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10% experience related?


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Guest wildcat
Posted

We have received the basic information from one of our insurance providers to complete Schecule A of the 5500 for our welfare benefit account. When I asked if it was experience related or not, I was told our plan was "10% experienced". When I then asked for the detailed information to complete the section for experienced-related plans, they told me they provided the only information they were required to. Does this make sense?

Thanks!

  • 2 years later...
Posted

I know this question is 2 years old, but I'd also like to know the answer. To me, I don't think there are guidelines for this, and the % experienced could certainly be much higher. I'm guessing it is that % that is used as a guideline for whether to provide the experienced or non-experienced information, and that only one or the other is provided, but I don't know.

Another question I have is - what if the policy provides multiple types of benefits, and it turns out that pricing for one of the benefits is based on experienced-rating and for another benefit non-experienced. Would there be info provided for both sections of the Schedule A? Two Schedule A's for the same group?

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