Cost Estimator. 1. An online, interactive decision aid tool made available within Benefitplace, which provides the following functionality when launched from the Medical Plan Selection Page of Online Enrollment: a. Comparison of up to four (4) medical plans [up to three (3) side-by-side on screen comparisons] based upon plan attributes configured within Benefitplace, by way of example, out-of-pocket maximums, deductibles, co-insurance percentages, plan rates (the “Plan Attributes”), and typical healthcare usage (the “Utilization Data”), and cost information b. Cost estimator to calculate the estimated cost for each medical plan selected, based upon the selected Plan Attributes and Authorized User’s Utilization Data: i. The Cost Estimator estimates the Authorized User’s costs based upon benchmark healthcare cost and utilization data provided by the Medical Expenditure Panel Survey of the US Dept. of Health and Human Services (the “MEPS national averages”). Authorized Users can apply to their own expected utilization as they compare plans. The default Utilization Data is based upon expected values for a particular age and gender based upon national averages for consumer selecting private coverage in the United States. ii. The Cost Estimator defaults the Authorized User’s Utilization Data based upon healthcare utilization data as available within the Benefitplace Health Insights Software Services. iii. Authorized Users may adjust the default Utilization Data within the Cost Estimator to personalize their Utilization Data based upon their expected future healthcare utilization, such as frequency of doctor’s visits or number of prescriptions filled c. Display of estimated annual costs based upon the premium value for each medical plan, estimated out-of-pocket costs calculated by the cost estimator, Client contribution, and tax advantage accounts d. Printable version of the medical plan comparison performed by the Authorized User to include plan details and out-of- pocket cost estimates for each of medical plans being compared e. The Cost Estimator will be made available within Benefitplace during Client’s open enrollment and throughout the Client plan year to support new hires and qualified life event transactions f. Configuration changes (such as changes in variables) to Client’s plan attribute groups, for Client’s initial and subsequent open enrollment period(s) configured within Benefitplace are included at no additional cost for the term of the Order Form. Additional services not included within the scope of this Appendix C are subject to further discovery and scoping and may require additional fees.
Appears in 1 contract
Sources: Contract
Cost Estimator. 1. An online, interactive decision aid tool made available within Benefitplace, which provides the following functionality when launched from the Medical Plan Selection Page of Online Enrollment:
a. Comparison of up to four (4) medical plans [up to three (3) side-by-side on screen comparisons] based upon plan attributes configured within Benefitplace, by way of example, out-of-pocket maximums, deductibles, co-insurance percentages, plan rates (the “Plan Attributes”), and typical healthcare usage (the “Utilization Data”), and cost information
b. Cost estimator to calculate the estimated cost for each medical plan selected, based upon the selected Plan Attributes and Authorized User’s Utilization Data:Data:
i. The Cost Estimator estimates the Authorized User’s costs based upon benchmark healthcare cost and utilization data provided by the Medical Expenditure Panel Survey of the US Dept. of Health and Human Services (the “MEPS national averages”). Authorized Users can apply to their own expected utilization as they compare plans. The default Utilization Data is based upon expected values for a particular age and gender based upon national averages for consumer selecting private coverage in the United States.
ii. The Cost Estimator defaults the Authorized User’s Utilization Data based upon healthcare utilization data as available within the Benefitplace Health Insights Software Services.
iii. Authorized Users may adjust the default Utilization Data within the Cost Estimator to personalize their Utilization Data based upon their expected future healthcare utilization, such as frequency of doctor’s visits or number of prescriptions filled
c. Display of estimated annual costs based upon the premium value for each medical plan, estimated out-of-pocket costs calculated by the cost estimator, Client contribution, and tax advantage accounts
d. Printable version of the medical plan comparison performed by the Authorized User to include plan details and out-of- pocket cost estimates for each of medical plans being compared
e. The Cost Estimator will be made available within Benefitplace during Client’s open enrollment and throughout the Client plan year to support new hires and qualified life event transactions
f. Configuration changes (such as changes in variables) to Client’s plan attribute groups, for Client’s initial and subsequent open enrollment period(s) configured within Benefitplace are included at no additional cost for the term of the Order Form. Additional services not included within the scope of this Appendix C are subject to further discovery and scoping and may require additional fees.fees.
Appears in 1 contract
Sources: Privacy and Security Addendum
Cost Estimator. 1. An online, interactive decision aid tool made available within Benefitplace, which provides the following functionality when launched from the Medical Plan Selection Page of Online Enrollment:
a. Comparison of up to four (4) medical plans [up to three (3) side-by-side on screen comparisons] based upon plan attributes configured within Benefitplace, by way of example, out-of-pocket maximums, deductibles, co-insurance percentages, plan rates (the “Plan Attributes”), and typical healthcare usage (the “Utilization Data”), and cost information
b. Cost estimator to calculate the estimated cost for each medical plan selected, based upon the selected Plan Attributes and Authorized User’s Utilization Data:Data:
i. The Cost Estimator estimates the Authorized User’s costs based upon benchmark healthcare cost and utilization data provided by the Medical Expenditure Panel Survey of the US Dept. of Health and Human Services (the “MEPS national averages”). Authorized Users can apply to their own expected utilization as they compare plans. The default Utilization Data is based upon expected values for a particular age and gender based upon national averages for consumer selecting private coverage in the United States.
ii. The Cost Estimator defaults the Authorized User’s Utilization Data based upon healthcare utilization data as available within the Benefitplace Health Insights Software Services.
iii. Authorized Users may adjust the default Utilization Data within the Cost Estimator to personalize their Utilization Data based upon their expected future healthcare utilization, such as frequency of doctor’s visits or number of prescriptions filled
c. Display of estimated annual costs based upon the premium value for each medical plan, estimated out-of-pocket costs calculated by the cost estimator, Client contribution, and tax advantage accounts
d. Printable version of the medical plan comparison performed by the Authorized User to include plan details and out-of- pocket cost estimates for each of medical plans being compared
e. The Cost Estimator will be made available within Benefitplace during Client’s open enrollment and throughout the Client plan year to support new hires and qualified life event transactions
f. Configuration changes (such as changes in variables) to Client’s plan attribute groups, for Client’s initial and subsequent open enrollment period(s) configured within Benefitplace are included at no additional cost for the term of the Order Form. Additional services not included within the scope of this Appendix C are subject to further discovery and scoping and may require additional fees.fees.
Appears in 1 contract
Sources: Client Services Agreement