POST v1/api/CreateRulebaseCase?caseId={caseId}
Create Rulebase case getting first group of questions
Request Information
URI Parameters
| Name | Description | Type | Additional information |
|---|---|---|---|
| caseId |
(optional - but recommended) a unique identifier to both group calls, and to tie a case to an Agency. |
string |
None. |
Body Parameters
RulebaseCaseRequestDto| Name | Description | Type | Additional information |
|---|---|---|---|
| RulebaseId | string |
None. |
|
| RulebaseIssueState | StateCodeEnum |
None. |
|
| PlanId | string |
None. |
|
| ClassId | string |
None. |
|
| GroupId | integer |
None. |
|
| PlatformId | string |
None. |
|
| AgencyId | string |
None. |
Request Formats
application/json
Sample:
REQUEST
{
"RulebaseId":"FinalExpense",
"RulebaseIssueState":"Florida",
"PlanId":null,
"ClassId":null,
"GroupId":null,
"PlatformId":null,
"AgencyId":null
}
application/xml
Sample:
REQUEST
<RulebaseCaseRequestDto xmlns="http://schemas.datacontract.org/2004/07/SAM.BusinessDto.Platform.Request" xmlns:i="http://www.w3.org/2001/XMLSchema-instance">
<AgencyId i:nil="true"/>
<ClassId i:nil="true"/>
<GroupId i:nil="true"/>
<PlanId i:nil="true"/>
<PlatformId i:nil="true"/>
<RulebaseId>FinalExpense</RulebaseId>
<RulebaseIssueState>Florida</RulebaseIssueState>
</RulebaseCaseRequestDto>
Response Information
Resource Description
RuleEngineQuestionResponseDto| Name | Description | Type | Additional information |
|---|---|---|---|
| CaseId | string |
None. |
|
| RulebaseId | string |
None. |
|
| RulebaseIssueState | StateCodeEnum |
None. |
|
| PlanId | string |
None. |
|
| ClassId | string |
None. |
|
| Decision | string |
None. |
|
| DecisionText | string |
None. |
|
| TotalPages | integer |
None. |
|
| TotalQuestions | integer |
None. |
|
| RuleEngineData | Collection of RuleEngineQuestionDto |
None. |
Response Formats
application/json
Sample:
RESPONSE
{
"CaseId": "hivmo3935k",
"RulebaseId": "FINALEXPENSE",
"RulebaseIssueState": "Florida",
"PlanId": "FELD01",
"ClassId": "NONE",
"Decision": null,
"DecisionText": null,
"TotalPages": 3,
"TotalQuestions": 29,
"RuleEngineData": [
{
"EffectiveDate": "2020-10-16T00:00:00",
"GroupId": 1,
"QuestionId": 0,
"LayoutQuestionIds": "",
"Label": "The following pages include a Medical Information section. Your answers to these questions will determine your eligibilty for your initial Benefit Amount and any additional riders.<br/><br/><strong>Need help?</strong> Call us at <a href='tel:1-866-282-7254'>866-282-7254</a>",
"Field": "Header01",
"DefaultValue": "",
"Answer": "",
"Required": false,
"RequiredMsg": "",
"ControlType": "Label",
"Order": 0,
"ReadOnly": true,
"ControlOptions": [],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 1,
"LayoutQuestionIds": "1, 2",
"Label": "Your Height",
"Field": "HEIGHT",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Dropdown",
"Order": 0,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "4' 8''",
"CtrlOptionValue": "4_8"
},
{
"CtrlOptionKey": "4' 9''",
"CtrlOptionValue": "4_9"
},
{
"CtrlOptionKey": "4' 10''",
"CtrlOptionValue": "4_10"
},
{
"CtrlOptionKey": "4' 11''",
"CtrlOptionValue": "4_11"
},
{
"CtrlOptionKey": "5' 0''",
"CtrlOptionValue": "5_0"
},
{
"CtrlOptionKey": "5' 1''",
"CtrlOptionValue": "5_1"
},
{
"CtrlOptionKey": "5' 2''",
"CtrlOptionValue": "5_2"
},
{
"CtrlOptionKey": "5' 3''",
"CtrlOptionValue": "5_3"
},
{
"CtrlOptionKey": "5' 4''",
"CtrlOptionValue": "5_4"
},
{
"CtrlOptionKey": "5' 5''",
"CtrlOptionValue": "5_5"
},
{
"CtrlOptionKey": "5' 6''",
"CtrlOptionValue": "5_6"
},
{
"CtrlOptionKey": "5' 7''",
"CtrlOptionValue": "5_7"
},
{
"CtrlOptionKey": "5' 8''",
"CtrlOptionValue": "5_8"
},
{
"CtrlOptionKey": "5' 9''",
"CtrlOptionValue": "5_9"
},
{
"CtrlOptionKey": "5' 10''",
"CtrlOptionValue": "5_10"
},
{
"CtrlOptionKey": "5' 11''",
"CtrlOptionValue": "5_11"
},
{
"CtrlOptionKey": "6' 0''",
"CtrlOptionValue": "6_0"
},
{
"CtrlOptionKey": "6' 1''",
"CtrlOptionValue": "6_1"
},
{
"CtrlOptionKey": "6' 2''",
"CtrlOptionValue": "6_2"
},
{
"CtrlOptionKey": "6' 3''",
"CtrlOptionValue": "6_3"
},
{
"CtrlOptionKey": "6' 4''",
"CtrlOptionValue": "6_4"
},
{
"CtrlOptionKey": "6' 5''",
"CtrlOptionValue": "6_5"
},
{
"CtrlOptionKey": "6' 6''",
"CtrlOptionValue": "6_6"
