In: Economics
Suppose in a given state's new insurance marketplace, with community rating and no restrictions on who can buy at the community rate, the risk pool (distribution of expected health costs) is as follows:
30% of eligible enrollees' expected health costs = $1,000 (per year)
65% of eligible enrollees' expected health costs = $2,000
5% of eligible enrollees' expected health costs = $10,000
1.) What would the pure community premium rate for this risk pool be? (assume zero loading costs for simplicity in this problem)
The premium rate can be calculated as:
Summation of (Percentage of population * Cost)
Premium rate = 0.30 * 1000 + 0.65 * 2000 + 0.05 * 10000
Premium rate = 300 + 1300 + 500 = $2100