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The Modified Community Rating, or MCR guidelines, set by the Patient Protection and Affordable Care Act (PPACA), actually adversely controls health insurance premium rates for all average to healthy businesses of 50 employees or fewer, and by 2016, MCR guidelines will be effective for all businesses with 100 or fewer employees.

How MCR Affects Premiums:

• What MCR does is set premium costs based on criteria such as family size, geographical location, age and tobacco use.

• The result for businesses with fewer than 100 employees, with traditionally higher than average premiums and claims, will see decreases in rates.

• However, those with average to lower than average premiums and claims will see moderate to sharp increases in their health insurance premiums.

How to Avoid Premium Shifts Caused by MCR:

• If you have more than 50 employees, the simplest way to avoid premium increases caused by MCR guidelines is to convert your healthcare plan to a partially self-funded healthcare plan.

• Partially Self-insured healthcare plans offer numerous options and can save your organization a substantial amount of money and build reserves, as long as the plan is implemented in a manner that limits your risk.

That is where GBS can help. GBS will assemble a specialized team of experts to assist your organization in successfully converting from a traditional fully-insured healthcare plan to a partially self-funded healthcare program.

To learn more,
request a proposal or watch this short video.
Posted 9:00 AM  View Comments

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