},
{
"CtrlOptionKey": "6' 7''",
"CtrlOptionValue": "6_7"
},
{
"CtrlOptionKey": "6' 8''",
"CtrlOptionValue": "6_8"
},
{
"CtrlOptionKey": "6' 9''",
"CtrlOptionValue": "6_9"
},
{
"CtrlOptionKey": "6' 10''",
"CtrlOptionValue": "6_10"
},
{
"CtrlOptionKey": "6' 11''",
"CtrlOptionValue": "6_11"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 2,
"LayoutQuestionIds": "1, 2",
"Label": "Your Weight",
"Field": "WEIGHT",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Text",
"Order": 0,
"ReadOnly": false,
"ControlOptions": [],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 3,
"LayoutQuestionIds": "",
"Label": "A 'Yes' or 'No' button must be selected for <b>every question</b> below before you can continue. Please read each question carefully.",
"Field": "LABEL01",
"DefaultValue": "",
"Answer": "",
"Required": false,
"RequiredMsg": "",
"ControlType": "Label",
"Order": 0,
"ReadOnly": false,
"ControlOptions": [],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 4,
"LayoutQuestionIds": "",
"Label": "<b>Are you currently, or in the last 6 months have you been:</b> <list><li>Confined to a hospital (other than for childbirth),</li><li>Bedridden, <b>or</b></li><li>Diagnosed by a licensed medical professional as having a terminal medical condition that is expected to result in death within the next twelve (12) months?</li></list>",
"Field": "MED01",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 1,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 5,
"LayoutQuestionIds": "",
"Label": "<b>In the last 5 years, have you received home health care/assisted living care, or been confined to a:</b><list><li>prison/correctional facility,</li><li>nursing home, <b>or</b></li><li>psychiatric facility?</li></list>",
"Field": "MED02",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 2,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 6,
"LayoutQuestionIds": "",
"Label": "<b>Have you ever been tested positive for exposure to the HIV infection HIV antibodies in a test taken for the purpose of obtaining insurance or whether the applicant has been diagnosed by a physician as having ARC or AIDS caused by the HIV infection or other sickness or condition derived from such infection?</b>",
"Field": "MED03",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 3,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 7,
"LayoutQuestionIds": "",
"Label": "<b>In the past 2 years, has a licensed medical professional advised you to have any tests (excluding those related to the AIDS virus), surgery or hospitalization which have not been received or completed?</b>",
"Field": "MED04",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 4,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 8,
"LayoutQuestionIds": "",
"Label": "<b>Has a licensed medical professional ever advised you to have an organ transplant, or diagnosed you with, or given you treatment for:</b> <list><li>Amyotrophic Lateral Sclerosis,</li><li>Cirrhosis of the Liver,</li><li>Dementia <b>or</b></li><li>Alzheimer's disease?</li></list>",
"Field": "MED05",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 5,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 9,
"LayoutQuestionIds": "",
"Label": "<b>Are you currently diagnosed with, or receiving treatment by a licensed medical professional for, any type of Cancer except for Basal or Squamous Cell Carcinoma?</b>",
"Field": "MED06",
"DefaultValue": "",
"Answer": "",
"Required": true,
"RequiredMsg": "",
"ControlType": "Radio",
"Order": 6,
"ReadOnly": false,
"ControlOptions": [
{
"CtrlOptionKey": "Yes",
"CtrlOptionValue": "Y"
},
{
"CtrlOptionKey": "No",
"CtrlOptionValue": "N"
}
],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
},
{
"EffectiveDate": "2019-01-01T00:00:00",
"GroupId": 1,
"QuestionId": 10,
"LayoutQuestionIds": "",
"Label": "<b>Please note:</b> once submitted, your answers cannot be changed.",
"Field": "Label02",
"DefaultValue": "",
"Answer": "",
"Required": false,
"RequiredMsg": "",
"ControlType": "Label",
"Order": 0,
"ReadOnly": true,
"ControlOptions": [],
"ReflectiveExpression": "",
"ReflectiveQuestion": [],
"Decision": ""
}
]
}
application/xml
Sample:
RESPONSE
