Blue Shield is refining their manual rating process to improve pricing competitiveness and accuracy. They are launching the Milliman GRx Rating Tool for large groups of 300 or fewer subscribers.

Milliman IntelliScript has combined the value of prescription histories with the power of predictive modeling to bring medical data to new group underwriting.

Blue Shield’s preferred census file submission format is changing from subscriber-based to member-based. The census data elements are not changing.

Census data elements are listed below:

  1. First Name
  2. Last Name
  3. Date of Birth
  4. Gender
  5. ZIP code (Home)
  6. Rate Tier
  7. Enrollment status (active/early retiree/retiree over 65, Cobra)
  8. Carrier
  9. Product
  10. Waivers

Please contact your LISI Regional Sales Manager if you have any questions.

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