Overview
After Carrier products and pricing are obtained for a medically underwritten quote or enrollment is unlocked for ACA from the Employer Hub, the Assign Products process can begin.
See this section of the article for more on how to use the ACA Rate Table when assigning plans.
Note: If the Enrollment was created from a Proposal, products will automatically load into the Manage Products step based on the Proposal's effective date. This automatic load happens once. You are still responsible for reviewing the pricing and employer contributions.
IN THIS ARTICLE
Select a Product
To access product management for an Employer:
- Go to the Employer Listing.
-
- Locate your client and select the ‘Edit’ button to access the Employer Hub.
-
- In the Employer Hub, select the ‘Enrollment’ link to access the Enrollment Listing.
-
NOTE: To access, the Employer must have enrollment unlocked. Enrollment can be unlocked on Step 3 of a Proposal when MHQ (Medical Health Questionnaire) is enabled or from the Employer Hub.
- In the Enrollment Listing, you can either add a new Enrollment or edit an existing one that is still open to open the Enrollment Hub.
- For this example, we’ll edit an existing Enrollment.
- In the Enrollment Hub, select the ‘Manage Plans’ link to view and assign plans to the Employer.
To add a new product, select the ‘Assign Product’ link. Any products that have already been loaded will show in this space.
Use any of the filters to find the desired product. Review the dropdown menu in case there are multiple prescription options.
Choose the products you want by checking the box in their row. If the Employer is using Employee Classes, select one or more classes for each chosen product. Products are assigned to everyone by default if you do not choose classes. You can assign the same product to multiple Employee Classes when needed.
When you’re done picking products, select the Assign Products button to return to the Manage Products page, and enter Pricing Structures.
Enter Pricing Structure
Assign Pricing
On the Manage Products page, select the dollar icon in the Pricing column next to the product you want to set pricing for. This will take you to the Assign Pricing page.
On the Assign Pricing page, flip the switch to choose Age Banded or Composite. If the product is assigned to an Employee Class, the class name displays next to the product name. If you assign the same product to more than one class, you will need to complete pricing for each class.
Age Banded
If you’re doing Age Banded, you will need to choose to use either the ACA Rate Table or Custom Rate Table.
ACA Rate Table
If you're using the ACA Rate Table, start by setting the Base Rate. Then, select the Load Rates button. If you selected the Include Tobacco Rates checkbox, enter the tobacco rates as well (optional, if applicable) after the rate table loads.
When finished, select the Save & Continue button to proceed and enter Employer Contributions. Repeat this process for every product.
Custom Rate Table
If you're using a Custom Rate Table, enter the Start Age, Increment, and End Age. To include sex-based rates, tobacco rates, or to use only the employee's age, enable the applicable settings.
If you enable sex-based rates, you must enter rates for both male and female for both the quote rate and tobacco rate.
When finished, select the Save & Continue button to proceed and enter Employer Contributions. Repeat this process for every product.
Composite Pricing Tiers
If you’re doing Composite, you will need to choose the Tier Structure. Here are your options:
Eight Tier
Four Tier
One Tier
Three Tier
Two Tier
Then, enter the monthly rates for each tier.
When finished, select the Save & Continue button to proceed and enter Employer Contributions. Repeat this process for every product.
Enter Employer Contributions
You can access Employer Contributions in two ways. For steps from the Assign Pricing page, see the Assign Pricing section.
Alternatively, once pricing is added to a product, the dollar icon in the Pricing column on the Manage Products page will turn green, and the hand icon in the ER Contrib column will turn red, indicating it's ready for contributions. Select the hand icon to open the product’s Employer Contribution page.
On the Assign Employer Contribution page, flip the Contribution Type switch to choose Dollar Amount or Percentage. If the product is assigned to an Employee Class, the class name displays next to the product name. If the same product is assigned to multiple classes, you will need to enter contributions for each class separately.
Then, enter the dollar amounts or percentages for each based on Contribution Type.
- Dollar Amount
- Percentage
If Composite was selected in the product pricing, the Contribution Structure will automatically mirror the pricing’s composite structure. If Age Banded was selected, you will need to manually choose a Contribution Structure.
When finished, select the Save & Continue button to return to the Manage Products page. After adding Employer Contributions, the hand icon in the ER Contrib column on the Manage Products page will turn green.