Are there restrictions on how student health plans are rated?
Student health plans can be rated based on their own experience or the experience of another relevant credible source. This also extends to subgroups within the school, such as domestic and international, undergraduate and graduate, etc., as long as these pools are not discriminatory based on health status. Premiums at the individual family or member level are subject to the Federal market rules for the individual market. Community rating is allowed with family tiers, as long as it is done uniformly. Dependents 21 or older, including spouses, must be rated the same as the student. Dependents under the age of 21 must be charged a uniform rate, but in no case at a level higher than the student or adult dependents and dependent premium must be capped at 3 times the student premium. Rating may also be performed on a per member basis, but the corresponding rates must follow the Federal age curve and the tobacco surcharge must be no greater than 50%. No other adjustments to rates are permitted (e.g. health status).