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The designation of a "highly effective" rating on the Noncommissioned Officer Evaluation Report (NCOER) is associated with achieving a specific range of performance ratings, indicative of commendable contributions and superior service within the role.

A rating of 5 represents the highest level of effectiveness according to the NCOER scale, which correlates to 'Exceptional' performance. This level reflects an NCO who has consistently demonstrated outstanding leadership and exceeded expectations. When evaluating the performance of NCOs, higher ratings correlate strongly with the achievement of organizational goals and the successful development of subordinates, which are critical aspects of effective military leadership.

In this context, the correct identification of a "highly effective" rating aligns with an understanding that 1 or 2 ratings indicate lower-than-expected performance, while a rating of 0 would signify an NCO who is failing to meet the basic expectations of their role. Therefore, the choice indicating that a "highly effective" rating is related to 5 aligns with the intent and structured evaluation process articulated in NCOER guidelines.

To summarize, a score of 5 denotes superior effectiveness, implying that this is the standard for exemplary performance within the NCO rank structure, making it the correct choice