- No Individual Health Questionnaires
- Complete Proposal Request Form
- Census with the following minimum information for all enrolling members (including dependents):
- First Name
- Last Name
- Date of Birth
- Full Address
- Coverage Tier (EE, ES, EC, or EF)
- Noted if they are enrolling, waiving or in waiting period.
- Date of Hire
- Noted if employee (or dependents) are on COBRA or in the COBRA waiting period.
- Current SBD or benefit summary for all plans the group currently offers.
- Current / Renewal Rates
Once all required information is received, please allow 5-7 business days for proposal outcome.
- Possible Proposal Outcomes
- Preliminary Firm Rates
- A final enrollment census, with most recent wage & tax statement, will determine final rate outcome.
- Should five (5) or more additional members be added from the original census submitted, the group will be reevaluated within our database underwriting. Upon completion of the updated underwriting, a final outcome will be determined.
- Declination
- Preliminary Firm Rates