<RuleEngineQuestionResponseDto xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/SAM.BusinessDto.Platform.Response">
<CaseId>3pixrnfc0t</CaseId>
<ClassId>NONE</ClassId>
<Decision i:nil="true" />
<DecisionText i:nil="true" />
<PlanId>FELD01</PlanId>
<RuleEngineData>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions />
<ControlType>Label</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2020-10-16T00:00:00</EffectiveDate>
<Field>Header01</Field>
<GroupId>1</GroupId>
<Label>The following pages include a Medical Information section. Your answers to these questions will determine your eligibilty for your initial Benefit Amount and any additional riders.<br/><br/><strong>Need help?</strong> Call us at <a href=&apos;tel:1-866-282-7254&apos;>866-282-7254</a></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>0</Order>
<QuestionId>0</QuestionId>
<ReadOnly>true</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>false</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>4' 8''</CtrlOptionKey>
<CtrlOptionValue>4_8</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>4' 9''</CtrlOptionKey>
<CtrlOptionValue>4_9</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>4' 10''</CtrlOptionKey>
<CtrlOptionValue>4_10</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>4' 11''</CtrlOptionKey>
<CtrlOptionValue>4_11</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 0''</CtrlOptionKey>
<CtrlOptionValue>5_0</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 1''</CtrlOptionKey>
<CtrlOptionValue>5_1</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 2''</CtrlOptionKey>
<CtrlOptionValue>5_2</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 3''</CtrlOptionKey>
<CtrlOptionValue>5_3</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 4''</CtrlOptionKey>
<CtrlOptionValue>5_4</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 5''</CtrlOptionKey>
<CtrlOptionValue>5_5</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 6''</CtrlOptionKey>
<CtrlOptionValue>5_6</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 7''</CtrlOptionKey>
<CtrlOptionValue>5_7</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 8''</CtrlOptionKey>
<CtrlOptionValue>5_8</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 9''</CtrlOptionKey>
<CtrlOptionValue>5_9</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 10''</CtrlOptionKey>
<CtrlOptionValue>5_10</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>5' 11''</CtrlOptionKey>
<CtrlOptionValue>5_11</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 0''</CtrlOptionKey>
<CtrlOptionValue>6_0</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 1''</CtrlOptionKey>
<CtrlOptionValue>6_1</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 2''</CtrlOptionKey>
<CtrlOptionValue>6_2</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 3''</CtrlOptionKey>
<CtrlOptionValue>6_3</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 4''</CtrlOptionKey>
<CtrlOptionValue>6_4</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 5''</CtrlOptionKey>
<CtrlOptionValue>6_5</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 6''</CtrlOptionKey>
<CtrlOptionValue>6_6</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 7''</CtrlOptionKey>
<CtrlOptionValue>6_7</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 8''</CtrlOptionKey>
<CtrlOptionValue>6_8</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 9''</CtrlOptionKey>
<CtrlOptionValue>6_9</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 10''</CtrlOptionKey>
<CtrlOptionValue>6_10</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>6' 11''</CtrlOptionKey>
<CtrlOptionValue>6_11</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Dropdown</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>HEIGHT</Field>
<GroupId>1</GroupId>
<Label>Your Height</Label>
<LayoutQuestionIds>1, 2</LayoutQuestionIds>
<Order>0</Order>
<QuestionId>1</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions />
<ControlType>Text</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>WEIGHT</Field>
<GroupId>1</GroupId>
<Label>Your Weight</Label>
<LayoutQuestionIds>1, 2</LayoutQuestionIds>
<Order>0</Order>
<QuestionId>2</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions />
