4

Create a Competitive Analysis

Note: You cannot create a competitive analysis on an issued or sold scenario.

4.1

Search the desired medical stop loss quote.

4.2

Click the desired quote to display its profile.

4.3

Scroll to the Quote Scenarios section of the submission profile and click the desired scenario to display its Scenario window.

4.4

Click the Competitive Rates link.

4.5

Click Edit.

A

Click to add a new competitive analysis.

B

Click to delete the competitive analysis.

4.6

Define the analysis as follows:

Comparison

Comparison

Select the comparison type from the drop-down.

Stop Loss Carrier / Market

Enter the stop loss carrier or market here. As you begin typing, ESL Office displays a list of carriers / markets matching your typed text. Select the desired carrier / market from the list.

Description

Give the competitive analysis a name here.

Specific Coverage

Coverage Benefits Included

Slide the toggle to Yes to include specific coverage in the comparison. This enables the various toggles and fields in this section.

Medical

Slide the toggle to Yes to include medical in the comparison.

Prescription Drugs under Medical

Slide the toggle to Yes to include prescription drugs under medical coverage in the comparison.

Prescription Drugs Card

Slide the toggle to Yes to include prescription drug card coverage in the comparison.

Contract Type

Select the comparison contract type from this drop-down.

Annual Deductible per Person

Enter the comparison annual deductible per person.

Family Specific Deductible

Slide the toggle to Yes if family specific deductible exists for the comparison.

Run-In Limit

Enter the comparison run-in limit here.

Maximum Coverage Limit

Select how maximum coverage limit is determined for the comparison. If you select a value other than Unlimited, enter the maximum coverage limit in the field below the drop-down.

Tier Schedule

Select the desired comparison rate tier schedule from the drop-down.

Employee, Spouse, etc.

Enter the comparison rates for employee, employee plus dependent, etc. in the corresponding field. Only field corresponding to your tier schedule selection are unlocked and editable. Enrollments are calculated and populated by ESL Office based on the scenario's census.

Annual Premium

Comparison annual premium. Calculated and populated by ESL Office.

Commissions

Enter commissions for the comparison here.

Reimbursement Percentage

Enter the reimbursement percentage for the comparison here.

Terminal Liability Provision

Specify the comparison's terminal lliability provision using this drop-down.

Aggregating Specific

Slide the toggle to Yes if the comparison includes aggregating specific. Enables the Additional Liability field.

Additional Liability

Enter the additional liability for aggregating specific here. Enabled when you slide the Aggregating Specific toggle to Yes.

Additional Laser Liability

Enter any additional laser liability for the comparison here.

Simultaneous (Advance) Reimbursement

Slide the toggle to Yes if the comparison allows for simultaneous reimbursement.

Aggregate Coverage

Coverage Benefits Included

Slide the toggle to Yes to include aggregate coverage in the comparison. This enables the various toggles and fields in this section.

Medical

Slide the toggle to Yes to include medical coverage in the comparison.

Prescription Drugs SAAO

Slide the toggle to Yes to include prescription drugs as part of medical coverage in the comparison.

Prescription Drugs Card

Slide the toggle to Yes to include presciption drug card coverage in the comparison.

Dental

Slide the toggle to Yes to include dental coverage in the comparison.

Vision

Slide the toggle to Yes to include vision coverage in the comparison.

Short-Term Disability

Slide the toggle to Yes to include short-term disability coverage in the comparison.

Other

Slide the toggle to Yes to include coverage not covered above in the comparison. Describe the coverage in the field below the toggle.

Monthly Aggregate Accommodation

Slide the toggle to Yes if the comparison includes monthly aggregate accommodation.

Maximum Liability per Person

Enter the maximum liability per person for the comparison here.

Contract Type

Specify the comparison's contract type using this drop-down.

Maximum Annual Reimbursement

Enter the maximum annual reimbursement for the comparison here.

Unlimited Coverage

Slide the toggle to Yes if the comparison has unlimited coverage.

Reimbursement Percentage

Enter the reimbursement percentage for the comparison here.

Tier Schedule

Select the comparison's aggregate tier schedule from this drop-down.

Employee, Spouse, Family, etc.

Enter the comparison rates for employee, employee plus dependent, etc. in the corresponding field. Only field corresponding to your tier schedule selection are unlocked and editable. Enrollments are calculated and populated by ESL Office based on the scenario's census. 

Accommodation Rate

The comparison's accommodation rate goes here.

Terminal Liability Provision

Specify the comparison's terminal liability provision using this drop-down.

Corridor

Enter the comparison's corridor here.

Terminal Liability Rate

Enter the comparison's terminal liability rate here.

Annual Premium

The comparison's annual premium. Calculated and populated by ESL Office.

Commissions

Enter the comparison's commissions percentage here.

Annual Aggregate Deductible

The comparison's annual aggregated deductible. Calculated and populated by ESL Office.

Deductible Corridor

Enter the deductible corridor for the comparison here.

Minimum Aggregate Deductible

Enter the minimum aggregate deductible for the comparison here.

Run-in Limited To

Enter the run-in limit for the comparison here.

Aggregate Factors Tier Schedule

Specify the aggregate factor tier schedule for the comparison using this drop-down list.

Medical Aggregate Claim Factors

Specify medical aggregate factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Medical toggle to Yes.

Rx Aggregate Claim Factors

Specify prescription drug card factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Prescription Drugs Card toggle to Yes. If Rx factors are included in medical, slide the toggle from Separate to In Medical

Dental Aggregate Claim Factors

Specify dental factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Dental toggle to Yes. If dental factors are included in medical, slide the toggle from Separate to In Medical.

Vision Aggregate Claim Factors

Specify vision factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Vision toggle to Yes. If vision factors are included in medical, slide the toggle from Separate to In Medical.

Disability Aggregate Claim Factors

Specify disability factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Short-Term Disability toggle to Yes. If disability factors are included in medical, slide the toggle from Separate to In Medical.

Other Aggregate Claim Factors

Specify any other factors for the comparison in these fields. Enrollment numbers are calculated and populated by ESL Office based on scenario census. Editable fields correspond to the aggregate factor tier schedule you specified. Only appears if you have set the Other toggle to Yes. If other factors are included in medical, slide the toggle from Separate to In Medical.

Policy Terms

Renewal Guarantee

Slide the toggle to Yes if the comparison has a renewal guarantee.

Renewal Rate Cap

Slide the toggle to Yes if the comparison has a renewal rate cap. Enables the Maximum Rate Increase field.

Maximum Rate Increase

If you slid the Renewal Rate Cap toggle to Yes, enter the maximum allowed rate increase on renewal for the comparison in this field.

Gapless Renewal

Slide the toggle to Yes if the comparison allows for gapless renewal.

Laser Free Renewal

Slide the toggle to Yes if the comparison allows for laser free renewal.

4.7

Click Save.