BCBS IL Market Segment 51+
Determine Market Segment Determine Market Segment by averaging the total number of employees including full time, part time, seasonal and union in the year prior to the effective date. If the group has any affiliate or subsidiary companies that are required to be aggregated by the IRS, then all employees, seasonal and union from all aggregated companies will need to be added together. A middle market group can have less than 51 employees enrolled. 1.1.19 -12.15.19 effective dates will use the average number of employees in 2018. If the average in 2018 is 50 or less, than they would stay in the small group market for all of 2019. If the average number of employees is over 51 in 2019, then they would be the middle market in 2020. Major Differences between Small Group and Middle Market The middle market: is underwritten using the GRX database while the small group market is not has different plan options (non ACA) than the small group market. has composite only rates quotes start with a base quote and then firm rates are determined after submitting additional information and underwriting uses different [...]