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Old 06-20-2019, 06:05 PM
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DataDan DataDan is offline
Join Date: Feb 2012
Location: East Coast US
Posts: 3,708

for anyone taking this after they added the 'manual rate' to the EOM, I assumed that the manual rate was already trended to the rating period and was based on the highest plan (p0005). so I adj the manual rate from P0005->P0001 using the benefit factors from Data1 tab (adj= .85/1.15). Then adj for the copay factor as well.

I would bet you could assume the manual rate is based on the P0002 plan as long as you disclose it in your solution. I think I read in the module that manual rate should be based on the richest plan, so i went with that.

if you assume its based on the P0005 plan, your final manual rate should be 193. if you assume its based on the P0002 plan, should get 222. Just make sure to specify your assumption in the solution.

also I have no clue what they are asking in the "calculate a formula premium rate" question at the end of the task.

Thanks for other posters for method advise over the years.

Last edited by DataDan; 06-20-2019 at 06:11 PM..
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Old 09-08-2019, 12:58 PM
Mathdube2 Mathdube2 is offline
Join Date: Oct 2018
Posts: 40


Someone else got REHB and specialty drug on Data1-BenefitDesigns but not on Data3-HMO HighOptionCostModel.
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