A large, well-established employer group is up for renewal. How is its premium most appropriately determined?
A large group is usually experience-rated: it is underwritten and priced based on the group's own past claims experience rather than the individual health of each member. The group is assessed as a whole, which lowers underwriting and administrative costs relative to individual underwriting.
Large-group pricing turns on the group's collective claims history (experience-rating), not on member-by-member medical underwriting or a fixed industry tariff.
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