Case Study: Gravie
Vericred’s data has helped Gravie eliminate hundreds of hours of labor annually. Read the case study to learn…
back to decision support
Plan Design & Rate Data
Vericred’s Plan Design and Rate Data includes all elements required to quote or analyze these products, including benefits, rates, business rules, service areas, and other critical assets.
Speak to an ExpertMarkets Supported
ACA Under 65 Individual
We maintain the most complete ACA individual plan dataset in the industry. We include all carriers and plans (including CSRs), on-exchange and off-exchange, FFM states, and SBM states.
ACA Small Group
We maintain the most complete ACA small group plan dataset in the industry. We include all carriers and plans, on-exchange and off-exchange, FFM states, and SBM states.
Medicare Advantage
All Medicare Advantage plans including Part D.
Use Cases
1Quoting
Quoting
For those that have built their own rating engine, our Plan Design and Rate Data is the fuel for that engine. We deliver accurate, complete, and timely data with all of the required elements to power your experience.
2Benefits Administration
Benefits Administration
Looking for a small group plan library to reduce on-boarding friction? Our Plan Design and Rate Data can be used to populate benefits and employee contributions and to deliver SBCs to employees.
3Enrollment
Enrollment
Looking for a small group plan library to ease enrollment set-up? Our Plan Design and Rate Data can be used to compare plans, to deliver SBCs, and to populate benefits and employee contributions for display during the enrollment process.
4Digital Health
Digital Health
Health insurance touches every element of the care journey. If you are developing app functionality that requires health plan cost share (benefit) data and/or network or formulary identification, our highly parsable ACA and Medicare plan data is the solution.
5Competitive Intelligence
Competitive Intelligence
Carriers leverage Vericred’s Plan Design and Rate data for competitive analysis, benchmarking, actuarial analysis, new market development, sales and marketing, and portfolio rationalization. These highly complete and granular structured datasets are easily ingestible into analytics solutions. Carriers seeking a complete plan analytics solution should look at our Plan Analytics suite.
6Consulting
Consulting
Consultants leverage Vericred’s Plan Design and Rate data for plan portfolio rationalization, actuarial analysis, new market development, policy development, and more.
The Details
Plan Design & Rate Data
Key Elements
- Rates
- Normalized benefit designs
- Service areas
- SBC and carrier logo links
- Business rules (json only)
File Formats
- csv
- json
View Documentation
