Premium Tiers

A premium tier is a re-usable look-up table for policy enrollment structures or "risk profiles" to support premium calculation per policy rather than premium calculation per member.

A premium tier has the following fields:

Field	Description
Code	The code of the premium tier
Display Name	The display name of the premium tier
Equation Type	Specifies the number of enrollments comparison. Possible values are: Exactly At least No more than
Number of Enrollments	The total number of enrolled persons or objects on a policy in relation to the equation type

Field

Description

Code

The code of the premium tier

Display Name

The display name of the premium tier

Equation Type

Specifies the number of enrollments comparison. Possible values are:

Exactly
At least
No more than

Number of Enrollments

The total number of enrolled persons or objects on a policy in relation to the equation type

A premium tier only specifies the total number of enrolled persons or objects on a policy. A tier can be specified in more detail by setting up 'premium tier types' that specify which enrollments types must (not) be part of the tier:

Field	Description
Enrollment Type	Reference to an enrollment type
Equation Type	Specifies the number of enrollments comparison. Possible values are: Exactly At least No more than
Number of Types	The total number of enrolled persons or objects of an enrollment type on a policy in relation to the equation type

Field

Description

Enrollment Type

Reference to an enrollment type

Equation Type

Specifies the number of enrollments comparison. Possible values are:

Exactly
At least
No more than

Number of Types

The total number of enrolled persons or objects of an enrollment type on a policy in relation to the equation type