Community rate definition

Community rate means the average rate charged for the same or similar coverage to all primary
Community rate means a rate of payment based on a per member per month capitation rate or its equivalent that applies to a combination of the subscriber groups for a comprehensive medical plan carrier. References in this subchapter to ‘‘a combination of cost and price analysis’’ relating to the ap- plicability of policy and contract clauses refer to comprehensive medical plan carriers using community rates.
Community rate means the rate to be charged to all eligible groups for small group health plans prior to any adjustments pursuant to subsection 2, paragraphs C and D.[PL 1991, c. 861,

Examples of Community rate in a sentence

  • To be eligible for the Community rate your group must be registered as a not for profit organisation or an incorporated group.

  • Community rate means a rate of payment based on a per member per month capitation rate or its equivalent that applies to a combination of the subscriber groups for a comprehensive medical plan carrier.

  • The Community rate cell will be paid for individuals who do not meet the state’s nursing home level of care criteria and do not reside in a NF or qualify for an HCBS waiver.

  • They are:• Private rate: This rate applies to individuals hiring rooms with a view to make a profit from the activities proposed.• Community rate: This rate applies to not-for-profit, non-commercial groups which have a community focus.

  • The Community rate cell will be paid for Enrollees who do not meet the State’s nursing home level of care criteria and do not reside in a NF or qualify for an HCBS Waiver.


More Definitions of Community rate

Community rate means the rate charged to all eligible individuals for individual health plans prior to any adjustments pursuant to subsection 2, paragraphs C and D. [PL 1993, c. 477, Pt. C, §1 (NEW); PL 1993, c. 477, Pt. F, §1 (AFF).]
Community rate means the average rate charged for the same or similar coverage to all small employer groups with the same area, age and gender characteristics. This rate shall be based on the health insurance issuer's combined claims experience for all groups within its small employer market.
Community rate means the weighted average of all "premium rates" within a filing with the weights deter- mined according to current enrollment.
Community rate means the rating method used to establish the
Community rate means the weighted average of all "premium rates" within a filing with the weights determined according to cur- rent enrollment.
Community rate means a method used to develop
Community rate means the underlying rate that a company utilizes in calculating all premium rates for all eligible groups assigned to a community health agency area;