Fully-Insured Pricing Rules

The Fully-Insured Pricing Rules zone appears when you are viewing 360° information of a parent customer or bill group who is associated with the fully-insured group policy. If you are viewing the 360° information of a parent customer, the Fully-Insured Pricing Rules zone lists:

  • Age based or tier based pricing rules defined for the parent customer's or its bill groups' fully-insured group policy plans

  • Additional fee pricing rules defined for the parent customer

  • Additional fee pricing rules defined for the fully-insured group policies and policy plans of the parent customer and its bill groups

  • Additional fee pricing rules defined for the states where the fully-insured group policy, its policy plans, and memberships are issued

However, if you are viewing the 360° information of a bill group, the Fully-Insured Pricing Rules zone lists:

  • Age based or tier based pricing rules defined for the bill group's fully-insured group policy plans

  • Additional fee pricing rules defined for the parent customer

  • Additional fee pricing rules defined for the fully-insured group policies and policy plans of the parent customer and the bill group

  • Additional fee pricing rules defined for the states where the fully-insured group policy, its policy plans, and memberships are issued

It contains the following columns:

Column Name Column Description
Pricing Rule Type Indicates the pricing rule type using which the pricing rule is created.
Note: It has a link. On clicking the link, the Pricing Rule Type screen appears where you can view the details of the respective pricing rule type.
Pricing Rule Information Displays information about the pricing rule.
Note: It has a link. On clicking the link, the Pricing Rule screen appears where you can view the details of the respective 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 respective price item.
Pricing Level Indicates the level at which the pricing rule is defined. The valid values are:

  • Parent Customer

  • Plan

  • Policy

  • State
Entity Information Indicates the fully-insured group policy, policy plan, parent customer, or state for which the pricing rule is defined.
Start Date Displays the date from when the pricing rule is effective.
End Date Displays the date till when the pricing rule is effective.
Price List Information Indicates the price list that contains the price item pricing which is created through the pricing rule.
Note: It has a link. On clicking the link, the Price List screen appears where you can view the details of the respective price list.
Note: Pagination is used to display limited number of records in this zone. You can use the navigation links, such as Previous and Next to navigate between pages.

You can filter the list using various search criteria (such as, Price Item, Start Date, Pricing Rule Type, End Date, Status, and Pricing Level) available in the Filter area. By default, the Filter area is hidden. You can view the Filter area by clicking the Filters (The Filters Icon) icon in the upper right corner of this zone.

Related Topics

For more information on... See...
How to view the pricing rules defined for a fully-insured group policy Viewing the Pricing Rules Defined for a Fully-Insured Group Policy
How to view the pricing rules defined for a parent customer Viewing the Pricing Rules Defined for a Fully-Insured Parent Customer
How to view the pricing rules defined for a fully-insured policy plan Viewing the Pricing Rules Defined for a Fully-Insured Group Policy Plan
How to view the pricing rules defined for a state where the fully-insured group policy, its policy plan, or membership is issued Viewing the Pricing Rules Defined for the State of Issue