Employer Stop-Loss Insurance

Submission Requirements

  • Complete Census: Including year of birth, single/family status, gender, zip codes, COBRA, and retiree information.
  • Benefit Plan Information: Current and proposed benefit plans.
  • Specific Deductible Information: Current and proposed deductible amounts as well as information on any lasered individuals currently on the plan
  • Managed Care Information: Current and proposed networks.
  • Paid Claim and Enrollment Information: Month-by-month information for three years (if possible).
  • Shock Claims Information: Including dollar amount, diagnosis, and prognosis.
  • Detailed Description of Business: Including SIC code (if possible).
  • Current Rates, Factors, and Funding Mechanism: If currently fully insured, please provide current and renewal rates.

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Inmate Medical Insurance

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