Data Needed: If currently Fully Insured without any claim data (Small Group Market)

 

  • Member Level Census REQUIRED, and to include (must have these elements) - no middle initials or suffix
    • First Name
    • Last Name
    • SSN (required for groups with 5-15 employees, optional for groups with 16+ employees)
    • Gender (M/F)
    • Date of Birth (MM/DD/YYYY)
    • Home Address including Zip Code (5 digit)
    • Subscriber Relationship (Subscriber, Spouse, Child, Legal Dependent)
    • Tier Election (EE Only, EE+Spouse, EE+Child(ren), Family, Waived, Waiting Period, Not Eligible, Refusing Coverage)
    • COBRA Indicator (Y/N)
    • State (XX)
    • Plan Election
    • Retiree Indicator (If applicable)
  • Renewal Year + 2 Prior Year Rates (must include a copy of the Carrier renewal proposal for each year)

  • Current and Renewal Plan Design Details (Including any requested future changes) – Schedule of Benefits is preferred

Enter the information above into the form below and send your data contents as specified by group size to CAM@varipro.com