4

Create a Competitive Analysis

You cannot create a competitive analysis on issued or sold scenarios.

4.1

Search the desired medical stop loss quote.

4.2

Click the desired quote to display its profile.

4.3

Click the Medical Stop Loss button to display the quote scenarios.

4.4

Click the desired scenario to display its scenario page.

4.5

Click Competitive Analysis.

4.6

Click Comp to display the Comp Analysis window.

4.7

Create the comparison profile as follows

Type of Comparative
Check the box next to the type of comparison you are creating.
Stop Loss Carrier / MGU
Click the button and specify the stop loss carrier or MGU from the Company window.
Description
Enter a brief description for the comparison.
4.8

If the comparison includes specific coverage, specify coverage details as follows

Coverage

Check the box by each type of specific coverage offered. If the specific coverage is not listed, check the last box and manually enter the specific coverage type in the field.

Simultaneous (Advance) Reimbursement

Check Yes if simultaneous reimbursement is allowed. Otherwise check No.

Contract Type

Specify the type of contract using this drop-down list.

Annual Deductible Per Person

Per person annual deductible amount goes here.

Run-In Limit

Put the run in limit amount here.

Maximum Coverage Limit

Specify the maximum coverage limit by checking the corresponding box as follows

Unlimited

There is no maximum coverage limit.

Contract Year

Maximum coverage limit is tracked by contract year. If you check this box, enter the coverage limit amount in the field below the check boxes.

Calendar Year

Maximum coverage limit is tracked by calendar year. If you check this box, enter the coverage limit amount in the field below the check boxes.

Family Specific Deductible

Check Yes if deductible is family specific. Otherwise check No.

Reimbursement Percentage

Enter the reimbursement percentage here.

Terminal Liability Provision

Specify the provision for terminal liability from the drop-down list.

Aggregating Specific

If aggregating specific, check Yes and enter the amount in the Additional Liability field. Otherwise check No.

Additional Liability

If you checked Yes for Aggregating Specific, enter the additional liability amount here.

Additional Laser Liability

Enter any additional laser liability here.

Split Funding

Check Yes if split funding is allowed. Otherwise check No.

Corridor

Enter any corridor percentage here.

Additional Liability

Enter any additional liability amount here.

Commissions

Enter any percent commission amounts here.

4.9

If the comparison includes aggregate coverage, specify coverage details as follows

Coverage
Check the box by each type of aggregate coverage offered. If the coverage is not listed, check the last box and manually enter the specific coverage type in the field.
Aggregate Medical Factors Include
Check the box by each item you want to include as part of the medical aggregate factor. Leave the box clear to have the item use its own separate aggregate factor.
Monthly Aggregate Accommodation
Check Yes or No as appropriate. If you check yes, enter the monthly rate in the Monthly Aggregate Accommodation Rate field.
Monthly Aggregate Accommodation Rate
If you checked Yes for Monthly Aggregate Accommodation, enter the monthly accommodation rate in this field.
Contract Type
Specify the aggregate contract type using this drop-down list.
Maximum Liability Per Person
Enter the maximum per person liability here.
Run-In Limit
Enter the run-in limit here.
Maximum Annual Reimbursement
Enter the maximum reimbursement amount per year here. If coverage is unlimited, check the Unlimited Coverage box instead.
Reimbursement Percentage
Specify percentage reimbursement here.
Deductible Corridor (Margin)
Enter the corridor percentage here.
Annual Aggregating Deductible
Aggregating deductible for the year goes here.
Minimum Aggregate Deductible
Minimum deductible goes here.
Terminal Extension Provision
Specify the provision for terminal extension using this drop-down list.
Corridor
Enter the corridor percentage for terminal extension here.
Limited to Maximum Liability Per Person
Check Yes if terminal extension is limited to the individual maximum liability. Otherwise check No.
Terminal Liability Rate
Rate for terminal liability goes here.
Commissions
Percent commission goes here.
4.10

If the comparison includes specific coverage, specify rates and enrollment. If composite is included, check Yes for Include Composite and enter the composite values in the corresponding fields.

4.11

If the comparison includes aggregate coverage, specify rates and enrollment. If composite is included, check Yes for Include Composite and enter the composite values in the corresponding fields.

4.12

If the comparison includes aggregate coverage, specify aggregate factors. The columns you see here correspond to coverages selected. If composite is included, check Yes for Include Composite and enter the composite factors for each coverage.

4.13

Specify any limitations in the Limitations text area.

4.14

If you want to add another comparison, click the New tab and document the comparison as described above.

4.15

When you are done adding comparisons, click Save to close the Comp Analysis window.

4.16

Click Edit on the Competitive Analysis page to display the Competitive Analysis window.

4.17

Select the quote option and competing option you want to compare from the drop-down lists, and click Save.