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For Underwriters,
Actuaries, Etc. From HMOs, Blue Cross Blue Shield Plans, And Other
Health Insurance Companies:
Experience-rated
"Large Group" business is the only segment of our business that
is not burdened by legislation and industry-wide underpricing. If
success is not achieved in the large group market, it is practically
certain that there are problems with the experience rating formula.
This outstanding
seminar provides you with in-depth knowledge of every aspect of
prospective experience rating (i.e., HMOs refer to this as "adjusted
community rating") which will enable you to dramatically improve
your company's experience rating formula. Having a sound and comprehensive
experience rating formula will ensure that your company will achieve
solid profitability AND reasonable enrollment growth regarding its
"Large Group" business. Your company will attract and retain "Large
Groups" with above-average claims experience, and will appropriately
price those "Large Groups" that have below-average claims experience.
For Sales
Professionals, Brokers, & Consultants:
In order to
comprehensively and professionally explain how an experience-rated
group's renewal rates were determined, what's driving the group's
rate increase, and what modifications/strategies are required to
better control costs, it's imperative that you fully understand
the experience rating process.
Having an in
depth knowledge of experience rating will also enable you to identify
those occasional groups whose renewal rates seem inappropriate for
a specific reason or reasons. Challenging the renewal rates for
these groups is appropriate. If you can explain precisely why you
feel the group in question should get a rate adjustment, and your
argument is logical and based on facts, it's likely that the group
will receive reduced renewal rates.
All Insurance
Professionals:
Underwriters,
actuaries, brokers, sales professionals, and consultants ALL have
a vested interest in groups receiving the most equitable rates possible.
This training
program is an intermediate/advanced level program intended for Underwriting/Rating
personnel, Health Actuaries, Brokers, Sales Professionals, &
Consultants.
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