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SecureOne Benefit Administrators, Inc.
800-876-7475
Required Information for Self-Funded Proposals
Required Information for Self-Funded Proposal
  • Renewal or Effective Date
  • Copy of Current Plan Document(s)/Amendments or SBC.
  • Employee Census/Current Census
              - Name, Age or DOB, Sex, Zip Code, Coverage Status
                (active, waiving or in waiting period, (Employee, employee/spouse,
                employee/child or family coverage)

  • Multiple Plans: Census must be broken down by plan coverage.
  • Minimum two years of claims data
              - Month by month by Coverage (Medical & Rx)
Picture
  • Top claimants in excess of $25,000 paid claims under two year of history.  A diagnosis with a prognosis is critical.
  • Most current 50% stop-loss report and previous contract year's final 50% stop-loss report.
  • Current stop-loss contract rates and renewal rates.
  • Network Being Utilized.
Standard turnaround time for a complete proposal by SecureOne, which will include the stop-loss carriers, is ten (10) working days.

SecureOne stop-loss carriers have a minimum AM Best rating of A- or higher.
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