<ControlType>Label</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>LABEL01</Field>
<GroupId>1</GroupId>
<Label>A &apos;Yes&apos; or &apos;No&apos; button must be selected for <b>every question</b> below before you can continue. Please read each question carefully.</Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>0</Order>
<QuestionId>3</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>false</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED01</Field>
<GroupId>1</GroupId>
<Label><b>Are you currently, or in the last 6 months have you been:</b> <list><li>Confined to a hospital (other than for childbirth),</li><li>Bedridden, <b>or</b></li><li>Diagnosed by a licensed medical professional as having a terminal medical condition that is expected to result in death within the next twelve (12) months?</li></list></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>1</Order>
<QuestionId>4</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED02</Field>
<GroupId>1</GroupId>
<Label><b>In the last 5 years, have you received home health care/assisted living care, or been confined to a:</b><list><li>prison/correctional facility,</li><li>nursing home, <b>or</b></li><li>psychiatric facility?</li></list></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>2</Order>
<QuestionId>5</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED03</Field>
<GroupId>1</GroupId>
<Label><b>Have you ever been tested positive for exposure to the HIV infection HIV antibodies in a test taken for the purpose of obtaining insurance or whether the applicant has been diagnosed by a physician as having ARC or AIDS caused by the HIV infection or other sickness or condition derived from such infection?</b></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>3</Order>
<QuestionId>6</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED04</Field>
<GroupId>1</GroupId>
<Label><b>In the past 2 years, has a licensed medical professional advised you to have any tests (excluding those related to the AIDS virus), surgery or hospitalization which have not been received or completed?</b></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>4</Order>
<QuestionId>7</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED05</Field>
<GroupId>1</GroupId>
<Label><b>Has a licensed medical professional ever advised you to have an organ transplant, or diagnosed you with, or given you treatment for:</b> <list><li>Amyotrophic Lateral Sclerosis,</li><li>Cirrhosis of the Liver,</li><li>Dementia <b>or</b></li><li>Alzheimer&apos;s disease?</li></list></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>5</Order>
<QuestionId>8</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>Yes</CtrlOptionKey>
<CtrlOptionValue>Y</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
<RuleEngineCtrlOptionDto>
<CtrlOptionKey>No</CtrlOptionKey>
<CtrlOptionValue>N</CtrlOptionValue>
</RuleEngineCtrlOptionDto>
</ControlOptions>
<ControlType>Radio</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>MED06</Field>
<GroupId>1</GroupId>
<Label><b>Are you currently diagnosed with, or receiving treatment by a licensed medical professional for, any type of Cancer except for Basal or Squamous Cell Carcinoma?</b></Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>6</Order>
<QuestionId>9</QuestionId>
<ReadOnly>false</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>true</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
<RuleEngineQuestionDto>
<Answer></Answer>
<ControlOptions />
<ControlType>Label</ControlType>
<Decision></Decision>
<DefaultValue></DefaultValue>
<EffectiveDate>2019-01-01T00:00:00</EffectiveDate>
<Field>Label02</Field>
<GroupId>1</GroupId>
<Label><b>Please note:</b> once submitted, your answers cannot be changed.</Label>
<LayoutQuestionIds></LayoutQuestionIds>
<Order>0</Order>
<QuestionId>10</QuestionId>
<ReadOnly>true</ReadOnly>
<ReflectiveExpression></ReflectiveExpression>
<ReflectiveQuestion />
<Required>false</Required>
<RequiredMsg></RequiredMsg>
</RuleEngineQuestionDto>
</RuleEngineData>
<RulebaseId>FINALEXPENSE</RulebaseId>
<RulebaseIssueState>Florida</RulebaseIssueState>
<TotalPages>3</TotalPages>
<TotalQuestions>29</TotalQuestions>
</RuleEngineQuestionResponseDto>