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Executive Protection Firm Group Health: Pricing Methodology

Exactly how Group Health is calculated for Executive Protection Firms — the rating basis, class codes, audit mechanics, experience modifiers, schedule rating, and the renewal-cycle math that determines what you actually pay.

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per employee per month (PEPM)

Rating Basis (carrier-proprietary)

3yr

Experience Mod Window

±15-25%

Typical Schedule Rating Range

15-30%

Spread Between Carriers Same Risk

QUICK ANSWER

Group Health premium for Executive Protection Firms is calculated <strong>per employee per month (PEPM)</strong>, using carrier-proprietary loss costs as the framework. Carriers apply their own loss-cost multiplier, your experience modifier (3-year loss history), and schedule rating (underwriter judgment) to produce the final premium. The audit at policy expiration trues up estimated vs actual exposure.

The unit of exposure behind Executive Protection Firms Group Health pricing

For Executive Protection Firms, Group Health premium is calculated per employee per month (PEPM). That is the unit of exposure carriers use to scale premium against the size of the operation. carrier-proprietary maintains the rating framework most carriers start with, and each insurer layers on its own loss-cost multiplier.

Why the unit matters: a executive protection firm with twice the exposure unit will pay roughly twice the base premium, all else equal. If you understand the rating basis, you can predict how operational changes (revenue growth, headcount additions, fleet expansion) will move premium at renewal.

How does the Group Health audit work for Executive Protection Firms?

The audit on Group Health for Executive Protection Firms reconciles estimated exposure (used to set the policy premium) against actual exposure (what really happened during the policy period). The auditor pulls payroll records, tax filings, vehicle inventories, or whatever the rating basis requires.

Audits are not optional. Refusing to provide audit data typically results in the carrier applying maximum exposure assumptions and billing the difference — a much worse outcome than cooperating with a clean audit.

How a typical executive protection firm Group Health premium adds up

A executive protection firm can model their own Group Health premium movement at renewal by understanding the five factors that produce it. Base rate × exposure × experience modifier × schedule rating × surcharges = premium.

What this means in practice: if your exposure (revenue, payroll, etc.) drops 10%, expect roughly a 10% reduction in base premium before adjustments. If your experience modifier improves from 1.05 to 0.95, that's a 9.5% credit on top. The math is layered but predictable.

Underwriter judgment in Executive Protection Firms Group Health pricing

Schedule rating is the underwriter's judgment overlay on Executive Protection Firms Group Health. Within filed bounds (typically ±15-25%), the underwriter can credit or debit the account based on operational factors not captured by the base rate or experience modifier.

Common credit triggers: documented safety program, claims-free history beyond the experience-mod window, sub-class operations cleaner than average, strong financial reserves. Common debit triggers: minor compliance issues, unusual operations, or financial concerns.

The experience modifier on Executive Protection Firms Group Health

Experience modifiers on Executive Protection Firms Group Health are calculated from three years of paid losses, with the most recent year weighted heaviest. The calculation excludes the most recent policy year (still developing) and uses the prior three completed years.

Claims roll out of the mod window after three years. That is why pricing improves over time after a paid claim — the third anniversary of the claim is the point where it stops affecting the mod and pricing returns to baseline (absent new claims).

What changes at renewal for Executive Protection Firms on Group Health

The renewal-time recalc on Executive Protection Firms Group Health captures everything that has changed in the year between policies. New rate filings, your new exposure, your new loss experience, and any operational changes you disclosed all feed into the new premium.

If the renewal number surprises you, ask the broker for the line-by-line breakdown: base rate change, exposure change, experience-mod change, schedule-rating change. Each line is auditable. An unexplained renewal jump usually points to one of those factors moving meaningfully.

How carrier loss-cost multipliers move Executive Protection Firms Group Health pricing

Executive Protection Firms accounts placed in the standard market typically see 3-6 competing quotes, each with its own rating math. The spread between cheapest and most expensive is rarely an error; it reflects each carrier's view of the segment's loss potential and its competitive strategy.

Within a single year, carrier appetite shifts. A carrier that was hungry for Executive Protection Firms in January may pull back by July if its loss experience deteriorates. This is why the same submission can produce different competitive landscapes depending on timing.

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Chris DeCarolis

Senior Commercial Insurance Advisor

Chris DeCarolis is a Senior Commercial Insurance Advisor at Coverage Axis. His experience in commercial risk placement started in 2007. He has helped contractors, trades, and specialty businesses build coverage programs that fit their operations — specializing in general liability, workers comp, commercial auto, and umbrella programs for high-risk industries. Chris holds a Florida 220 General Lines license (G038859) and is a graduate of Brown University.

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