community rating

community rating

Managed care The setting of insurance premiums based on the community's demographics and claims experience, without adjusting for the group's median age, gender, and health conditions. See Premium, Experience Rating.
References in periodicals archive ?
We now turn to health insurer behavior under pure community rating, where premiums cannot be set according to risk.
the Life Insurance Council of New York, in a memorandum on the measure, expressed strong opposition to the mandate for pure community rating for all individuals and small groups.
"I appreciate the state's rights argument but recognize that there's a reason behind community rating and the benefit that it brings to the insurance reforms," Rep.
He claims that the ACA spreads costs for the less fortunate across everyone through its combination of adjusted community rating, reasonably generous benefits, the individual mandate, and taxes to subsidize their premiums and out-of-pocket expenses.
Instead, they use a type of community rating that considers factors such as age, location and tobacco use in order to set rates--resulting in increased premiums for many small business owners with healthy employees.
Mark Fitzgibbon, chief executive of NIB, said that the government was ill advised for retaining community rating, which means people pay the same for insurance regardless of their age and health status.
Masdar City is targeting a 4 Pearl Estidama Community Rating, the first development in the UAE to do so.
Another area impacted by company size is community rating. Community rating is a system that took the place of extensive medical underwriting when determining premium rates for a business.
"This is due to reforms introduced by the Government including young adult discounts, lifetime community rating and reduced stamp duty and levies.
The Federal Emergency Management Agency (FEMA) oversees the NFIP, which administers the Community Rating System (CRS), a voluntary, incentive program that recognizes and encourages community floodplain management activities that exceed minimum NFIP requirements.
Rye is now seeking to enroll in the Community Rating System, a FEMA program that rewards communities for reducing flood risk by incentivizing floodplain management activities that go beyond the minimum standards set forth by the National Flood Insurance Program, or NFIP.
Only South Africa enforces open enrolment and community rating, but allows scheme membership to remain voluntary.

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