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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.

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Markets Supported

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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.

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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.

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Medicare Advantage

All Medicare Advantage plans including Part D.

Use Cases

1Quoting
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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.

All Carriers, All Plans

Our Plan Design and Rate Data includes all ACA or Medicare carriers and plans. For the ACA datasets, plans include CSRs, on-exchange and off-exchange, SBM, and FFM.

Normalized Benefits

Building an apples-to-apples experience for brokers, employers, and employees is hard if the same benefit design is presented three different ways by three different carriers. We developed a Bakus-Naur Form (BNF) context-free grammar to apply to all benefit presentations. This allows for consistent presentation of benefits across carriers.

Anonymized Asset Links

We provide anonymized links to SBCs and carrier logos hosted on our CDN.

2Benefits Administration
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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.

All Carriers, All Plans

Our Plan Design and Rate Data includes all ACA carriers and plans, including on-exchange and off-exchange, SBM, and FFM.

Normalized Benefits

Building an apples-to-apples experience for employers and employees is hard if the same benefit design is presented three different ways by three different carriers. We developed a Bakus-Naur Form (BNF) context-free grammar to apply to all benefit presentations. This allows for consistent presentation of benefits across carriers.

Anonymized Asset Links

We provide anonymized links to SBCs and carrier logos hosted on our CDN.

3Enrollment
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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.

All Carriers, All Plans

Our Plan Design and Rate Data includes all ACA carriers and plans including on-exchange and off-exchange, SBM, and FFM.

Normalized Benefits

Building an apples-to-apples experience for employers and employees is hard if the same benefit design is presented three different ways by three different carriers. We developed a Bakus-Naur Form (BNF) context-free grammar to apply to all benefit presentations. This allows for consistent presentation of benefits across carriers.

Anonymized Asset Links

We provide anonymized links to SBCs and carrier logos hosted on our CDN.

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.

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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.

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6Consulting

Consulting

Consultants leverage Vericred’s Plan Design and Rate data for plan portfolio rationalization, actuarial analysis, new market development, policy development, and more.

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The Details

Plan Design & Rate Data

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Key Elements

  • Rates
  • Normalized benefit designs
  • Service areas
  • SBC and carrier logo links
  • Business rules (json only)
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File Formats

  • csv
  • json

View Documentation

documentation
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Interested in learning more?

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