Hello, tmscott-ga
Well, let’s see if any of the following references will help you with
your desire to learn about experience-rating a client for group health
insurance.
First off, the Selectica eInsurance Suite eAnalysis software includes
a “sophisticated Experience Rating” component which may offer you
insight into how experience rating is calculated. In any event, the
software will do the work for you. The website, with software
specifications and contact information is located at
http://www.selectica.com/pdfs/eanalysis_3_0.pdf
The Risk Management Internet Services Resource Library has an online
tutorial that may help you, though it is geared toward Workmen’s Comp.
The tutorial is titled “ABC’s of Experience Rating” and can be found
at http://www.rmlibrary.com/db/tutorbus.htm . The site itself is a
wealth of information, but access to the library is not free. However,
rates seem extremely reasonable, with a month’s subscription costing
as little as $24 per month for the “educational rate.” Depending on
your needs, even the annual subscription does not seem out of bounds.
Subscription information is available at
http://www.rmlibrary.com/register.htm
I would also recommend that you contact the Managerial Technologies
Corporation, which sponsors the Risk Management Library. “Managerial
Technologies Corporation (MTC) is a management consulting / computer
technology firm focused on providing creative solutions to complex
business problems. By combining diverse industry knowledge with
in-depth technical expertise, the firm concentrates on producing
strategies, services and products that meet business demands to do
more with less.” They may be able to tell you an exact source, be it a
manual or software, that will help you learn experience rating. Their
contact information is on their website at
http://www.managerial.net/aboutus.php
Another source for experience-rating software, again focused on
workmen’s compensation but possibly helpful, is ModMaster 2000 from
Specific Software Solutions. A complete description of the software
can be found at http://www.specificsoftware.com/mm/modmaste.htm
A conference paper which may have some interesting tidbits for you,
titled “Risk Theory Applications to Experience Rating Group Health
Insurance,” (1999) can be read online at
http://www.soa.org/library/record/1990-99/rsa98v24n2101ts.pdf
Contacting some insurance agencies might be a good strategy as well.
Insurance companies like Midwest Life Insurance, which specializes in
small group insurance and insurance for the self-employed, may be able
to provide you with sources for software or manuals. Their website is
at http://www.midwestlife.com/
I hope this helps!
umiat-ga
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