Step 4 of the quoting process is where you're able to enter your small group's employer contribution for medical, dental, & vision products.

CONTRIBUTION PERSPECTIVE

Choose to enter the employer contribution from the Employer's perspective (default) or Employee's perspective. Click on the blue underlined perspective type to toggle between the two options.

ENTERING YOUR EMPLOYER CONTRIBUTION

The contribution type can be a percentage or fixed dollar amount per month. You can enter your contribution in three models: either on a fixed, tiered, or member basis.

After choosing your contribution model, click on the coordinating tab to add it to your proposal. Once finished, click "Update Medical Contribution" to save your changes.

To add employer contribution to ancillary products, click on the coordinating product tab and follow the same steps!

CONTRIBUTION MODELS

The FIXED contribution model should be used when your small group's employer is contributing the same amount for every member accepting coverage, regardless of member type. This means that a single employee with no dependents would receive the same contribution amount as a family with three children.

The TIERED contribution model should be used when assigning different contribution amounts for employees and their members. In this scenario, you're able to indicate different contribution amounts for each tier of coverage: an employee only, an employee with a spouse, an employee with a child, an employee with multiple children, and an employee with multiple family members.

The MEMBER contribution model is used when designating different contribution amounts for each type of member accepting coverage. In this case, employees, spouses, and dependents would all receive a different contribution amount.

*NOTE* If you'd like to use composite rates, check the "Use Composite Rates" box shown below to have your contributions made in reference to composite rates.

Buy Up & Multi-Plan Employer Contribution

1. CONTRIBUTION PERSPECTIVE

Choose to enter the employer contribution from the Employer's perspective (default) or Employee's perspective. Click on the blue underlined perspective type to toggle between the two options.

*NOTE* To learn more about the contribution models available to you, read our Employer Contribution article here.

2. SETTING THE BASE PLAN

When setting the buy-up or buy-down plan for your small group, you'll start by selecting the Option Group that contains the Buy-Up or Buy-Down plan the employer is basing their contribution on. Choose the contribution model the employer is using for the base plan and enter in a percentage or dollar amount. Click "Update Medical Contribution" when you're finished.


3. CHOOSING THE BUY UP/DOWN OPTION

Click on the remaining Option Group Tab and select "Buy-Up / Buy-Down" to bring up a drop-down menu containing a list of the plans you selected for the other option group(s) within your quote. Select the base plan from the list of options, then click "Update Medical Contribution."

Repeat this process for however many option groups you have within your quote. This process ensures that the employer contributes a set amount for each member across every option group based on the rating of a single plan, and the employee is responsible for any remaining amount.


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