Age Based Pricing Rule

The Age Based Pricing Rule zone displays the details of the age based pricing rule for the fully-insured group and individual customers (who is a parent customer, bill group, or a bill group's account) using a pricing group. It contains the following sections:

  • Pricing Information - Displays basic details about the fully-insured age based pricing rule. It contains the following fields:

    Column Name Column Description
    Plan Number Displays the plan number.
    Plan Name Displays the plan name.
    Plan Start Date Displays the date from when the plan is effective.
    Plan End Date Displays the date till when the plan rule is effective.
    Policy Information Displays the policy information.
    Note:

    It has a link. On clicking the link, the Policy screen appears where you can view the details of the policy.
    Pricing Rule Type Indicates the type of the pricing rule.
    Price Item Information Indicates the price item for which the pricing rule is created.
    Note: It has a link. On clicking the link, the Price Item screen appears where you can view the details of the price item.
    Pricing Start Date Displays the date from when the pricing rule is effective.
    Pricing End Date Displays the date till when the pricing rule is effective.
    Rate Option Indicates the rate option which is used while defining the pricing for the price item.
    Modifier Applicability Indicates modifier based on which additional fee or discount is offered to an eligible member.
    Modifier Method Indicates the method used when modifier applicability option is selected.

  • Pricing Parameters - Displays the pricing parameter information for a fully-insured age based pricing rule. It contains the following fields:

    Column Name Column Description
    Pricing Parameters Displays the pricing and parameter details for a fully-insured age based pricing rule. It contains the following columns:
    Column Name Column Description
    Price Item Parameter Displays the parameter using which an age based eligibility criteria is defined.
    Parameter Description Displays the description of the price item parameter.
    Parameter Value Displays the value of the parameter.
    Parameter Value Description Displays the description of the value, defined as a parameter.
    Base Fee Displays the fee applicable on the age limit and attributes of an eligible member.

  • Modifier Information - Displays the modifiers based on which additional charges or discount is offered to an eligible member in a fully-insured age based pricing rule. It contains the following fields:

    Column Name Column Description
    Modifier Type Displays the type of modifier based on which you want to charge additional or offer discount to an eligible member.
    Modifier Type Description Displays the description of the modifier.
    Modifier Value Displays the value of the modifier.
    Modifier Value Description Displays the description of the modifier value.
    Modifier Fee Displays the amount charged or discount offered to an eligible member.

  • Characteristics - Lists the characteristics defined for the fully-insured age based pricing rule. It contains the following columns:

    Column Name Column Description
    Effective Date Displays the date from when the characteristic is effective for a fully-insured age based pricing rule.
    Characteristic Type Indicates the characteristic type.
    Characteristic Value Displays the value of the characteristic type.