Now is the time to update your Medical Cost Calculator for Open Enrollment 2024!
If your Knowledgebase site includes the Medical Cost Calculator (MCC), be sure to take note. It contains medical plans with costs that change annually. Your employees will be using the results in the MCC to choose their plans for the next calendar year.
Employees use the Medical Cost Calculator (MCC) to compare the costs of the various medical plans that their employer provides. Existing staff tends to use the MCC most often during their employer's Open Enrollment period. New hires use it throughout the year.
Advanced planning is key. If you have received the following documents from your CSM, be sure to complete and return them as soon as possible.
If you have not received them, contact your CSM promptly.
Medical Cost Calculator Update Request Form
Customers requesting updates to their Medical Cost Calculator must complete this form.
Medical Cost Calculator Change Form
For updates to medical plan costs in the MCC, customers must complete this spreadsheet.
Medical Cost Calculator Setup Form
When customers request new medical plans to be added to the Medical Cost Calculator, they must complete a copy of the MCC Setup Form for each new plan. If no new medical plan(s) will be added, do not use this form.
Things to Consider
1. Filling out the Medical Cost Calculator Request Form is relatively straight-forward.
2. On the Medical Cost Calculator Change Form, for each medical plan, add entries for the following.
Note:
Only the amounts that are changing for the upcoming calendar year need to be noted on the Medical Cost Calculator Change Form.
Plan name: change or keep as is
Number of pay periods per year
Tiers - examples include:
- Employee only
- Employee plus spouse
- Employee plus child(ren)
- Employee plus family
Amounts:
- Premium amount per pay period (employee contribution) per tier
- Annual deductibles (in-network and out-of-network) per tier
- Rx deductible - if any - (in-network and out-of-network) per tier
- Annual out-of-pocket maximum (in-network and out-of-network) per tier
- Rx out-of-pocket maximum (if separate) per tier
- If the annual deductible counts toward the out-of-pocket maximum
- If copays count toward the out-of-pocket maximum
- If Rx payments count toward the out-of-pocket maximum
Employee costs per tier for medical services:
- Primary care visit
- Specialist visit
- Inpatient hospital stay
- Lab and X-ray (outpatient)
- Emergency room visit
- Preventive care visit
Employee costs per tier for prescriptions (in-network and out-of-network):
- Generic
- Formulary brand name
- Non-formulary brand name
Savings plans:
- Health care FSA maximum amount
- Health care FSA rollover amount
- Employer HSA contribution per tier
- Employee HSA contribution per tier
- Employer HRA contribution per tier
- Employee HRA contribution per tier
We apply and update the annual underlying costs for medical and prescription services to all customers' Medical Cost Calculators in-house. These amounts reflect the average costs of medical services and prescriptions nationwide.
3. The Medical Cost Calculator Setup Form (or new medical plans only) is for defining similar information as the Medical Cost Calculator Change Form, but for a single medical plan only.
4. Updates to the medical plans on your KB site
The plan costs in the MCC should match the amounts listed in the corresponding authored medical plans' "Cost of Coverage / Deductible / Out-of-Pocket Limit" topic.
If you will not be updating the authored plans' amounts in-house yourself (using the CCT) and would like Infor to update them, be sure to create redlined edits for each plan.
V11 KB: Creating Redlined Edits - KCM
This procedure informs customers how to use the Knowledgebase Content Management (KCM) system—formerly known as the Client Content Toolset (CCT)—to create redlined edits in Microsoft Word to indicate their requested changes to the content on their Knowledgebase site's pages.
V11 KB: Creating Redlined Edits - no KCM
This procedure informs customers without the Knowledgebase Content Management (KCM) system—formerly known as the Client Content Toolset (CCT)—how to create redlined edits in Microsoft Word to indicate their requested changes to the content on their Knowledgebase site's pages.
Submitting Your Updates to Infor
In the Infor Support Portal (ISP), create separate incidents for the following and forward them to your CSM:
- Updates to the MCC
- Updates to authored medical plan costs, as appropriate
Be sure to include all associated forms, redlined edits, and all other relevant information.
For questions or more information, contact your HRSD Advisor (Customer Success Manager (CSM)).
