Cautions and Disclosures:

• This tool provides a way to make simplified estimates of plan value and plan decrements. It is not a replacement for a full and complete evaluation of the actuarial value of your medical plan. A thorough evaluation should include as many of the benefit components of your plan as are available, such as copays, coinsurances, and deductibles that are specific to services including but not limited to inpatient stays, doctor visits, trips to the emergency room, outpatient surgery, and prescription drug refills.

• This tool should not be used for pricing exercises, or for use in the annual budgeting or renewal processes. There simply is not enough context for the information provided in this calculator to be useful to that degree. It is for directional guidance and personal use only.

• This estimation does not count differences in network discounts. That statement encompasses differences in discounts that occur in-network and differences that occur due to plan mix differences in in-network and out-of-network utilization. Two plans could have the same actuarial plan value, but have a very different cost because of differences in network discounts or provider reimbursement methods.

• This estimation works best as an estimate during a total migration between two plans. If additional plans are present, the cost impact could differ materially because of the impact of adverse selection, or other cost and enrollment dynamics in play.

• While this tool provides a reasonable estimate of the cost impact one could expect due to a plan change, costs for both individuals and group plan sponsors are subject to random chance. Therefore, we provide no guarantees that the actual costs that are experienced in the event of a plan change will reflect the expected costs that one may have calculated in the process of using this tool.

• This tool's intended use is to estimate the impact of a change in a group medical plan to the limited degree explained above, for persons interested in gaining a better understanding of a group health insurance plan. Any other use of this tool is considered wrongful and inappropriate.

• This tool was calculated using the normative claims continuance table labeled as the "Gold Plans, All Claims" table, which was taken from the 2022 version of CMSs' actuarial value calculator, as it is publicly available, and uses reasonable and prudent assumptions and methodology that have been vigorously documented. For more information, please see the documentation here.