Determine the premium rate for a group

Determine the premium rate for a group (1000 members) given the expected utilization shown below and a 15% load factor (12% to cover administrative expenses and 3% profit). If the number of med/surg days increases to 2800, what profit will the insurer earn? Annual Co-pay Co-payment Co-pay Net PMPM Frequency Amount PMPM PMPM 2500 $30 Service Frequency Cost Med/Surg Days 2500 $1000 ICU Days 400 $2000 Physician Visits 3000 $100 400 $30 3000 $10 O/P Surgery 600 $600 600 $50 ER 500 $500 500 $25 Lab/X-ray 1500 $125 1500 $10 Determine the premium rate for a group (1000 members) given the expected utilization shown below and a 15% load factor (12% to cover administrative expenses and 3% profit). If the number of med/surg days increases to 2800, what profit will the insurer earn? Annual Co-pay Co-payment Co-pay Net PMPM Frequency Amount PMPM PMPM 2500 $30 Service Frequency Cost Med/Surg Days 2500 $1000 ICU Days 400 $2000 Physician Visits 3000 $100 400 $30 3000 $10 O/P Surgery 600 $600 600 $50 ER 500 $500 500 $25 Lab/X-ray 1500 $125 1500 $10