Data Needed: If currently Self-Funded 

Self Funded

  • Employee Census to include (must have these elements):
    • Dat of Birth (MM/DD/YYYY)
    • Gender (M/F)
    • Zip Code (5 digit)
    • Plan Election
    • Tier Election (EE, EE+SP, EE+CH, EE+CHILDREN, FAMILY)
    • COBRA Indicator (Y/N)
    • Retiree Indicator (if applicable)

  • 24 months of Monthly Medical Claims Data (Aggregate Reports are acceptable), by Plan Year
  • Minimum of 12 months, up to 24 months, Rx claims detail for Rx repricing, by Plan Year (please include Rx Rebates received for same time-period)
  • Monthly Enrollment Data that matches up with medical/rx data, by Plan Year
  • Current Stop Loss Policy Information (please provide a copy of the current policy)

  • Large claims data, including diagnosis information, that coincides with the monthly claims data (should cover same time periods as monthly data)
  • Renewal Year Rates +2 Prior Years Rates
  • 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