INS: Setting Up Pricing Structures

A Pricing Structure is a way to define which Pricing Rule is associated with a Benefit Type. It is an element of a Benefit Package or Template, and includes the various Pricing Rules to be used when calculating costs and deductions for a given benefit. Different Pricing Structures may exist for admin employees, operations employees or union employees.

Example:  Carrier Cost and employee cost (deduction) are defined by Plan Option and Pricing Rule in Benefit Setup. The Pricing Structure is a list of Pricing Rules linked to employee deduction calculations.

A Pricing Structure can use a mixture of Pricing Rules. For example, Dental and Vision plans may be employee-paid, but Medical may use a Pricing Rule. Be sure that the Pricing Rule you assign to this Structure is listed for that Benefit Type in Benefit Setup.

The Pricing Structures screen accessed from the Insurance Benefits menu.

To set up a Pricing Structure:

  1. Before you can set up a Pricing Structure, you must set up a Benefit and a Pricing Rule.
  2. In the INS: Pricing Structures screen, type a Description for the Pricing Structure in the Description field.
  3. From the Benefit Type list, select the Benefit to which you want to assign a Pricing Rule. You may also double-click in the Benefit Type field to add a new item. When you add a new item to this Add/Edit list, the system automatically assigns and displays its unique ID number. The system selects the Active check box by default, which means the item is available on the list to pick during future record creation. Clear the check box to make the item inactive or grayed out. If you select the Default check box, WinTeam uses this item to automatically fill in the corresponding field on new records.
  4. In the Pricing Rule field, select the Pricing Rule you want to assign to the Benefit Type. You may also double-click in the Pricing Rule field to add a new item. When you add a new item to this Add/Edit list, the system automatically assigns and displays its unique ID number. The system selects the Active check box by default, which means the item is available on the list to pick during future record creation. Clear the check box to make the item inactive or grayed out. If you select the Default check box, WinTeam uses this item to automatically fill in the corresponding field on new records.

  5. The Income Bands/Pricing Rule Overrides grid allows you to set exceptions to the pricing for the specific benefit chosen. Note that exceptions entered here would apply to all Benefit Templates utilizing this Pricing Structure, and so would not commonly be used.

  6. If you wish to assign an Income Band to an employee, you do so manually in the Benefit by Employee screen Income Band tab.