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Step Up Function & Allocation for Risk Adjustment

Big Meat

New Member
Hi Everyone:

My first post so please forgive me. I'm under a deadline and what I thought would prove to be a simple exercise is turning into a not so simple exercise. I work for large insurance company.

I'm trying to lay these rules out in a few simple steps (see below italicized). I've desensitized the information. I'm trying to cook up a small risk sharing/re-calibration (to operating margin) model.

I've attached a file ... in column c the grey cells with blue font are inputs. Everything to the right of column D is the rule based framework.

We were trying to cook up just one formula, or use goal seek, but I think I need to lay out a series of steps so the end user can follow the logic.

Thanks in advance.

Big Meat

– If the Risk Amount is:

– Within 5% +/- of the Target, there shall be no prospective adjustments.

– If more than 5% +/- of the Target, there shall be a prospective adjustment calculated based on the factors below.

– A positive amount more than 5% above the Target, and if KMART Operating Margin is <=0%, then first, such amount as is necessary to bring KMART to 0% shall be allocated 100% to KMART, KMART shall receive 75% of the remainder until KMART Operating Margin is 2.5%, and shall receive 50% of the remainder until KMART achieves 5% margin, and 75% to ESPIRIT thereafter.

– A negative amount more 5% of the Target, if KMART operating margin is >= 5%, 100% of the negative risk amount shall be allocated to KMART until KMART operating margin is 5%, then 75% to KMART until KMART operating margin is 2.5%, then 50% to KMART until KMART operating margin is 0%, and 25% of the remainder to KMART. Provided, however, that if ESPIRIT EBIDA margin would not have been reduced margin below 5%.
 

Attachments

  • Rebalancing Exercise_Risk Sharing Mechanism.xlsx
    12.7 KB · Views: 3
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