Plan Year Benefit Calculations

With a plan year calculation, your employees’ benefits reset on your plan’s renewal date, so that’s the only date you and your employees need to remember. This affects deductibles, out-of-pocket maximums, and benefits that have a limited number of visits per year. So, for example, if your plan has a $500 deductible, any expenses an employee incurs up to that amount that were applied to the deductible are reset to $0 on your plan renewal date.

With a calendar year calculation, your employees’ benefits reset January 1st. This affects deductibles, out-of-pocket maximums, and benefits that have a limited number of visits per year.