Suite Spot  Risk Adjustment 

Benu Administrative Services—a specialist in multiple-carrier benefit offerings—manages the risk adjustment process for Suite Spot, so the employer pay premiums that are adjusted to the risk of their whole group. Risk adjustment enables an employer to offer the flexibility of multiple health plans and products to employees while delivering competitive rate stability. With Suite Spot, pricing is simple:


New enrolling groups


Each health plan creates an initial rate based on your entire benefits-eligible workforce, taking into consideration the potential good and bad risk of the whole group. Benu Administrative Services then packages all the quotes together and gives you a single unified proposal.


Enrolled groups


During the plan year, each health plan sends prescription drug utilization data for its enrolled members to Benu Administrative Services. Using sophisticated modeling techniques, Benu Administrative Services assesses the risk of each member and assigns a predictive risk factor to each health plan based on its enrolled members.


Renewing Suite Spot groups


At renewal, each health plan creates a slice rate based solely on its enrolled membership. In a process known as rate neutralization, Benu Administrative Services applies the appropriate predictive risk factor it determined for each plan to those slice rates, developing whole group renewal rates for each health plan. These rates balance the risk throughout your overall enrolled membership and result in a more stable total premium.



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