Could there be an upper limit put on the index calculation for the deductible, co-payment and annual out of pocket maximum?
This suggestion is an option. As a practical matter, the index changes by less than 1.5% per year (up or down) because the Plans actuaries base much of the index on national trends, not just PEBPs most recent experience. The PEBP Board will be reviewing this index factor with each plan years rating.