Configuring the Benefit Plan Category Premium Basis

On the Benefit Plan Category lookup detail form, there is a Premium Basis drop-down field which is used to classify plans by premium basis. The following field values are available in the field:

  • Per $10,000 of coverage

  • Per $1,000 of salary

  • Per employee per month

Setting "Per $10,000 of coverage" or "Per $1,000 of salary" as the Premium Basis identifies the plan as a supplemental plan that does not use tier-based pricing and causes columns and fields useful for tier-based plans only to be hidden. Setting "Per employee per month" as the Premium Basis identifies the plan as a plan that uses tier-based pricing and displays all columns and fields.

Assigning a Premium Basis

To assign a Premium Basis:

  1. Go to System Admin > Lookups > Manage Groups. The Lookup Groups dashboard opens.

  2. Search for "Benefit Plan Category".

  3. On the Lookup Group Details window, click Lookup Values.

    The Lookups dashboard displays and is pre-filtered to the Group.

  4. Open each record and assign a Premium Basis, making sure to Save your changes on each record.

    In the examples below, you see that a Life Plan (which does not have tier-based pricing) has been assigned "Per $1,000 of salary" while the tier-based Health plan has been assigned "Per employee per month".

Impact in BPM

Once the Premium Basis settings are in place, you will see the following in BPM:

  • On the Group Summary > Summary tab, a new field label displays next to the Plan Type. Also, if the assigned Premium Basis is not PEPM, the Total Premium column displays "N/A".

  • On the Selection Summary page, a Premium Basis column has been added which displays the Premium Basis assignments for each plan.

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