOverride.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSelectionTestResult.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:133-159
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:212-249
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:251-273
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.vb:175-210
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.SynchronizeAudit``
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.SynchronizeAudit→CancelWithNoCoverage``
Business\SAIF.Business.Policy.Audit.Premium\clsAuditorZipCode.vb
Business\SAIF.Business.Policy.Audit.Premium\clsAuditSynchronization.SynchronizeAudit

SAIF.Business.Policy.Audit.Premium business rules¶

BR-001: Deselection category suppresses audit¶

BR-002: Disqualifying selection test blocks selection¶

BR-003: Qualifying tests select audit¶

BR-010: Assignment sort key ordering¶

BR-011: Cyclical selection cap enforced¶

BR-012: Assignment requires ZIP code¶

BR-013: Assignment requires audit office¶

BR-014: Assignment requires matching territory¶

BR-015: Assignment override default auditor wins¶

BR-016: Off-cycle and wrap audits bypass capacity checks¶

BR-017: Combined policies stay with same auditor¶

BR-018: Monthly max blocks renewal assignments¶

BR-019: Do-not-assign override creates staff task¶

BR-030: Selection override instructions are one-time use¶

BR-031: Selection override reviewer is one-time use¶

BR-032: Rows affected must equal one¶

BR-024: No auditable period cancels audit¶

BR-025: Guidewire audits skip cancelled-billing path¶

BR-026: No coverage cancels audit¶

BR-027: Shortened coverage cancels or resyncs audit¶

BR-028: Lengthened coverage adjusts audit¶

BR-029: Coverage reinstatement with gap triggers special handling¶

BR-033: Synchronization stops after first matching change¶

BR-034: Child-policy processing skips cancelled audits¶

BR-035: NonZeroDecimalRequired (AuditSeqNum)¶

BR-036: NonZeroDecimalRequired (PolicyNumber)¶

BR-037: TextRequired¶

BR-038: RequiredAuditOffice¶

BR-039: AllowedAuditOffice¶

BR-040: ValidPolicy¶

BR-041: ValidAuditReasonCode¶

BR-042: ValidAuditStartDate¶

BR-043: ValidAuditEndDate¶

BR-044: ValidAuditAssignmentDate¶

BR-045: ValidAuditDueDate¶

BR-046: ValidAppointmentDate¶

BR-047: ValidAppointmentDateAndTime¶

BR-048: ValidWarningLetterDate¶

BR-049: ValidSubmittedDate¶

BR-050: ValidReviewDate¶

BR-051: ValidReviewStatusCode¶

BR-052: ValidCompletedDate¶

BR-053: ValidCancelReasonCode¶

BR-054: ValidSelectionCategoryGroupCode¶

BR-055: ValidAuditor¶

BR-056: ValidAuditOffice¶

BR-057: ValidUpdatableAudit¶

BR-020: Ineligible policy types cannot be audited¶

BR-021: Duplicate audits are blocked¶

BR-058: ValidTestAuditType / ValidTestAuditDifference / ValidTestAuditResult¶

BR-059: ValidAppealReasons / ValidAppealRequestDate (×2) / ValidAppealNoticeDate / ValidHearingDate¶

BR-060: ValidWCISRevision¶

BR-061: ValidWaiverFromDate / ValidWaiverToDate¶

BR-062: WarningAuditStartDate¶

BR-063: WarningComplianceNoAuditor¶

BR-022: Assignment defaults missing office¶

BR-023: Reassignment recalculates date on region change¶

BR-064: Leasing-client / State-agency / HCW policies may not have an assignment override¶

BR-065: The same auditor may not be both the "do not assign to" and the "default assignment" auditor¶

BR-066: Default auditor and do-not-assign auditor must each be valid auditors¶

BR-067: Audit event code must be valid¶

BR-068: An auditor-ZIP row requires an existing auditor, an assignable auditor, and an existing ZIP code¶

BR-069: An audit result requires an existing result code¶

BR-070: A review result requires an existing reason code, result code and reviewer ID; a new review result requires a reviewer valid for new results¶

BR-071: Selection-override select date and exclude date must each be a valid policy-period expiration date, and may not be the same date¶

BR-072: A selection test result requires a Selection Rule ID present in the PA_Selection_Rule table¶

Inherited business rules¶

From clsBusinessBase (SAIF.Framework.Core)¶

INH-001: Inherited rules manager orchestration¶

INH-002: Inherited broken-rule surfacing¶

Notes¶

Related documentation¶

Sources¶

From `clsBusinessBase` (`SAIF.Framework.Core`)¶