Workflow · Employee Health & Benefits
Renewal Analysis
Analyzes a received carrier renewal against the client's current program: quantifies the proposed rate action per plan and tier with the annualized cost impact for employer and employees, tests whether the claims experience supports the carrier's ask, and measures the gap to the client's renewal objective. Ends with a negotiation strategy and a recommended path forward.
What goes in
The client, renewal effective date, plans in scope, contribution strategy, and the client's renewal objective; the renewal analysis materials — the current program summary with rates, enrollment, and contributions, the carrier renewal proposal, the claims experience or utilization report, and any prior negotiation history.
What you get
A Renewal Analysis Report as a Word document: the rate action comparison by plan and coverage tier, the cost impact at current enrollment split between employer and employees, the carrier justification assessment with the computed loss ratio against the carrier's target, an assessment verdict — supported, partially supported, or not supported by the data provided — the negotiation strategy with evidence-grounded leverage points, and the recommended next step.
How it works
- 1Establish the analysis: confirm the client, effective date, plans in scope, contribution strategy, and the client's renewal objective in one organized intake.
- 2Extract and validate: current rates, proposed rates, enrollment, and claims experience are pulled from the uploaded documents and tied to the correct plan and policy period.
- 3Quantify the ask: per-tier dollar and percent changes, annualized totals, and the employer and employee shares are calculated, along with the gap to the client's objective.
- 4Test the justification: the loss ratio is computed from the claims experience and set against the carrier's stated factors to conclude whether the data supports the requested action.
- 5Deliver: a Renewal Analysis Report as a Word/PDF document with the rate tables, cost impact, justification verdict, negotiation leverage, and the recommended path forward.
Related pages
What this workflow delivers
A Renewal Analysis Report as a Word document: the rate action comparison by plan and coverage tier, the cost impact at current enrollment split between employer and employees, the carrier justification assessment with the computed loss ratio against the carrier's target, an assessment verdict — supported, partially supported, or not supported by the data provided — the negotiation strategy with evidence-grounded leverage points, and the recommended next step.
3+ hours
- Guided step by step, no blank page
- Owners and follow-up on every run
- Human review before sign-off