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Standard RAF Guideline (updated 05/10/11)

[click here for a printable version]

2-4 Employees: 1.10 (w/ long questionnaire)
5-10 Employees: .90 (w/ long questionnaire)
11-50 Employees: .90 (w/ short questionnaire)

2-5 Employees: 1.10 (no health statements required)
2-5 Employees: 1.0 (individual health statements)
6-9 Employees: .95 (individual health statements)
10-15 Employees: .90 (individual health statements)
16-50 Employees: .90 (employer questionnaire)
2-4 Employees : 1.10 (no health statements required)
5-14 Employees: 1.00 (individual health statements)
15-50 Employees: .90* or 1.00 (employer questionnaire)

*In order to qualify for a .90 RAF the group must submit a copy of their current renewal RAF Statement from their current carrier showing a renewal RAF of 1.05 or less. The statement must be within 3 effective dates of their CaliforniaChoice coverage requested effective date determined by underwriting. Kaiser Permanente wrap groups are among those that qualify.

Note: Life only employees and COBRA members are not included in the overall employee count. 2-14 employees, individual health statement required. 15+, employer health questionnaire required.

2-5 Employees: 1.10 (automatic w/out health statements or option to submit long form for industry discount -- SIC sensitive)
6-9 Employees: .90 (long form)
10+ Employees: .90 (employer questionnaire)

2-5 Employees are always quoted 1.10

Groups with 6-50 employees are quoted with the 1.00 RAF before the final RAF is applied in underwriting.

Note: Life only employees and COBRA members are not included in the overall employee count. 2-14 employees, individual health statement required. 15+, employer health questionnaire required.

 

2 Employees: 1.10 RAF(w/ individual health statements)
3 Employees: 1.00 RAF (w/ individual health statements)
4 Employees: .95 RAF (w/ individual health statements)
5+ Employees: minimum .90 RAF (w/ individual health statements)

2-5 Employees: Automatic 1.10 RAF (no health statement required)

6+ Employees: minimum .90 RAF (for 2 - 24 enrolling employees, individual health statement required; for 25 or more enrolling employees, employer level health questionnaire required)