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Community Rated Quoting - Key Details

 

Setting up a community-rated medical quote requires specific details to ensure accuracy and precision. These details help us provide the most relevant rates based on the employer's location, industry, and timeline. In this guide, we’ll outline the critical information needed, highlight key steps in the process, and explain how timing plays a crucial role in securing accurate quotes. Let’s get started!

When setting up a community-rated medical quote, we need a few critical details to ensure we pull the correct rates:

  • Are you looking at community-rated medical plans for this employer?
    • If Yes , we need more details to get the right quotes.
    • If No , you can skip this section.

 

  • Does the employer currently have community-rated plans?
    • If Yes , provide the effective date of the current plan.
    • This helps us retrieve past rates and compare them to future quotes.
    • Example : If quoting for Jan 1, 2026 the current effective date is Jan 1, 2025

 

  • Key Information Needed for Accurate Quotes:
    • Employer Address - Determines the rating area, which impact rates.
    • SIC Codes - Selected from a dropdown, this classifies the employer industry.
    • National Producer Number (NPN) - Required for validation with United HealthCare and to pull quotes.

 

Timing Matters:

Rates change quarterly, so we need precise current and future effective dates to pull the right rates.

Providing this information ensures you received the most accurate quotes based on the employer's location, industry, and renewal timeline.