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Rating Areas

Rating areas are the geographic zones, usually based on county or ZIP code, that insurers use to set premiums. The same plan can cost different amounts across areas because of local care costs and competition.

What factors set the rates on a small-group plan?

June 29, 2026June 28, 2026 by HealthInsuranceFAQs

Under the ACA, only four: the ages of the employees and dependents, the employer’s geographic location, tobacco use (where allowed), and family size/plan tier. Health status, gender, and industry can’t be used.

Categories Costs & Affordability Tags Rating Areas, Rating Rules

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