What premium types are
When you set up a plan in BerniePortal or submit a buildout request, you choose a premium type. The premium type controls how rates are entered for the plan and how those rates are applied to each enrollee — for example, whether every enrollee in a coverage tier pays the same rate or whether the rate changes by age.
Four premium types are available: Composite, Age Banded, Age Banded (Three Table), and Age Banded Multiperson. Which of these you can choose from depends on the benefit type — most flat-rate ancillary benefits, like Dental and Vision, only use Composite, while Health plans can use any of the four.
Composite
Composite rates are a flat dollar amount for each coverage tier (Employee Only, Employee + Spouse, Employee + Child(ren), Employee + Family), regardless of the employee's or a dependent's age. Every enrollee in the same coverage tier pays the same premium.
Age Banded
Age Banded premiums come from a single age-band table. Each band covers a range of ages (for example, 0–14, 15–15, 16–16, and so on), and BerniePortal applies that same set of age bands to the employee and every covered dependent.
This premium type also supports an optional dependent limit: a cap on how many dependents can be charged a premium, up to a set age.
Age Banded (Three Table)
Age Banded (Three Table) uses separate age-band tables for the Employee and the Spouse, each with its own set of age bands and premiums. Child premiums are entered by Number of Children instead of an age band. This premium type is only available for Health plans.
Age Banded Multiperson
Age Banded Multiperson combines coverage tiers with age bands: each coverage tier (Employee Only, Employee + Spouse, and so on) gets its own column of premiums for every age band, so both the enrollee's age and the coverage tier they choose determine the rate.
Related Articles
Understanding the Benefits Subgroups Area
What benefit subgroups are Benefit subgroups let employers offer different benefits and contributions to different sets of employees. For example, full-time employees might receive a different benefit package than part-time employees. In ...
What types of expenses can be reimbursed through an ICHRA?
What types of expenses can be reimbursed through an ICHRA? The primary purpose of an ICHRA is to reimburse employees for individual health insurance premiums, but employers can choose to allow reimbursement for other qualified medical expenses as ...
Understanding Current Offer vs. Upcoming Offer vs. Prior Offer and the Offer Overview Area
About these offers Each benefit subgroup has three offer areas: Prior Offer, Current Offer, and Upcoming Offer. Together they show which plans are available for enrollment now, which plans are staged for open enrollment, and which plans applied ...
How to Edit an Existing Plan
Edit an existing plan’s settings and premiums from the plan library. If you change premiums on a plan that is already attached to a subgroup offer, you must also save that offer so the new rates apply. Who can edit a plan Employers with Benefits ...
How does an ICHRA differ from a traditional group health plan?
How does an ICHRA differ from a traditional group health plan? While both ICHRAs and traditional group health plans are employer-sponsored health benefits, they differ significantly in structure, administration, and how employees experience their ...