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MICRO GROUPS Community Rated Groups 13 Employees Independent Licensees of the Blue Cross and Blue Shield Association1800 Ninth Avenue PO Box 21267 Seattle, Washington 981113267 2064643833 or 18006531125
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01
Gather all necessary information about the community you are rating, including population demographics, crime rates, school ratings, and amenities.
02
Use this information to calculate a score for the community, taking into account factors such as safety, affordability, and quality of life.
03
Fill out the community rating form completely and accurately, making sure to provide any supporting documentation if required.
04
For out-of-state rating, research the new location thoroughly and compare it to your current community using the same criteria.
05
Be honest and objective in your assessment to provide an accurate representation of the community.

Who needs community rating and out-of-state?

01
Individuals looking to move to a new area and wanting to compare different communities based on specific criteria.
02
Real estate agents trying to market properties in a certain community to potential buyers.
03
City planners or developers looking to assess the strengths and weaknesses of a particular community for future projects.
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Community rating refers to the practice of insurers basing premiums on the overall population of a specific geographic area, rather than an individual's specific health status. Out-of-state refers to insurance coverage that applies when an individual receives healthcare services outside of their home state.
Insurance companies and providers offering health insurance plans are required to file community rating and out-of-state information.
Community rating and out-of-state information can be filled out through the designated reporting system or platform provided by the regulatory authority.
The purpose of community rating is to ensure fair and equal access to healthcare coverage, while out-of-state coverage ensures individuals can still receive healthcare services when traveling or living out of their home state.
Information such as premium rates, coverage details, and geographic coverage areas must be reported on community rating and out-of-state filings.
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